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R J Luttman

Publications and source records attributed to R J Luttman.

5 recordsLinked to original sources
PubMed1998

Next generation quality, Part 1: Gateway to clinical process excellence.

The quality movement has gone through three phases in this century. The first, quality assurance, emphasized reacting to problems and identifying "bad apples." The second, quality improvement, shifted the focus from individuals to processes but still retained a reactive problem-solving approach to improving the quality of products and services. The third phase, quality management, has gained strength in other industries over the years. The article presents a quality management, or "next generation quality," model for health care centered on clinical pathways as core clinical processes that are continuously improved and monitored through an improved version of variance management systems called the gateway model.

Critical Pathways↗
PubMed1998

Next generation quality, Part 2: Balanced scorecards and organizational improvement.

Part 1 of this two-part series defined a new quality paradigm called the next generation quality model. This model applies the principles of the Malcolm Baldrige Criteria for Performance Excellence to clinical processes. The model's components are clinical pathways, variance management systems, stream-lined patient documentation, and continuous improvement. Part 2 extends the next generation quality model, describes the principles and applications of integrated performance measurement systems, and explains how measurement systems are adapted to different levels of an organization to effect change.

Analysis of Variance↗
PubMed1995

Using PERT/CPM (Program Evaluation and Review Technique/Critical Path Method) to design and improve clinical processes.

Recent changes in health care have focused attention on new tools for planning and managing clinical processes. The use of one tool in particular, clinical pathways, has increased dramatically. Pathways employ a concept long used in other industries: the explicit design and documentation of a process. However, the most common tools used in other industries to perform process design, the Program Evaluation and Review Technique (PERT) and the Critical Path Method (CPM), have not migrated to health care. This article presents a methodology for incorporating PERT/CPM into the design and management of clinical processes.

Analysis of Variance↗
PubMed1994

Assessing organizational performance.

To achieve unprecedented levels of performance, health care organizations may have to redesign the process by which they generate performance-related information and redefine the content of the information itself. In this article, we suggest several principles for accomplishing these objectives.

Boston↗