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Patient Flow Reducing Delay In Healthcare Delivery
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Book Synopsis Patient Flow: Reducing Delay in Healthcare Delivery by : Randolph Hall
Download or read book Patient Flow: Reducing Delay in Healthcare Delivery written by Randolph Hall and published by Springer Science & Business Media. This book was released on 2006-10-11 with total page 470 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is dedicated to improving healthcare through reducing the delays experienced by patients. It is the first book treatment to have reduction in patient delay as its sole focus, and therefore, provides the foundation by which hospitals can implement change. In short, the book provides "hands-on" discussion and methods for solving a variety of problems, and is a guide to motivate change in Health Care Systems around the world.
Download or read book Patient Flow written by Randolph Hall and published by Springer Science & Business Media. This book was released on 2013-12-11 with total page 547 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is dedicated to improving healthcare through reducing delays experienced by patients. With an interdisciplinary approach, this new edition, divided into five sections, begins by examining healthcare as an integrated system. Chapter 1 provides a hierarchical model of healthcare, rising from departments, to centers, regions and the “macro system.” A new chapter demonstrates how to use simulation to assess the interaction of system components to achieve performance goals, and Chapter 3 provides hands-on methods for developing process models to identify and remove bottlenecks, and for developing facility plans. Section 2 addresses crowding and the consequences of delay. Two new chapters (4 and 5) focus on delays in emergency departments, and Chapter 6 then examines medical outcomes that result from waits for surgeries. Section 3 concentrates on management of demand. Chapter 7 presents breakthrough strategies that use real-time monitoring systems for continuous improvement. Chapter 8 looks at the patient appointment system, particularly through the approach of advanced access. Chapter 9 concentrates on managing waiting lists for surgeries, and Chapter 10 examines triage outside of emergency departments, with a focus on allied health programs Section 4 offers analytical tools and models to support analysis of patient flows. Chapter 11 offers techniques for scheduling staff to match patterns in patient demand. Chapter 12 surveys the literature on simulation modeling, which is widely used for both healthcare design and process improvement. Chapter 13 is new and demonstrates the use of process mapping to represent a complex regional trauma system. Chapter 14 provides methods for forecasting demand for healthcare on a region-wide basis. Chapter 15 presents queueing theory as a method for modeling waits in healthcare, and Chapter 16 focuses on rapid delivery of medication in the event of a catastrophic event. Section 5 focuses on achieving change. Chapter 17 provides a diagnostic for assessing the state of a hospital and using the state assessment to select improvement strategies. Chapter 18 demonstrates the importance of optimizing care as patients transition from one care setting to the next. Chapter 19 is new and shows how to implement programs that improve patient satisfaction while also improving flow. Chapter 20 illustrates how to evaluate the overall portfolio of patient diagnostic groups to guide system changes, and Chapter 21 provides project management tools to guide the execution of patient flow projects.
Book Synopsis Transforming Health Care Scheduling and Access by : Institute of Medicine
Download or read book Transforming Health Care Scheduling and Access written by Institute of Medicine and published by National Academies Press. This book was released on 2015-08-24 with total page 226 pages. Available in PDF, EPUB and Kindle. Book excerpt: According to Transforming Health Care Scheduling and Access, long waits for treatment are a function of the disjointed manner in which most health systems have evolved to accommodate the needs and the desires of doctors and administrators, rather than those of patients. The result is a health care system that deploys its most valuable resource-highly trained personnel-inefficiently, leading to an unnecessary imbalance between the demand for appointments and the supply of open appointments. This study makes the case that by using the techniques of systems engineering, new approaches to management, and increased patient and family involvement, the current health care system can move forward to one with greater focus on the preferences of patients to provide convenient, efficient, and excellent health care without the need for costly investment. Transforming Health Care Scheduling and Access identifies best practices for making significant improvements in access and system-level change. This report makes recommendations for principles and practices to improve access by promoting efficient scheduling. This study will be a valuable resource for practitioners to progress toward a more patient-focused "How can we help you today?" culture.
Book Synopsis The Healthcare Imperative by : Institute of Medicine
Download or read book The Healthcare Imperative written by Institute of Medicine and published by National Academies Press. This book was released on 2011-01-17 with total page 852 pages. Available in PDF, EPUB and Kindle. Book excerpt: The United States has the highest per capita spending on health care of any industrialized nation but continually lags behind other nations in health care outcomes including life expectancy and infant mortality. National health expenditures are projected to exceed $2.5 trillion in 2009. Given healthcare's direct impact on the economy, there is a critical need to control health care spending. According to The Health Imperative: Lowering Costs and Improving Outcomes, the costs of health care have strained the federal budget, and negatively affected state governments, the private sector and individuals. Healthcare expenditures have restricted the ability of state and local governments to fund other priorities and have contributed to slowing growth in wages and jobs in the private sector. Moreover, the number of uninsured has risen from 45.7 million in 2007 to 46.3 million in 2008. The Health Imperative: Lowering Costs and Improving Outcomes identifies a number of factors driving expenditure growth including scientific uncertainty, perverse economic and practice incentives, system fragmentation, lack of patient involvement, and under-investment in population health. Experts discussed key levers for catalyzing transformation of the delivery system. A few included streamlined health insurance regulation, administrative simplification and clarification and quality and consistency in treatment. The book is an excellent guide for policymakers at all levels of government, as well as private sector healthcare workers.
Book Synopsis Hospital-Based Emergency Care by : Institute of Medicine
Download or read book Hospital-Based Emergency Care written by Institute of Medicine and published by National Academies Press. This book was released on 2007-05-03 with total page 424 pages. Available in PDF, EPUB and Kindle. Book excerpt: Today our emergency care system faces an epidemic of crowded emergency departments, patients boarding in hallways waiting to be admitted, and daily ambulance diversions. Hospital-Based Emergency Care addresses the difficulty of balancing the roles of hospital-based emergency and trauma care, not simply urgent and lifesaving care, but also safety net care for uninsured patients, public health surveillance, disaster preparation, and adjunct care in the face of increasing patient volume and limited resources. This new book considers the multiple aspects to the emergency care system in the United States by exploring its strengths, limitations, and future challenges. The wide range of issues covered includes: • The role and impact of the emergency department within the larger hospital and health care system. • Patient flow and information technology. • Workforce issues across multiple disciplines. • Patient safety and the quality and efficiency of emergency care services. • Basic, clinical, and health services research relevant to emergency care. • Special challenges of emergency care in rural settings. Hospital-Based Emergency Care is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency care providers, professional organizations, and policy makers looking to address the deficiencies in emergency care systems.
Book Synopsis Optimizing Patient Flow by : Eugene Litvak
Download or read book Optimizing Patient Flow written by Eugene Litvak and published by . This book was released on 2018 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt: Optimizing patient flow : advanced strategies for managing variability to enhance access, quality, and safety offers readers innovate techniques for maximizing patient flow and improving operations management while providing clear examples of successful impementation. This all-new book can help health care organizations to reduce and manage variability, thereby increasing the reliablity of systems and processes and improving health care quality and safety.
Book Synopsis Operational Decision Making Across Patient Care Cycle by : Hyo Kyung Lee
Download or read book Operational Decision Making Across Patient Care Cycle written by Hyo Kyung Lee and published by . This book was released on 2019 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: In recent decades, healthcare has become increasingly expensive, creating pressure on care providers to deliver quality care while reducing costs. Consuming almost 20% of the gross domestic products (GDP), healthcare is one of the largest industry sectors in the United States (US). However, such high expenses may not always result in an adequate healthcare service quality where long waits, limited access and resource overloads are commonly observed. Now more than ever, efforts to deliver care more efficiently and effectively are being pursued throughout the US. Moreover, the US healthcare system is facing incredible challenges as healthcare is shifting from the traditional, volume-driven, fee-for-service model towards value-based payment and care delivery model. Such value initiatives are becoming increasingly prevalent and important as patient costs continue to rise and access to affordable care is threatened. Given such widespread movements toward value-based care models, all provider segments have a more growing role to play in quality improvement and enhancing their care delivery at all points along the patient care continuum. That said, the healthcare industry can no longer focus on acute care providers and hospitals only; post-acute, sub-acute, and non-acute providers play an increasingly important role as patient outcomes are being tied to readmissions and value-based payments, increasing the importance of all provider roles across the care delivery cycle. This dissertation is dedicated to improving the efficiency and quality of the healthcare system across the care delivery cycle: from prevention to diagnosis to treatment and to home care. Specifically, analytical tools and models to support systematic and evidence-based decision making are introduced for each stage within the cycle. Starting from the prevention stage, we introduce a Markov chain based modeling framework to assess the impact of implementing a new service model in primary care clinics. An application study at Dean East Clinic of SSM Health is presented and managerial insights from the model regarding the impact of various workload allocation policies are discussed as well. In the following chapter, focusing on the diagnosis stage, a system-theoretic method is introduced to analyze the diagnosis-to-treatment process for lung cancer patients. As the process commonly involves frequent and potentially harmful delays, speeding up the timeliness without sacrificing the care quality is critical to improve patient outcome as well as satisfaction. To do so, we decompose the complex care delivery process to evaluate the system performance and derive indicator measures that can be used to identify the bottleneck waiting steps. Moreover, the complete distribution of the total waiting time is formulated to estimate the probability to receive the surgery within a desired or given time period. Finally, the applicability of the proposed method is illustrated via a case study at Baptist Memorial Hospital. For the treatment stage, the next chapter investigates the delays or blockings that occur during the intra hospital patient flow between different departments. Specifically, a finite capacity queueing network model based iterative procedure is formulated to evaluate the transition delay times, average bed occupancy rates, and probabilities of full occupancy. Finally, we investigate system properties to provide managerial guidance to improve patient transitions and reduce delays. To complete the patient care cycle analysis, the subsequent chapter focuses on the last stage of the care cycle: postdischarge or home care phase. As there are considerable variations in the postdischarge care process for total joint replacement (TJR) patients, we formulate the TJR postdischarge intervention process as a finite-horizon discrete-time Markov decision process. Specifically, we dynamically model the post-TJR intervention process by directly incorporating the readmission risk and penalty, and considering the varying effectiveness of interventions depending on where the patient is located at. The applicability of the model is illustrated through a case study at St. Mary's Hospital where the derived optimal policy provides guidance to healthcare professionals in determining the optimal timing and target group of interventions. In summary, the work developed in this dissertation provides quantitative tools to support operational decision making across the patient care cycle, and ultimately contributes to delivering safe and patient-centered care in a coordinated and seamless system.
Book Synopsis Handbook of Healthcare Operations Management by : Brian T. Denton
Download or read book Handbook of Healthcare Operations Management written by Brian T. Denton and published by Springer Science & Business Media. This book was released on 2013-02-28 with total page 542 pages. Available in PDF, EPUB and Kindle. Book excerpt: From the Preface: Collectively, the chapters in this book address application domains including inpatient and outpatient services, public health networks, supply chain management, and resource constrained settings in developing countries. Many of the chapters provide specific examples or case studies illustrating the applications of operations research methods across the globe, including Africa, Australia, Belgium, Canada, the United Kingdom, and the United States. Chapters 1-4 review operations research methods that are most commonly applied to health care operations management including: queuing, simulation, and mathematical programming. Chapters 5-7 address challenges related to inpatient services in hospitals such as surgery, intensive care units, and hospital wards. Chapters 8-10 cover outpatient services, the fastest growing part of many health systems, and describe operations research models for primary and specialty care services, and how to plan for patient no-shows. Chapters 12 – 16 cover topics related to the broader integration of health services in the context of public health, including optimizing the location of emergency vehicles, planning for mass vaccination events, and the coordination among different parts of a health system. Chapters 17-18 address supply chain management within hospitals, with a focus on pharmaceutical supply management, and the challenges of managing inventory for nursing units. Finally, Chapters 19-20 provide examples of important and emerging research in the realm of humanitarian logistics.
Book Synopsis Health Care Benchmarking and Performance Evaluation by : Yasar A. Ozcan
Download or read book Health Care Benchmarking and Performance Evaluation written by Yasar A. Ozcan and published by Springer Science & Business Media. This book was released on 2007-12-08 with total page 227 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hugely relevant in today’s world of healthcare performance management, this comprehensive work applies the analytical framework of Data Envelopment Analysis methodology to provide health care administrators with specific tools for performance evaluation. Most important, the book provides health care practitioners and administrators with information of what is lacking in specific aspects of performance and then outlines the ways how these performance inadequacies can be improved.
Book Synopsis Patient Safety and Quality by : Ronda Hughes
Download or read book Patient Safety and Quality written by Ronda Hughes and published by Department of Health and Human Services. This book was released on 2008 with total page 592 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
Book Synopsis Healthcare Management Engineering In Action by : Alexander Kolker
Download or read book Healthcare Management Engineering In Action written by Alexander Kolker and published by Springer Nature. This book was released on with total page 356 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Intelligent Patient Management by : Sally McClean
Download or read book Intelligent Patient Management written by Sally McClean and published by Springer. This book was released on 2009-03-04 with total page 335 pages. Available in PDF, EPUB and Kindle. Book excerpt: Arguably medicine is either an arts-based science or a science-based art. In medieval times, clinical decisions were based on simple measures, such as the temperature of the body, the rhythm of the pulse, the consistency of the stool and the colour of the urine. Nowadays, thanks partly to modern technology, medical science has improved in many ways, as has healthcare. In particular, approaches which have their origins in Artificial Intelligence and Operational Research have a significant contribution to make in terms of improving not only diagnosis and treatment of patients, but also providing ways of managing patients in a more effective, more efficient, and more patient-friendly manner. This book focuses on the use of such Intelligent Patient Management to the benefit of clinicians, other healthcare and community practitioners and managers, patients and carers.
Book Synopsis Using Prediction to Facilitate Patient Flow in a Health Care Delivery Chain by : Jordan Shefer Peck
Download or read book Using Prediction to Facilitate Patient Flow in a Health Care Delivery Chain written by Jordan Shefer Peck and published by . This book was released on 2013 with total page 187 pages. Available in PDF, EPUB and Kindle. Book excerpt: A health care delivery chain is a series of treatment steps through which patients flow. The Emergency Department (ED)/Inpatient Unit (IU) chain is an example chain, common to many hospitals. Recent literature has suggested that predictions of IU admission, when patients enter the ED, could be used to initiate IU bed preparations before the patient has completed emergency treatment and improve flow through the chain. This dissertation explores the merit and implications of this suggestion. Using retrospective data collected at the ED of the Veterans Health Administration Boston Health Care System (VHA BHS), three methods are selected for making admission predictions: expert opinion, naive Bayes conditional probability and linear regression with a logit link function (logit-linear regression). The logit-linear regression is found to perform best. Databases of historic data are collected from four hospitals including VHA BHS. Logit-linear regression prediction models generated for each individual hospital perform well based on multiple measures. The prediction model generated for the VHA BHS hospital continues to perform well when predictive data are collected and coded prospectively by nurses. For two weeks, predictions are made on each patient that enters the VHA BHS ED. This data is then summarized and displayed on the VHA BHS internet homepage. No change was observed in key ED flow measures; however, interviews with hospital staff exposed ways in which the prediction information was valuable: planning individual patient admissions, personal scheduling, resource scheduling, resource alignment, and hospital network coordination. A discrete event simulation of the system shows that if IU staff emphasizes discharge before noon, flow measures improve as compared to a baseline scenario where discharge priority begins at 1pm. Sharing ED crowding or prediction information leads to best patient flow performance when using specific schedules dictating IU response to the information. This dissertation targets the practical and theoretical implications of using prediction to improve flow through the ED/IU health care delivery chain. It is suggested that the results will have impact on many other levels of health care delivery that share the delivery chain structure.
Book Synopsis Lean Six Sigma for Hospitals: Simple Steps to Fast, Affordable, and Flawless Healthcare by : Jay Arthur
Download or read book Lean Six Sigma for Hospitals: Simple Steps to Fast, Affordable, and Flawless Healthcare written by Jay Arthur and published by McGraw Hill Professional. This book was released on 2011-02-22 with total page 370 pages. Available in PDF, EPUB and Kindle. Book excerpt: DELIVER FASTER, BETTER, AND CHEAPER HEALTHCARE IN AS FEW AS FIVE DAYS 4 STAR DOODY'S REVIEW! "The main purpose is to present simple steps to help hospitals start getting faster, better, and cheaper in five days or less while achieving the goal of fast, affordable, and flawless healthcare. Healthcare has many opportunities for improvement and the use of Lean Six Sigma concepts can make a dramatic impact. This book provides the basic information to do that."--Doody's Review Service Lean Six Sigma for Hospitals: Simple Steps to Fast, Affordable, Flawless Healthcare explains how to use tested Lean Six Sigma methods and tools to rapidly improve hospital operations and quality of care and reduce costs. These proven strategies follow the patient from the front door of the hospital or emergency room all the way through discharge, examining key aspects of patient flow and quality. The trail of billing and collections is also followed to discover and eliminate cash flow leaks. This practical guide emphasizes both the clinical and operational sides to reduce the "three demons of quality"--delay, defects, and deviation. Real-world case studies from major hospitals illustrate successful implementations of Lean Six Sigma. Coverage Includes: Achieving a faster, better hospital in five days--emergency department, door-to-balloon time, operating room, medical imaging, lab, nursing unit, clinical staff, pharmacy, order accuracy, diagnosis, ICU Lean for accelerated patient flow Reducing medical errors with Six Sigma Creating a more profitable hospital in five days by reducing denied, rejected, and appealed claims Six Sigma for hospitals Excel power tools for Lean Six Sigma Identifying improvement projects through data mining and analysis Sustaining improvement using control charts Laser-focused process innovation Statistical tools for Lean Six Sigma Implementing Lean Six Sigma
Book Synopsis Handbook of Healthcare Delivery Systems by : Yuehwern Yih
Download or read book Handbook of Healthcare Delivery Systems written by Yuehwern Yih and published by CRC Press. This book was released on 2016-04-19 with total page 798 pages. Available in PDF, EPUB and Kindle. Book excerpt: With rapidly rising healthcare costs directly impacting the economy and quality of life, resolving improvement challenges in areas such as safety, effectiveness, patient-centeredness, timeliness, efficiency, and equity has become paramount. Using a system engineering perspective, Handbook of Healthcare Delivery Systems offers theoretical foundation
Author :Management Association, Information Resources Publisher :IGI Global ISBN 13 :1522539271 Total Pages :1630 pages Book Rating :4.5/5 (225 download)
Book Synopsis Health Care Delivery and Clinical Science: Concepts, Methodologies, Tools, and Applications by : Management Association, Information Resources
Download or read book Health Care Delivery and Clinical Science: Concepts, Methodologies, Tools, and Applications written by Management Association, Information Resources and published by IGI Global. This book was released on 2017-12-01 with total page 1630 pages. Available in PDF, EPUB and Kindle. Book excerpt: The development of better processes to provide proper healthcare has enhanced contemporary society. By implementing effective collaborative strategies, this ensures proper quality and instruction for both the patient and medical practitioners. Health Care Delivery and Clinical Science: Concepts, Methodologies, Tools, and Applications is a comprehensive reference source for the latest scholarly material on emerging strategies and methods for delivering optimal healthcare and examines the latest techniques and methods of clinical science. Highlighting a range of pertinent topics such as medication management, health literacy, and patient engagement, this multi-volume book is ideally designed for professionals, practitioners, researchers, academics, and graduate students interested in healthcare delivery and clinical science.
Book Synopsis Encyclopedia of Business Analytics and Optimization by : Wang, John
Download or read book Encyclopedia of Business Analytics and Optimization written by Wang, John and published by IGI Global. This book was released on 2014-02-28 with total page 2862 pages. Available in PDF, EPUB and Kindle. Book excerpt: As the age of Big Data emerges, it becomes necessary to take the five dimensions of Big Data- volume, variety, velocity, volatility, and veracity- and focus these dimensions towards one critical emphasis - value. The Encyclopedia of Business Analytics and Optimization confronts the challenges of information retrieval in the age of Big Data by exploring recent advances in the areas of knowledge management, data visualization, interdisciplinary communication, and others. Through its critical approach and practical application, this book will be a must-have reference for any professional, leader, analyst, or manager interested in making the most of the knowledge resources at their disposal.
