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From the blog

Conversations on Health Care

This is a weekly radio program that features a speaker, a fact-checker related to a controversial health care topic, and community health-related topics. The co-hosts are Mark Masselli, M.D., and Margaret Flinter, Ph.D. , RN, FNP, FAAN, who are associated with Community Health Center, Inc.

CHC Radio episodes

Centers for Medicare & Medicaid Services (CMS)

The Measures Management System (MMS)

This is a standardized system which includes a core set of criteria for developing, implementing, and maintaining quality measures used by CMS. The information contained on this website provides guidance and best practices in developing quality measures. The Blueprint includes an introduction, measure lifecycle, in-depth topics, forms and templates, glossary and acronyms, and appendices. Provides excellent information on how the U.S. government considers quality in its funding decisions and how it protects the public.

Measures Management System

The CMS Measures Inventory Tool

This is a listing of measures that have been developed by individuals, societies, associations, and others to measure clinical care. The utility of the inventory is to allow individuals/groups/agencies who want to study a clinical aspect of care to be able to use comparable measures that have been reviewed and/or endorsed for use. For instance, there is a three-Item Care Transitions Measure (CTM-3), a 30-Day Unplanned Readmissions for Cancer Patients, and many more measures to explore. For each measure, the properties, steward, characteristics, groups, programs, links, similar measures, and environmental scan provide clarity as to how the numerator/denominators were establishes, with evidence-based rationale offered.

Measure inventory

The Person and Family Engagement Toolkit (PFE)

The federal government is acknowledging the need for person-centered measures and this is best achieved with the engagement of individual and family consumers. The toolkit provides and introductory video, instructive content, success stories, staff trainings, and ready-to-use tools that would advance bringing the consumer into metric measurement development in 10 modules: preparing your organization, the PFE process, how to engage, facilitating engagement, recruitment, onboarding and orientation, ongoing communication, strategic planning, staff trainings, and resources.

Person and Family Engagement Toolkit [PDF]

CMS 2019 Public Webinar #1

CMS Measure Development Education and Outreach: “Measuring Quality to Improve Quality: Strengths and Limitations of Clinical Quality Measurement”

CMS 2019 webinar #1

CMS 2019 Public Webinar #2

CMS Measure Development Education and Outreach: “Patient-Centered Quality Measurement: What It Is and Hot to Get Involved”

CMS 2019 webinar #2

Institute for Healthcare Improvement (IHI)

This premiere organization, the IHI provides a free basic certificate in Quality & Safety. The content provides a strong overview of the depth and breadth of quality and safety perspectives, tools, techniques, and ethical considerations. Required are 13 modules within five learning categories: improvement capability, patient safety, leadership, person- and family-centered care, and triple aim for populations. While other content is available in each of these domains, the modules marked with an * will lead to the basic certificate.

IHI Open School Online Courses

IHI’s Quality Improvement Essentials Toolkit

Contains tools and templates to launch a successful quality improvement project and manage performance improvement. These tools are compatible with all approaches to improvement, such as the Model for Improvement, Lean, or Six Sigma. Tools include a description of, instructions for, an example of, and a template for the cause and effect diagram, failure modes and effects analysis, run charts and control charts, and the PDSA (plan-do-study-act) rapid cycle testing.

Quality Improvement Essentials Toolkit

IHI’s Patient Safety Essentials Toolkit

This toolkit introduces methods to improve teamwork and communication, understand the underlying issues that can cause errors, and how to create and maintain reliable systems. It includes references to SBAR (situation-background-assessment-recommendation), action hierarchy, huddles, and failure modes and effects analysis.

Patient Safety Essentials Toolkit

QSEN Institute (Quality and Safety Education for Nurses)

The QSEN Institute is housed out of the Frances Payne Bolton School of Nursing at Case Western Reserve University. The project was launched to address ways to prepare future nurses with the knowledge, skills, and attitudes to improve the quality and safety of the health care systems within which they work. Currently, the QSEN collaborative involves healthcare professional focused on education, practice, and scholarship. This website contains information aimed at educators and practitioners and shares resources, publications and events that relate to its mission. Competencies that are addressed include patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and information.



  • Nelson, EC, Batalden, PB, & Godfrey, MM (2007). Quality by design: A clinical microsystems approach. San Francisco, CA: Jossey-Bass.
    First major book to address the nested systems thinking at the micro-, meso-, and macro-level. Clear and easy to comprehend. Contains tools and techniques for conducting quality improvement activities.
  • Gawande, A. (2009). The checklist manifesto: How to get things right. New York, NY: Henry Holt and Company.
    As informed by the title, Gawande addresses the importance of process steps and developing supportive infrastructures to ensure positive clinical outcomes in a time of increasing complexity within healthcare institutions.
  • Axelrod, A. (2000). Elizabeth I CEO: Strategic lessons from the leader who built an empire. Paramus, NJ: Prentice-Hall Press.
    A fascinating read that offers insights into how leaders set strategy within the context of their environment. An evidence-supported biography that makes a curious and uncomplicated read.
  • Allee, V. (1997). The knowledge evolution: Expanding organizational intelligence. Newton, MA: Butterworth-Heinemann. A classic and essential reference to learning organizations and knowledge workers, perhaps more relevant today than when first issued.
  • Allee, V. (2003). The future of knowledge: Increasing prosperity through value networks . Burlington, MA: Butterworth-Heinemann.
    Building on her previous work, this extends ideas and concepts frames organizations as living networks, building learning communities, and thoughts on the business enterprise through the lens of knowledge creation and utilization.
  • Lighter, DE & Fair, DC (2004). Quality management in health care: Principles and methods. Sudbury, MA: Jones and Bartlett Publishers. Another comprehensive reference to the principles and practices of quality improvement with special attention given to statistical process control and the use of statistics to support improvement initiatives.
  • Kritek, PB (2002). Negotiating at uneven table: Developing moral courage in resolving our conflicts. San Francisco: Jossey-Bass.
    Written by a nurse scholar in negotiations and using healthcare examples, this seminal reference frames the moral imperative that is generated by quality initiatives: which get prioritized, which wait and the consequences of decision-making and priority-setting.
  • Shoemaker, PJH (2011). Brilliant mistakes. Philadelphia, PA: Wharton Digital Press.
    We learn more from mistakes than successes. Not all mistakes are equal or deleterious in health care. This examines the nature and usefulness of being authentic as less-than-perfect in care delivery.
  • Bloom, P. (2016). Against empathy: The case for rational compassion. New York, NY: HarperCollins Publishers.
    Nurses are schooled in empathy as a desired trait. Bloom’s critical examination of empathy as a negative force reveals much about bias and the potential for narrow focus, creating a state of disharmony. In its place he frames a view of rational compassion as a more inclusive way of addressing humanity.
  • Markova, D. & McArthur, A. (2015). Collaborative intelligence: Thinking with people who think differently. New York, NY: Spiegel & Grau.
    Collaboration is a broad concept, often confused with toleration, cooperation or coordination. In this guide, the authors how the minds of others work and how to seize the styles of others to unleash human potential essential to group functioning.
  • Delaney, CW, Weaver, CA, Warren, JJ, Clancy, TR, & Simpson, RL (2017). Big data-enabled nursing: Education, research and practice. Gewerbestrasse, Switzerland: Springer International Publishing.
    This book is the consummate authoritative guide and first-ever encyclopedic text on big data. It contains specific chapters that address big data in quality science with far-reaching other reference points.
  • Prahalad, CK & Krishnan, MS (2008). The new age of innovation: Driving co-created value through global networks. New York, NY: McGraw Hill.
    Speed, scalability, personalized service, talent management, and IT supported analytics are central tenets addressed in this work that fosters a global networking perspective. Insights into healthcare transformation can be discovered through this easy-to-read book.
  • Christensen, CM (2009). The innovator’s prescription: A disruptive solution for health care. New York, NY: McGraw Hill.
    Now a classic, these authors speak specifically about how technology has and can disrupt healthcare. The authors foresaw precision medicine, the proliferation and sequelae of chronic disease, and the powerful influence of technology as disruptors. Make no mistake, the politics and policy ramifications of existing practices are questioned.
  • Health, C. & Heath, D (2010). Switch: How to change things when change is hard. New York, NY: Broadway Books.
    For emerging change masters, this book offers pragmatic reflections on strategy and operational realities. How to “shrink the change” and script critical moves to fully engage the client group toward the goal at hand are described with enough detail that readers will benefit from these insights.
  • Schilling, MA (2020). Strategic management of technological innovation. New York: McGraw-Hill Education.
    An exceptional resource for understanding the foundation for, patterns of, and implementation for innovation. Written as a textbook, this resource builds on subject content, introduces terminology, and provides exceptional resource materials.
  • Bishop, B. (2017). The new economy thinker: The complete guide to your success in the new economy. Scotts Valley, CA: CreateSpace Publishing Company.
    Bishop is an entrepreneur and innovator whose capacity to frame the current realities linked to the new economy are clearly narrated in this book. Easy to comprehend, there is deep substance to support his ideas.
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