Healthcare Publications

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  JAMA, January 23/30, 2013 - Vol 309, No. 4
  Article: Association Between Quality Improvement for Care Transitions in Communities and Rehospitalizations Among Medicare Beneficiaries

  Sherrie Smith, CPHQ, was the lead performance improvement specialist facilitating the Alabama project in the major hospitals, nursing homes and home health agencies in the target community. The Alabama target community had the greatest reduction in all-cause 30-day readmission rates when compared to the other states participating in the project.

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  Dorland Health, October 2012
  Article: The Case Manager's Guide to Readmissions - PDF & CE Exam

  Sherrie Smith, CPHQ, co-authored the following article that summarizes a successful approach to reduce readmission rates:

  Chapter 1: Managing Unplanned Readmissions: A Collective Perspective
  3 Guiding Principles That Set Organizations on the Path to Readmissions Success
  By Sherrie Smith, BS, CPHQ and Brian Pisarsky, RN, MHA, ACM

  On October 1, 2012, the Centers for Medicare and Medicaid Services officially began its program to penalize hospitals that see high numbers of readmissions for patients with specific disease states. With real money on the table, the effort to get a handle on the readmissions challenge has become a priority across the system.
  This report has been approved for 4 CE credits for the following disciplines: Nurses, Certified Case Managers, Disability Management Specialists, Psychologists.
  

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  Sherrie Smith, CPHQ,
  President & Co-Founder of Quality Improvement Group, LLC

  Cultivating a Culture of Safety in Healthcare

  A Systemic Approach to Root Cause Analysis

   

  Written by Sherrie Smith, CPHQ - founder of QIG, LLC.

   

  Selected by major universities to teach advance degree nursing students about patient safety, medical errors & RCA

  The complex systems which comprise health care services provide fertile ground for errors to take place.  In order to cultivate a culture of safety that protects patients from harm and results in good clinical outcomes, a comprehensive understanding of errors is essential.  The information presented in this book will help you to understand the ideology of errors and how to find the root cause(s) of them when they occur.  This book's simplified, step-by-step instructions will guide you through the process of conducting a thorough and effective Root Cause Analysis (RCA) in the most efficient and effective possible manner.
  
  Get the most from your efforts to improve patient safety through routine use of Root Cause Analysis.  This manual includes step-by-step instructions, forms corresponding to each step in the process, and a comprehensive system for reporting and filing your end results.  Join the ranks of those who have taken the mystery out of RCA.  Cultivate a culture of patient safety that will improve care and WOW The Joint Commission!

  Book review: This book does an excellent job of covering conventional root cause analysis. I found the text to be easy reading and quite understandable. The layout of the book flows nicely. The author takes you through a series of steps that include defining the problem, methods for collecting data and gathering information, analysis of the problem, and ultimately developing corrective action. And the appendix is devoted to forms, worksheets and checklists that significantly add to the value of the book.

  Use This Manual To:

  • Guide your team through comprehensive RCA with ease
  • Train staff (Exercises included)
  • Train College Students
  • Improve quality measures
  • Create a Safer environment for your patients and staff
  • Reduce unplanned readmissions
  • Improve process of care
  • Organize all RCAs for easy access and ongoing use for improvement
  • Educate your board and medical staff on patient safety, medical records and root cause analysis

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