Title: Leading Evidence Informed Value Improvement in Healthcare
Author: John Ovretveit
Publisher: Kingsham Press, 2009
Reviewer: Dr. Jo Wilson, senior research fellow, Newcastle University
What was it like?
An excellent book written by an internationally acclaimed author of Health Innovation, Quality and Safety. The book is laid out systematically setting the scene in the first chapter discussing the importance of getting the balance between cost and quality for better outcomes, safety and value for all concerned in healthcare. It is then set out in three parts, which discuss What to improve, How to implement value improvement and The Knowing and Building. The book clearly sets out frameworks with sets of steps through a systematic approach using research and experiences of staff involved to closely monitor and identify changes moving healthcare from a volume driven system to a value-based patient orientated service. It demonstrates how value opportunities can be identified through safety and quality problems raising awareness of the service failures and the high-risk problems that need to be addressed and the resources required to do this. Innovation in leadership is achieved through making value improvements by influencing and enabling others by improving care for patients and reducing unnecessary wasted resources.
What were the highlights?
The author takes the reader through a step-by-step approach demonstrating successful improvements to processes and systems through case studies and personal experiences in healthcare settings.
Strengths & weaknesses:
The strengths are through the clear recognition of getting costs and quality right for improved value, though a well-designed knowledge base and carefully managed change to improve processes and systems of care delivery. A framework is used to generate ideas through improved quality, lower cost and safety changes to reduce suffering and costs. This helps to unite professional and managers to use effective solutions for value improvements. The book provides ideas, frameworks and advice to successful outcomes and safety.
Who should read it?
Healthcare professionals, managers and all care providers. Also care purchasers, regulators and patients.