Is Health Care Ready for Six Sigma Quality?

Milbank Quarterly

Volumn 76, Issue 4, 1998, Pages 565-591

  Chassin, Mark R ^a  

^a MOUNT SINAI SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CLASSIFICATION; COMPARATIVE STUDY; FEMALE; HEALTH CARE DELIVERY; HEALTH CARE QUALITY; HEALTH SERVICE; HUMAN; INDUSTRY; MALE; MEDICAL ERROR; METHODOLOGY; OCCUPATIONAL HEALTH; OUTCOME ASSESSMENT; PREGNANCY; REVIEW; STANDARD; STATISTICS; THEORETICAL MODEL; TOTAL QUALITY MANAGEMENT; UNITED STATES; UTILIZATION REVIEW;

DELIVERY OF HEALTH CARE; FEMALE; HEALTH SERVICES MISUSE; HUMANS; INDUSTRY; MALE; MEDICAL ERRORS; MODELS, THEORETICAL; OCCUPATIONAL HEALTH; OUTCOME ASSESSMENT (HEALTH CARE); PREGNANCY; QUALITY ASSURANCE, HEALTH CARE; QUALITY INDICATORS, HEALTH CARE; TOTAL QUALITY MANAGEMENT; UNITED STATES; UTILIZATION REVIEW;

EID: 0032239360     PISSN: 0887378X     EISSN: None     Source Type: Journal    
DOI: 10.1111/1468-0009.00106     Document Type: Article

References (61)

1. Bailit, M. 1997. Ominous Signs and Portents: A Purchaser's View of Health Care Market Trends. Health Affairs 16(6):85-8.
2. Behara, R.S., G.F. Fontenot, and A. Gresham. 1995. Customer Satisfaction Measurement and Analysis Using Six Sigma. International Journal of Quality and Reliability Management 12(3):9-18.
3. Bernstein, S.J., E.A. McGlynn, A.L. Siu, et al. 1993. The Appropriateness of Hysterectomy. Journal of the American Medical Association 269:2398-402.
4. Brennan, T.A., L.L. Leape, N.M. Laird, et al. 1991. Incidence of Adverse Events and Negligence in Hospitalized Patients. Results of the Harvard Medical Practice Study I. New England Journal of Medicine 324:370-6.
5. Chassin, M.R. 1991. Quality of Care - Time to Act. Journal of the American Medical Association 266:3472-3.
6. _. 1993a. Explaining Geographic Variations - The Enthusiasm Hypothesis. Medical Care 31(5):YS37-44.
7. _. 1993b. Improving Quality of Care with Practice Guidelines. Frontiers of Health Services Management 10(1):40-4.
8. _. 1996. Improving the Quality of Care. New England Journal of Medicine 335:1061-4.
9. _. 1997. Assessing Strategies for Quality Improvement. Health Affairs 16(3):152-61.
10. Chassin, M.R., R.W. Galvin, and the National Roundtable on Health Care Quality. 1998. The Urgent Need to Improve Health Care Quality. Journal of the American Medical Association 280:1000-5.
11. Chassin, M.R., E.L. Hannan, and B.A. DeBuono. 1996. Benefits and Hazards of Reporting Medical Outcomes Publicly. New England Journal of Medicine 334:394-8.
12. Cochrane, A.L. 1972. Effectiveness and Efficiency, Random Reflections on Health Services. London: Nuffield Provincial Hospitals Trust.
13. Daniels, M., and A. B. Hill. 1952. Chemotherapy of Pulmonary Tuberculosis in Young Adults. An Analysis of the Combined Results of Three Medical Research Council Trials. British Medical Journal (May 31):1162-8.
14. Eichhorn, J.H. 1989. Prevention of Intraoperative Anesthesia Accidents and Related Severe Injury through Safety Monitoring. Anesthesiology 70:572-7.
15. Franks, P., C.M. Clancy, and M.R. Gold. 1993. Health Insurance and Mortality: Evidence from a National Cohort. Journal of the American Medical Association 270:737-41.
16. Franks, P., C.M. Clancy, M.R. Gold, et al. 1993. Health Insurance and Subjective Health Status: Data From the 1987 National Medical Expenditure Survey. American Journal of Public Health 83:1295-9.
17. Gaba, D.M. 1989. Human Error in Anesthetic Mishaps. International Anesthesiology Clinics 23(3):137-47.
18. Gonzales, R., J.F. Steiner, and M.A. Sande. 1997. Antibiotic Prescribing for Adults with Colds, Upper Respiratory Tract Infections, and Bronchitis by Ambulatory Care Physicians. Journal of the American Medical Association 278:901-4.
19. Greenfield, S., E.C. Nelson, M. Zubkoff, et. al. 1992. Variations in Resource Utilization among Medical Specialties and Systems of Care. Journal of the American Medical Association 267(12):1624-30.
20. Grumbach, K., G.M. Anderson, H.S. Luft, et al. 1995. Regionalization of Cardiac Surgery in the United States and Canada. Journal of the American Medical Association 274:1282-8.
21. Hannan, E.L., H. Kilburn, Jr., J.F. O'Donnell, et al. 1992. A Longitudinal Analysis of the Relationship between In-Hospital Mortality in New York State and the Volume of Abdominal Aortic Aneurysm Surgeries Performed. Health Services Research 27(4):517-42.
22. Hannan, E.L., H. Kilburn, Jr., M. Racz, et. al. 1994. Improving the Outcomes of Coronary Artery Bypass Surgery in New York State. Journal of the American Medical Association 271:761-6.
23. Hannan, E.L., J.F. O'Donnell, H. Kilburn, et. al. 1989. Investigation of the Relationship between Volume and Mortality for Surgical Procedures Performed in New York State Hospitals. Journal of the American Medical Association 262:503-10.
24. Harry, M.J. 1998. Six Sigma: A Breakthrough Strategy for Profitability. Quality Progress 31(5):60-4.
25. Helmreich, R.L. 1997. Managing Human Error in Aviation. Scientific American (May):62-7.
26. Hibbard, J.H., J.J. Jewett, M.W. Legnini, et al. 1997. Choosing A Health Plan, Do Large Employers Use the Data? Health Affairs 16(6):172-80.
27. Hillman, B.J., G.T. Olson, P.E. Griffith, et. al. 1992. Physicians' Utilization and Charges for Outpatient Diagnostic Imaging in a Medicare Population. Journal of the American Medical Association 268: 2050-4.
28. Institute of Medicine. 1990. Medicare: A Strategy for Quality Assurance. Vol.1. Washington, D.C.: National Academy Press.
29. Jackson, T. 1997. A Black Belt in Quality: Tony Jackson Reports on the Unforgiving Demands of "Six Sigma" Process Controls. Financial Times (London) (Feb. 27):11.
30. James, B.C. 1993. Implementing Practice Guidelines through Clinical Quality Improvement. Frontiers of Health Services Management 10(1):3-37.
31. James, B.C. 1997. Every Defect a Treasure: Learning from Adverse Events in Hospitals. Medical Journal of Australia 166:484-7.
32. Keeler, E.B., R.H. Brook, G.A. Goldberg, et al. 1985. How Free Care Reduced Hypertension in the Health Insurance Experiment. Journal of the American Medical Association 254:1926-31.
33. Lange, R.A., L.D. Hillis. 1998. Use and Overuse of Angiography and Revascularization for Acute Coronary Syndromes. New England Journal of Medicine 338:1838-9.
34. Leape, L.L. 1994. Error in Medicine. Journal of the American Medical Association 272:1351-7.
35. Leape, L.L., D.W. Bates, D.J. Cullen, et al. 1995. Systems Analysis of Adverse Drug Events. Journal of the American Medical Association 274:35-43.
36. Leape, L.L., T.A. Brennan, N. Laird, et al. 1991. The Nature of Adverse - Events in Hospitalized Patients. Results of the Harvard Medical Practice Study II. New England Journal of Medicine 324:377-84.
37. Lieberman, T. 1998. In Search of Quality Health Care. Consumer Reports (October):35-40.
38. Lunn, J.N., and H.B. Devlin. 1987. Lessons From the Confidential Enquiry into Perioperative Deaths in Three NHS Regions. Lancet (Dec. 12):1384-7.
39. Lurie, N., W.G. Manning, C. Peterson, et al. 1987. Preventive Care: Do We Practice What We Preach? American Journal of Public Health 77:801-4.
40. Lurie, N., N.B. Ward, M.F. Shapiro, et. al. 1986. Special Report: Termination of Medi-Cal Benefits. A Follow-Up Study One Year Later. New England Journal of Medicine 314:1266-8.
41. Melymuka, K. 1998. GE's Quality Gamble. Computerworld 32(June 8).
42. Miller, R.H., and H.S. Luft. 1994. Managed Care Plan Performance since 1980. A Literature Analysis. Journal of the American Medical Association 271:1512-19.
43. Miller, T.E. 1997. Managed Care Regulation in the Laboratory of the States. Journal of the American Medical Association 278:1102-9.
44. Mitchell, J.M., and E. Scott. 1992. Physician Ownership of Physical Therapy Services. Journal of the American Medical Association 268:2055-9.
45. Mitchell, J.M., and J.H. Sunshine. 1992. Consequences of Physicians' Ownership of Health Care Facilities - Joint Ventures in Radiation Therapy. New England Journal of Medicine 327:1497-501.
46. Nicod, P., and U. Scherrer. 1992. Money, Fun and Angioplasty. Annals of Internal Medicine 116:779.
47. Nyquist, A., R. Gonzales, J.F. Steiner, et al. 1998. Antibiotic Prescribing for Children with Colds, Upper Respiratory Tract Infections, and Bronchitis. Journal of the American Medical Association 279:875-7.
48. Orkin, F.W. 1993. Patient Monitoring during Anesthesia as an Exercise in Technology Assessment. In Monitoring in Anesthesia, 3rd ed., eds. L.J. Saidman and N.T. Smith. London, U.K.: Butterworth-Heineman.
49. Pestotnik, S.L., D.C. Classen, R.S. Evans, et al. 1996. Implementing Antibiotic Practice Guidelines through Computer-Assisted Decision Support: Clinical and Financial Outcomes. Annals of Internal Medicine 124:884-90.
50. Peterson, E.D., E.R. DeLong, J.G. Jollis, et al. 1998. The Effects of New York's Bypass Surgery Provider Profiling on Access to Care and Patient Outcomes in the Elderly. Journal of the American College of Cardiology 32:993-9.
51. Phibbs, C.S., J.M. Bronstein, E. Buxton, et al. 1996. The Effects of Patient Volume and Level of Care at the Hospital of Birth on Neonatal Mortality. Journal of the American Medical Association 276: 1054-9.
52. President's Advisory Commission on Consumer Protection and Quality in the Health Care Industry. 1998. Quality First: Better Health Care for All Americans. Washington, D.C.
53. Retchin, S.M., and J. Preston. 1991. Effects of Cost Containment on the Care of Elderly Diabetics. Archives of Internal Medicine 151:2244-8.
54. Roohan, P.J., N.A. Bickell, M.S. Baptiste, et al. 1998. Hospital Volume Differences and Five Year Survival from Breast Cancer. American Journal of Public Health 88:454-7.
55. Ross, A.F., and J.H. Tinker. 1994. Anesthesia Risk. In Anesthesia. 4th ed., ed. R.D. Miller. New York: Churchill-Livingston.
56. Soumerai, S.B., T.J. McLaughlin, D. Spiegelman, et al. 1997. Adverse Outcomes of Underus of B-Blockers in Elderly Survivors of Acute Mycocardial Infarction. Journal of the American Medical Association 277:115-21.
57. Udvarhelyi, I.S., K. Jennison, R.S. Phillips, et al. 1991. Comparison of the Quality of Ambulatory Care for Fee-for-Service and Prepaid Patients. Annals of Internal Medicine 115(5):394-400.
58. Walmsley, A. 1997. Six Sigma Enigma. Globe and Mail Report on Business Magazine (October).
59. Wells, K.B., R.D. Hays, M.A. Burnam, et al. 1989. Detection of Depressice Disorder for Patients Receiving Prepaid or Fee-for-Service Care. Journal of the American Medical Assiciation 262:3298-302.
60. Wennberg, J.E. 1987. The Paradox of Appropriate Care. Journal of the American Medical Association 258:2568.
61. Wennberg, J.E., B.A. Barnes, and M. Zubkoff. 1982. Professional Uncertainty and the Problem of Supplier-Induced Demand. Social Science and Medicine 16:811-24.