Fundamentals of Health Care Improvement: A Guide to Improving Your Patients' Care, 4th Edition

Release Date: August 30, 2022. 214 pages.

New 4th edition of best-selling introductory guide to PI in health care. Takes PI concepts and helps health care students and clinicians understand how to apply them to their patient care activities.

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Fundamentals of Health Care Improvement: 4th Edition cover
  • Fundamentals of Health Care Improvement: 4th Edition cover
Product Description

Product Description

By Gregory S. Ogrinc, MD, MS; Linda A. Headrick, MD, MS; Amy J. Barton, PhD, RN, FAAN, ANEF; Mary A. Dolansky, PhD, RN, FAAN; Wendy S. Madigosky, MD, MSPH, FAAFP; Rebecca S. (Suzie) Miltner, PhD, RN, FAAN; and Allyson G. Hall, PhD, MBA/MHS

“Across various health professions and medical specialties, a new focus on ensuring that race, ethnicity, gender, geography, and socioeconomic status do not affect the quality of care has emerged. To ensure that this focus remains, and this momentum continues, we need to firmly embed a new dual axiom: there is no quality without equity, and there is no equity without quality.”— Kedar Mate, MD, President and CEO, Institute for Healthcare Improvement, from the Foreword to the fourth edition.

Fundamentals of Health Care Improvement: A Guide to Improving Your Patient’s Care, 4th edition, is intended to help health professional learners diagnose, measure, analyze, change, and lead improvements in health care, with the aim to shape reliable, high-quality systems of care in partnership with patients. Copublished by Joint Commission Resources and the Institute of Healthcare Improvement, this fourth edition includes updated resources, including examples, figures, tables, and tools. New to this edition is a focus on health equity and disparities of care brought to light by the COVID-19 pandemic. This focus explores the relationship between social determinants of health and how improvement methods and skills can help identify and close disparity gaps in systems of care. Also new to this edition is an expanded discussion of effective teamwork and the importance of creating multidisciplinary health care teams that partner with patients and families.

Key Topics in the 4th edition

  • Identifying gaps in quality and working in teams to close those gaps
  • Finding scientific evidence for clinical improvement
  • Identifying a focus for improvement
  • Understanding process literacy, culture, content, and systems in health care
  • Analyzing data for decision making
  • Using measurement tools to gain insight
  • Understanding and implementing change
  • Spreading and sustaining the improvement
  • Publishing and presenting the improvement
  • Using Improvement tools

Key Features

  • Clinical problem-solving and teamwork vignettes
  • Chapter objectives and study questions to assess learning
  • Comparisons between types of measurement tools and ideas for practical applications
  • Updated SQUIRE publishing guidelines and presentation strategies
  • Downloadable tools, worksheets, and resources

Settings: Applicable to all health care settings, but most applicable to the hospital setting

Key Audience

  • Nursing and medical students
  • Resident physicians
  • Health professional educators
  • Nursing and medical leadership
Table of Contents

Table of Contents

Click on the Table of Contents below for details.

Table of Contents



About the Authors

Gregory S. Ogrinc, MD, MS, is the Senior Vice President Certification Standards and Programs at the American Board of Medical Specialties (ABMS) and a Visiting Clinical Professor of Medicine at the University of Illinois College of Medicine at Chicago. He is a hospitalist physician at the Jesse Brown VA hospital in Chicago. After graduating from John Carroll University, he earned his doctor of medicine from Case Western Reserve University School of Medicine and his master of science from Dartmouth.
Linda A. Headrick, MD, MS, FACP, is Professor Emerita of Medicine at the School of Medicine, University of Missouri–Columbia (MU SOM). Her initial faculty appointment was at Case Western Reserve University and MetroHealth Medical Center, where she was one of the first to introduce continuous quality improvement into medical education. From 2002 to 2016, Dr. Headrick served as MU SOM’s Senior Associate Dean for Education, leading a team that supported all aspects of medical education from pre-admissions through continuing medical education. In 2013, their emphasis on quality improvement, interprofessional teamwork and integration with the clinical learning environment earned a Learning Health System Challenge Award from the Association of American Medical Colleges (AAMC). Dr. Headrick received her BA at the University of Missouri-Columbia, MD from Stanford University, and MS in Epidemiology-Biostatistics/Health Services Research at Case Western Reserve University.
Amy J. Barton, PhD, RN, FAAN, ANEF, is Senior Associate Dean for Faculty and Students at the University of Colorado College of Nursing Anschutz Medical Campus. Additionally, Barton is the Daniel and Janet Mordecai Endowed Chair in Rural Health Nursing. She received her bachelor’s degree in nursing from the University of Toledo and her master’s degree in nursing from the Medical College of Ohio. She received her doctor of philosophy from the University of Florida.
Mary A. Dolansky, PhD, RN, FAAN, is Associate Professor at the Frances Payne Bolton School of Nursing, Case Western Reserve University. She is also a Senior Quality Scholar of the Veterans Affairs National Quality Scholars Fellowship Program at the Louis Stokes Cleveland Veterans Affairs Medical Center. Dolansky earned her nursing degree as well as her doctor of philosophy from Case Western Reserve University. She has contributed to many books and journal articles within the medical field specifically in quality improvement. Additionally, Dolansky co-authored the massive open online course, Take the Lead on Healthcare Improvement.
Wendy S. Madigosky, MD, MSPH, FAAFP, is an Associate Professor of Health System Sciences at the Kaiser Permanente Bernard J. Tyson School of Medicine and Clinical Associate Professor of Family Medicine at the University of Colorado School of Medicine. She graduated from Trinity Washington University and then earned her doctor of medicine from The George Washington University School of Medicine and Health Sciences as well as a master of science in public health from the University of Missouri–Columbia. Her work focuses on clinical skills development, professionalism, safety/quality, and interprofessional education.
Rebecca S. (“Suzie”) Miltner, PhD, RN, CNL, NEA-BC, FAAN, is the Donna Brown Banton Endowed Professor in Nursing at the School of Nursing, University of Alabama at Birmingham, a nurse scientist at the Birmingham VA Medical Center, and faculty with the VA Quality Scholars program. She earned her bachelor of nursing from the Medical College of Georgia, her master of science degree at the University of Wisconsin, and doctor of philosophy from the University of Maryland at Baltimore.
Allyson G. Hall, PhD, MBA/MHS, is a professor in the department of Health Services Administration at the University of Alabama at Birmingham (UAB), where she serves as the program director for graduate programs in healthcare quality and safety and as Co-Director for the Center for Outcomes and Effectiveness Research and Education. She holds a PhD in health policy from the Johns Hopkins University Bloomberg School of Public Health.   She is a health services researcher whose work is aimed at improving access to high-quality care, especially among vulnerable populations.

About the Foreword Writer

Kedar Mate, MD, is the President and Chief Executive Officer at the Institute for Healthcare Improvement (IHI), President of the IHI Lucian Leape Institute, and a member of the faculty at Weill Cornell Medical College. His scholarly work has focused on health system design, health care quality, strategies for achieving large-scale change, approaches to improving value, and health equity. Previously Dr. Mate worked at Partners In Health, the World Health Organization, Brigham and Women’s Hospital, and served as IHI’s Chief Innovation and Education Officer. He graduated from Brown University with a degree in American History and from Harvard Medical School with a medical degree.

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