Announcing
Achieving Quality in Health
Wilson's new book on Health Care Quality!

"This is a book about health care staff measuring what is
important to their patients."
- Christopher Wilson, PhD

Table of Contents Testimonials About the Author
About the Model Order Form

Table of Contents:
   Chapter One:   The Age of Accountability
      Why Indicators and Why Now?
      United States: The Development of Accountability in Health Care
      United Kingdom: Accountability in the National Health Service
      Canada: Breaking Faith with Medicare
      New Standards for the Year 2000
      Benchmark Indicators
      Domestic Indicators - An Affordable Alternative
      Health Quality Achievement-a Proposal
      The Results of Measuring Performance
      The Rewards of Achievement
   Chapter Two:   Indicators of Program Performance
      Six Indicators for the Doubtful
      Outcome
      Technical/Professional Quality
      Service Quality
   Chapter Three:   Developing Indicators and Indicator Sets
      Teams, Indicators and Performance
      Ends, Prescriptions and Promises
      Fashioning the Indicator
      Gathering and Reporting Data
      From Indicators to Sets
   Chapter Four:   Indicators of System Performance
      Client Satisfaction
      Risk
      Staff Participation
      Vital Signs
   Chapter Five:   Rendering Account
      All for Naught
      Discontinuity in the Reporting Chain
      Handling the Discontinuities
      The Indicator Review Meeting
      The Voice of the Profession
      The Aggregation of Data
      Information for the Board
      Four Indicator Panels
      Scorecards and Business Plans
      A Report Card for the Community
   Bibliography

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What colleagues have said about the book!

S. Spence Meighan says: "The development of clinical indicators as discussed in this book focuses on what is best for the patient.   This focus is important because it is the only one which can unify the interests and responsibilities of the entire team.   This book describes a process by which members of the health care team can come together to establish standards of care through the use of clinical indicators.   These indicators are produced by the entire local team.   And it is through that process of development that enthusiasm will develop." (S. Spence Meighan, MB, ChB, FRCP (London & Glasgow), FACP.)

David Shedden says: "Achieving Quality in Health: Taking Responsibility for Performance is a thorough, interesting and entertaining call to each of us, whatever our contribution to the field of health, to take personal responsibility for quality performance and get on with the job.   Using practical, everyday examples, extensive references, entertaining and fine writing, the author sets out paths towards quality in health for all categories of practitioner, be they in the health facility, the community centre, the board room or the executive suite." (David Shedden, CEO The Toronto Academic Health Sciences Council 1992-1998)

Christopher Wilson, the author, says:
"This is a book about health care staff measuring what is important to their patients.   When this occurs regularly the benefits to the clients are enhanced and staff experience personal satisfaction from doing good work and being members of teams that want to make it happen.   The reader is shown how teams develop a single indicator and then manage the quality of their clinical work through sets of leading indicators of outcome, quality and service."

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About the Author

Christopher Wilson, PhD is an educator who teaches and consults in health care governance and quality management in Canada and the United Kingdom.   He held the appointment of Honorary Fellow of Manchester University from 1992-1998, for his work in Quality Assurance.   Prior to establishing his consulting practice in 1992, he had extensive experience in hospitals, first in the United States and then in Canada.   During his 14 years with the Ontario Hospital Association, Wilson acted as a management consultant to member hospitals, particularly the rural and Northern hospitals, for whom he had to design workable models for quality and service effectiveness.

Achieving Quality in Health (AQH) is Chris's fifth book.   It is the result of consulting work for health districts in Saskatchewan, St. Boniface General Hospital, Winnipeg, facilities in Ontario, and a demonstration project for the National Health Service in Scotland. All of the clients were looking for a user-friendly way in which clinical teams could measure their performance, and management could present articulate numbers to their boards and communities.   AQH is currently being readied for publication in the United Kingdom under the title Clinical Governance.

For more information contact:
Quality Development Workshops
59 Densgrove Road
Scarborough, Ontario, Canada M1G 2A2

Telephone: (416) 435-5085

Fax: (416) 439-1691

Toll-Free: 1 (877) 733-4813

E-mail: gcainc@idirect.com

Web Site: http://webhome.idirect.com/~gcainc

Life-long learning through quality development workshops
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Health Quality Achievement (HQA) is a quality management model based on performance indicators with the following hallmarks:
· First, the quality that is measured is that of the multi-disciplinary team, which is also the focus of today's accreditation.
· Second, it expects practice teams to articulate their goals or outcomes for their clients, review the attainment of them, and measure the quality and service the team delivers to its clients.
· Third, health agencies are expected to measure and monitor the vital signs of corporate performance: client satisfaction, risk and safety, and staff participation (morale).
· Fourth, HQA has found a way of aggregating the data from these domestic indicators and system measures into indicator panels, in such a way that lay minds are informed and boards can govern with intelligence.

Kaaren Neufeld, RN., MN., Director, Quality and Professional Services at St. Boniface General Hospital in Winnipeg, Manitoba says about the model:
"With quality on the minds of all in health care, it is a challenge to find an approach that is simple, cost-effective, fits with organizational mission and culture, and is relevant to practice.   HQA gave us a framework that fulfilled these needs.   The program has many strengths.   It gives staff the tools to measure quality and incorporates measurement into the daily practice of the clinical and support teams.   Reports are easily generated and assimilated into the current reporting structure of the hospital.   Measurement...gives voice to the teams' strengths and successes, allowing these to be heard by management, the board, and the community."

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