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The Best Practice: How the New Quality Movement is Transforming Medicine
 
 
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The Best Practice: How the New Quality Movement is Transforming Medicine [Hardcover]

Charles Kenney (Author)
4.5 out of 5 stars  See all reviews (11 customer reviews)

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Book Description

July 22, 2008

Americans have always thought their healthcare system was the best in the world. But starting in the late 1990s, shocking reports emerged that showed this was far from the truth. Treatment-related deaths or “complications” were found to be the fifth leading cause of death for Americans, and hundreds of thousands of patients were being harmed by botched medical procedures.

Spurred by the quality crisis, a group of visionary physicians led by Donald Berwick and Paul Batalden embarked on a study of industrial “quality improvement” techniques, daring to apply them to the practice of medicine despite resistance from the medical community. The Best Practice tells the story of this burgeoning movement, and of how the medical landscape is being radically transformed—for the better.
 


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Editorial Reviews

Review

Physicians Practice, October issue
The Best Practice argues persuasively that, in fact, getting sick in the United States doesn’t beat getting sick in Sweden — or in Denmark, England, Germany, Canada, or just about anywhere else in the developed world, for that matter.”


TheHealthCareBlog.com
“ ‘The Best Practice’ is an amazingly readable book. My amazement is not a reflection on Kenney's writing, but rather that he managed to make health care quality interesting for nearly 300 pages.”

About the Author

Charles Kenney is the author of five works of nonfiction including John F. Kennedy: The Presidential Portfolio, Rescue Men, and three novels. A former Boston Globe journalist, he has served as a consultant to Blue Cross Blue Shield of Massachusetts on the company’s quality and safety initiative.

Product Details

  • Hardcover: 336 pages
  • Publisher: PublicAffairs; 1 edition (July 22, 2008)
  • Language: English
  • ISBN-10: 1586486195
  • ISBN-13: 978-1586486198
  • Product Dimensions: 9.6 x 6.8 x 1.1 inches
  • Shipping Weight: 1.4 pounds (View shipping rates and policies)
  • Average Customer Review: 4.5 out of 5 stars  See all reviews (11 customer reviews)
  • Amazon Best Sellers Rank: #330,937 in Books (See Top 100 in Books)

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Customer Reviews

11 Reviews
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Average Customer Review
4.5 out of 5 stars (11 customer reviews)
 
 
 
 
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16 of 18 people found the following review helpful:
5.0 out of 5 stars Real, Measurable Quality in Health Care, August 3, 2008
This review is from: The Best Practice: How the New Quality Movement is Transforming Medicine (Hardcover)
This is my favorite example of a visionary solution since reading How to Measure Anything: Finding the Value of "Intangibles" in Business by Hubbard. Kenney's work would have been a great example for Hubbard and Hubbard's methods would have solved many of the challenges of Donald Berwick and Paul Batalden, the heroes of The Best Practice.

Whether the average patient can tell it or not, the quality of health care is improving measurably thanks largely to a passionate devotion of Berwick and Batalden to their cause. The biggest surprise for me in the book is how even a culture as entrenched as medicine can start to change its ways when quality becomes a quantity that is measured and used as a yardstick for improvement. Champions of the quality control methods W.E. Demming developed for other businesses, Berwick and Batalden decide to implement standards of quality already known in other professions to perhaps the profession perhaps most resistant to objective measurement. And we are all better off for it.
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5 of 5 people found the following review helpful:
3.0 out of 5 stars Uncritical review of the Institute for Healthcare Improvement's version of health care quality improvement, February 10, 2009
This review is from: The Best Practice: How the New Quality Movement is Transforming Medicine (Hardcover)
Very readable, but greatly simplified overview of the health care quality improvement movement. Takes as its center the vision of Don Berwick's Institute for Healthcare Improvement. Unfortunately, while a central tenet of the quality movement is that depending upon heroic performance of individuals is a way to ensure error and mistake, the book takes a heroic approach to the movement itself painting the leading lights as paragons. Doesn't dig deep enough to offer an account of the inertia of healthcare and our nation's failures of cost and quality.
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2 of 2 people found the following review helpful:
4.0 out of 5 stars Interesting stuff and a good read, September 23, 2008
This review is from: The Best Practice: How the New Quality Movement is Transforming Medicine (Hardcover)
There is some very interesting information in there, things I really had no idea were happening (like studying Toyota to reduce medical errors). Considering I work on the other side of things, actually seeing patients, I feel like this work hits some important points, but perhaps not the most pressing and direct issues that impair providers from providing excellent care every time.

Jessica Sims
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Inside This Book (learn more)
Key Phrases - Statistically Improbable Phrases (SIPs): (learn more)
birthday club, electronic medical records, electronic health records, industrial quality techniques, new quality movement, health care stakeholders, central line infections, preventable medical errors
Key Phrases - Capitalized Phrases (CAPs): (learn more)
United States, Cincinnati Children, Virginia Mason, Don Berwick, Paul Batalden, Toyota Production System, Gary Kaplan, Pursuing Perfection, Rick Shannon, Paul O'Neill, Joint Commission, Lee Carter, Jim Anderson, Lucian Leape, Brent James, Uma Kotagal, George Halvorson, Betsy Lehman, Harvard School of Public Health, Jim Roberts, Johns Hopkins, Million Lives, Harvard Community Health Plan, Modern Healthcare, Art Byrne
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Front Cover | Front Flap | Table of Contents | First Pages | Index | Back Flap | Back Cover | Surprise Me!
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