HSA4192 Healthcare Quality Management - Science
General Instructions for all “In the News” AssignmentsFor each “In the News” assignment, students will be assigned an article to review followed by some instructions regarding how to specifically analyze the article. Each submission should be a minimum (i.e. at least) of 300 (but no more than 700) words long, and it must contain at least two references to substantiate the responses provided. One of the references must be the course textbook. When inserting references and their corresponding citations, students should follow APA format. Here is a link to a sample APA paper, but note the cover page is not required for this assignment: https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/apa_sample_paper.html (Links to an external site.)All submissions must be in MS Word format, and they must be 12 font Times New Roman (double spaced). No .PDF or .pages format will be accepted.*Note all work will be compared to assure no “cheating” has occurred. The comparison is not limited to this particular course, but submissions from past semesters and other courses too. Any submissions that is not original will be awarded zero credit, and FIU’s leadership will be notified of the incident.“In the News Assignment #1”All students should review this article:https://www.beckershospitalreview.com/hospital-transactions-and-valuation/17-latest-hospital-mergers-and-acquisitions-041619.html (Links to an external site.)Students with a last name beginning with a letter A-M in the alphabet follow this set of instructions.Select one merger (1-8) to focus on for this assignment.Given the merger is complete, create the “Perspectives” portion of a “Balanced Score Card” for this newly merged organization. The mandatory subsections to include are customer, internal business process, and learning/growing. To get the full view, students are encouraged to include the financial subsection, but this is not required. The Perspective Balanced Scorecard details are covered on pages 77 through 84. If the student does not know what a Balanced Score Card is, they should review page 76.Be sure not to overcomplicate this submission. Submit a document that contains an intro (covering the merger in focus) and each required perspective is impacted by the merger: customer, internal business process, and learning/growing. Then, include a short closing. Use sub-headers to organize the writing.READ the recommended section from chapter 4 of the course textbook.
healthcare_operations_management_3rd_edition.pdf
Unformatted Attachment Preview
Daniel B. McLaughlin
John R. Olson
Healthcare
Operations
Management
Third EdiTion
AUPHA/HAP Editorial Board for Graduate Studies
Nir Menachemi, PhD, Chairman
Indiana University
LTC Lee W. Bewley, PhD, FACHE
University of Louisville
Jan Clement, PhD
Virginia Commonwealth University
Michael Counte, PhD
St. Louis University
Joseph F. Crosby Jr., PhD
Armstrong Atlantic State University
Mark L. Diana, PhD
Tulane University
Peter D. Jacobson, JD
University of Michigan
Brian J. Nickerson, PhD
Icahn School of Medicine at Mount Sinai
Mark A. Norrell, FACHE
Indiana University
Maia Platt, PhD
University of Detroit Mercy
Debra Scammon, PhD
University of Utah
Tina Smith
University of Toronto
Carla Stebbins, PhD
Des Moines University
Cynda M. Tipple, FACHE
Marymount University
Health Administration Press, Chicago, Illinois
Association of University Programs in Health Administration, Washington, DC
Your board, staff, or clients may also benefit from this book’s insight. For more information
on quantity discounts, contact the Health Administration Press Marketing Manager at
(312) 424-9450.
This publication is intended to provide accurate and authoritative information in regard to
the subject matter covered. It is sold, or otherwise provided, with the understanding that the
publisher is not engaged in rendering professional services. If professional advice or other expert
assistance is required, the services of a competent professional should be sought.
The statements and opinions contained in this book are strictly those of the authors and do not
represent the official positions of the American College of Healthcare Executives, the Foundation
of the American College of Healthcare Executives, or the Association of University Programs in
Health Administration.
Copyright © 2017 by the Foundation of the American College of Healthcare Executives.
Printed in the United States of America. All rights reserved. This book or parts thereof may
not be reproduced in any form without written permission of the publisher.
21
20
19
18
17
5
4
3
2
1
Library of Congress Cataloging-in-Publication Data
Names: McLaughlin, Daniel B., 1945– author. | Olson, John R. (Professor), author.
Title: Healthcare operations management / Daniel B. McLaughlin and John R. Olson.
Description: Third edition. | Chicago, Illinois : Health Administration Press; Washington, DC :
Association of University Programs in Health Administration, [2017] | Includes bibliographical
references and index.
Identifiers: LCCN 2016046001 (print) | LCCN 2016046925 (ebook) | ISBN 9781567938517
(alk. paper) | ISBN 9781567938524 (ebook) | ISBN 9781567938531 (xml) | ISBN
9781567938548 (epub) | ISBN 9781567938555 (mobi)
Subjects: LCSH: Medical care—Quality control. | Health services administration—Quality control. |
Organizational effectiveness. | Total quality management.
Classification: LCC RA399.A1 M374 2017 (print) | LCC RA399.A1 (ebook) | DDC 362.1068—
dc23
LC record available at https://lccn.loc.gov/2016046001
The paper used in this publication meets the minimum requirements of American National
Standard for Information Sciences—Permanence of Paper for Printed Library Materials, ANSI
Z39.48-1984. ∞ ™
Acquisitions editor: Janet Davis; Project manager: Joyce Dunne; Cover designer: James Slate;
Layout: Cepheus Edmondson
Found an error or a typo? We want to know! Please e-mail it to hapbooks@ache.org, mentioning
the book’s title and putting “Book Error” in the subject line.
For photocopying and copyright information, please contact Copyright Clearance Center at
www.copyright.com or at (978) 750-8400.
Health Administration Press
Association of University Programs
A division of the Foundation of the American in Health Administration
College of Healthcare Executives
1730 M Street, NW
One North Franklin Street, Suite 1700
Suite 407
Chicago, IL 60606-3529
Washington, DC 20036
(312) 424-2800
(202) 763-7283
To my wife, Sharon, and daughters, Kelly and Katie, for their love and support
throughout my career.
—Dan McLaughlin
To my father, Adolph Olson, who passed away in 2011. Your strength as you
battled cancer inspired me to change and educate others about our healthcare
system.
—John Olson
The first edition of this book was coauthored by Julie Hays. During the final
stages of the completion of the book, Julie unexpectedly died. As Dr. Christopher
Puto, dean of the Opus College of Business at the University of St. Thomas, said,
“Julie cared deeply about students and their learning experience, and she was
an accomplished scholar who was well respected by her peers.” This book is a final
tribute to Julie’s accomplished career and is dedicated to her legacy.
—Dan McLaughlin
and John Olson
BRIEF CONTENTS
Preface.......................................................................................................xv
Part I Introduction to Healthcare Operations
Chapter 1. The Challenge and the Opportunity...................................3
Chapter 2. History of Performance Improvement..............................17
Chapter 3. Evidence-Based Medicine and Value-Based Purchasing.....45
Part II Setting Goals and Executing Strategy
Chapter 4. Strategy and the Balanced Scorecard.................................71
Chapter 5. Project Management........................................................97
Part III Performance Improvement Tools, Techniques, and Programs
Chapter 6. Tools for Problem Solving and Decision Making............135
Chapter 7. Statistical Thinking and Statistical Problem Solving.........167
Chapter 8.
Healthcare Analytics......................................................203
Chapter 9. Quality Management: Focus on Six Sigma......................221
Chapter 10. The Lean Enterprise.......................................................255
Part IV Applications to Contemporary Healthcare Operations Issues
Chapter 11. Process Improvement and Patient Flow..........................281
Chapter 12. Scheduling and Capacity Management............................323
Chapter 13. Supply Chain Management.............................................345
Chapter 14. Improving Financial Performance with Operations
Management..................................................................369
vii
viii
B rief Co n t ents
Part V Putting It All Together for Operational Excellence
Chapter 15. Holding the Gains..........................................................391
Glossary..................................................................................................411
Index......................................................................................................419
About the Authors....................................................................................437
DETAILED CONTENTS
Preface.......................................................................................................xv
Part I Introduction to Healthcare Operations
Chapter 1. The Challenge and the Opportunity...................................3
Overview...........................................................................3
The Purpose of This Book..................................................3
The Challenge....................................................................4
The Opportunity ...............................................................6
A Systems Look at Healthcare............................................8
An Integrating Framework for Operations Management
in Healthcare...............................................................12
Conclusion.......................................................................15
Discussion Questions.......................................................15
References........................................................................15
Chapter 2. History of Performance Improvement..............................17
Operations Management in Action...................................17
Overview.........................................................................17
Background.....................................................................18
Knowledge-Based Management........................................20
History of Scientific Management.....................................22
Project Management........................................................26
Introduction to Quality....................................................27
Philosophies of Performance Improvement.......................34
Supply Chain Management...............................................38
Big Data and Analytics.....................................................40
Conclusion.......................................................................41
Discussion Questions.......................................................41
References........................................................................42
Chapter 3. Evidence-Based Medicine and Value-Based Purchasing.....45
Operations Management in Action...................................45
ix
x
Det a iled Co n te n ts
Overview.........................................................................45
Evidence-Based Medicine.................................................46
Tools to Expand the Use of Evidence-Based Medicine......54
Clinical Decision Support.................................................59
The Future of Evidence-Based Medicine and Value
Purchasing...................................................................62
Vincent Valley Hospital and Health System and Pay for
Performance................................................................63
Conclusion.......................................................................64
Discussion Questions.......................................................64
Note................................................................................64
References........................................................................65
Part II Setting Goals and Executing Strategy
Chapter 4. Strategy and the Balanced Scorecard.................................71
Operations Management in Action...................................71
Overview.........................................................................71
Moving Strategy to Execution..........................................72
The Balanced Scorecard in Healthcare .............................75
The Balanced Scorecard as Part of a Strategic
Management System....................................................76
Elements of the Balanced Scorecard System......................76
Conclusion.......................................................................93
Discussion Questions.......................................................93
Exercises..........................................................................94
References........................................................................94
Further Reading...............................................................95
Chapter 5. Project Management........................................................97
Operations Management in Action ..................................97
Overview.........................................................................97
Definition of a Project......................................................99
Project Selection and Chartering....................................100
Project Scope and Work Breakdown...............................107
Scheduling.....................................................................113
Project Control..............................................................117
Quality Management, Procurement, the Project
Management Office, and Project Closure...................120
Agile Project Management.............................................124
Innovation Centers.........................................................125
D etailed C ontents
The Project Manager and Project Team..........................126
Conclusion.....................................................................129
Discussion Questions.....................................................129
Exercises........................................................................129
References......................................................................130
Further Reading.............................................................130
Part III Performance Improvement Tools, Techniques, and Programs
Chapter 6. Tools for Problem Solving and Decision Making............135
Operations Management in Action.................................135
Overview.......................................................................135
Decision-Making Framework..........................................136
Mapping Techniques......................................................138
Problem Identification Tools..........................................143
Analytical Tools..............................................................153
Implementation: Force Field Analysis.............................162
Conclusion.....................................................................163
Discussion Questions.....................................................163
Exercises........................................................................164
References......................................................................165
Chapter 7. Statistical Thinking and Statistical Problem Solving.........167
Operations Management in Action.................................167
Overview: Statistical Thinking in Healthcare...................167
Foundations of Data Analysis..........................................169
Graphic Tools.................................................................169
Mathematical Descriptions.............................................174
Probability.....................................................................178
Confidence Intervals and Hypothesis Testing..................185
Simple Linear Regression...............................................192
Conclusion.....................................................................198
Discussion Questions.....................................................199
Exercises........................................................................199
References......................................................................201
Chapter 8. Healthcare Analytics.......................................................203
Operations Management in Action.................................203
Overview.......................................................................203
What Is Analytics in Healthcare?.....................................203
Introduction to Data Analytics.......................................205
xi
xii
Det a iled Co n te n ts
Data Visualization..........................................................209
Data Mining for Discovery.............................................214
Conclusion.....................................................................217
Discussion Questions.....................................................218
Note..............................................................................218
References .....................................................................219
Chapter 9. Quality Management—Focus on Six Sigma....................221
Operations Management in Action.................................221
Overview.......................................................................221
Defining Quality............................................................222
Cost of Quality...............................................................223
The Six Sigma Quality Program......................................225
Additional Quality Tools................................................240
Riverview Clinic Six Sigma Generic Drug Project...........245
Conclusion.....................................................................250
Discussion Questions.....................................................250
Exercises........................................................................250
References......................................................................253
Chapter 10. The Lean Enterprise.......................................................255
Operations Management in Action.................................255
Overview.......................................................................255
What Is Lean?................................................................256
Types of Waste...............................................................257
Kaizen............................................................................259
Value Stream Mapping...................................................259
Additional Measures and Tools.......................................261
The Merging of Lean and Six Sigma Programs...............274
Conclusion.....................................................................276
Discussion Questions.....................................................276
Exercises........................................................................277
References......................................................................277
Part IV Applications to Contemporary Healthcare Operations Issues
Chapter 11. Process Improvement and Patient Flow..........................281
Operations Management in Action.................................281
Overview.......................................................................281
Problem Types...............................................................282
Patient Flow...................................................................283
D etailed C ontents
Process Improvement Approaches..................................284
The Science of Lines: Queuing Theory ..........................292
Process Improvement in Practice....................................304
Conclusion.....................................................................318
Discussion Questions.....................................................319
Exercises........................................................................319
References......................................................................320
Further Reading.............................................................321
Chapter 12. Scheduling and Capacity Management............................323
Operations Management in Action.................................323
Overview.......................................................................323
Hospital Census and Rough-Cut Capacity Planning.......324
Staff Scheduling.............................................................326
Job and Operation Scheduling and Sequencing Rules.....330
Patient Appointment Scheduling Models........................334
Advanced-Access Patient Scheduling...............................337
Conclusion.....................................................................341
Discussion Questions.....................................................341
Exercises........................................................................341
References......................................................................342
Chapter 13. Supply Chain Management.............................................345
Operations Management in Action.................................345
Overview.......................................................................345
Supply Chain Management.............................................346
Tracking and Managing Inventory..................................347
Demand Forecasting......................................................349
Order Amount and Timing............................................354
Inventory Systems..........................................................362
Procurement and Vendor Relationship Management.......364
Strategic View................................................................364
Conclusion.................................................................. ...
Purchase answer to see full
attachment
CATEGORIES
Economics
Nursing
Applied Sciences
Psychology
Science
Management
Computer Science
Human Resource Management
Accounting
Information Systems
English
Anatomy
Operations Management
Sociology
Literature
Education
Business & Finance
Marketing
Engineering
Statistics
Biology
Political Science
Reading
History
Financial markets
Philosophy
Mathematics
Law
Criminal
Architecture and Design
Government
Social Science
World history
Chemistry
Humanities
Business Finance
Writing
Programming
Telecommunications Engineering
Geography
Physics
Spanish
ach
e. Embedded Entrepreneurship
f. Three Social Entrepreneurship Models
g. Social-Founder Identity
h. Micros-enterprise Development
Outcomes
Subset 2. Indigenous Entrepreneurship Approaches (Outside of Canada)
a. Indigenous Australian Entrepreneurs Exami
Calculus
(people influence of
others) processes that you perceived occurs in this specific Institution Select one of the forms of stratification highlighted (focus on inter the intersectionalities
of these three) to reflect and analyze the potential ways these (
American history
Pharmacology
Ancient history
. Also
Numerical analysis
Environmental science
Electrical Engineering
Precalculus
Physiology
Civil Engineering
Electronic Engineering
ness Horizons
Algebra
Geology
Physical chemistry
nt
When considering both O
lassrooms
Civil
Probability
ions
Identify a specific consumer product that you or your family have used for quite some time. This might be a branded smartphone (if you have used several versions over the years)
or the court to consider in its deliberations. Locard’s exchange principle argues that during the commission of a crime
Chemical Engineering
Ecology
aragraphs (meaning 25 sentences or more). Your assignment may be more than 5 paragraphs but not less.
INSTRUCTIONS:
To access the FNU Online Library for journals and articles you can go the FNU library link here:
https://www.fnu.edu/library/
In order to
n that draws upon the theoretical reading to explain and contextualize the design choices. Be sure to directly quote or paraphrase the reading
ce to the vaccine. Your campaign must educate and inform the audience on the benefits but also create for safe and open dialogue. A key metric of your campaign will be the direct increase in numbers.
Key outcomes: The approach that you take must be clear
Mechanical Engineering
Organic chemistry
Geometry
nment
Topic
You will need to pick one topic for your project (5 pts)
Literature search
You will need to perform a literature search for your topic
Geophysics
you been involved with a company doing a redesign of business processes
Communication on Customer Relations. Discuss how two-way communication on social media channels impacts businesses both positively and negatively. Provide any personal examples from your experience
od pressure and hypertension via a community-wide intervention that targets the problem across the lifespan (i.e. includes all ages).
Develop a community-wide intervention to reduce elevated blood pressure and hypertension in the State of Alabama that in
in body of the report
Conclusions
References (8 References Minimum)
*** Words count = 2000 words.
*** In-Text Citations and References using Harvard style.
*** In Task section I’ve chose (Economic issues in overseas contracting)"
Electromagnetism
w or quality improvement; it was just all part of good nursing care. The goal for quality improvement is to monitor patient outcomes using statistics for comparison to standards of care for different diseases
e a 1 to 2 slide Microsoft PowerPoint presentation on the different models of case management. Include speaker notes... .....Describe three different models of case management.
visual representations of information. They can include numbers
SSAY
ame workbook for all 3 milestones. You do not need to download a new copy for Milestones 2 or 3. When you submit Milestone 3
pages):
Provide a description of an existing intervention in Canada
making the appropriate buying decisions in an ethical and professional manner.
Topic: Purchasing and Technology
You read about blockchain ledger technology. Now do some additional research out on the Internet and share your URL with the rest of the class
be aware of which features their competitors are opting to include so the product development teams can design similar or enhanced features to attract more of the market. The more unique
low (The Top Health Industry Trends to Watch in 2015) to assist you with this discussion.
https://youtu.be/fRym_jyuBc0
Next year the $2.8 trillion U.S. healthcare industry will finally begin to look and feel more like the rest of the business wo
evidence-based primary care curriculum. Throughout your nurse practitioner program
Vignette
Understanding Gender Fluidity
Providing Inclusive Quality Care
Affirming Clinical Encounters
Conclusion
References
Nurse Practitioner Knowledge
Mechanics
and word limit is unit as a guide only.
The assessment may be re-attempted on two further occasions (maximum three attempts in total). All assessments must be resubmitted 3 days within receiving your unsatisfactory grade. You must clearly indicate “Re-su
Trigonometry
Article writing
Other
5. June 29
After the components sending to the manufacturing house
1. In 1972 the Furman v. Georgia case resulted in a decision that would put action into motion. Furman was originally sentenced to death because of a murder he committed in Georgia but the court debated whether or not this was a violation of his 8th amend
One of the first conflicts that would need to be investigated would be whether the human service professional followed the responsibility to client ethical standard. While developing a relationship with client it is important to clarify that if danger or
Ethical behavior is a critical topic in the workplace because the impact of it can make or break a business
No matter which type of health care organization
With a direct sale
During the pandemic
Computers are being used to monitor the spread of outbreaks in different areas of the world and with this record
3. Furman v. Georgia is a U.S Supreme Court case that resolves around the Eighth Amendments ban on cruel and unsual punishment in death penalty cases. The Furman v. Georgia case was based on Furman being convicted of murder in Georgia. Furman was caught i
One major ethical conflict that may arise in my investigation is the Responsibility to Client in both Standard 3 and Standard 4 of the Ethical Standards for Human Service Professionals (2015). Making sure we do not disclose information without consent ev
4. Identify two examples of real world problems that you have observed in your personal
Summary & Evaluation: Reference & 188. Academic Search Ultimate
Ethics
We can mention at least one example of how the violation of ethical standards can be prevented. Many organizations promote ethical self-regulation by creating moral codes to help direct their business activities
*DDB is used for the first three years
For example
The inbound logistics for William Instrument refer to purchase components from various electronic firms. During the purchase process William need to consider the quality and price of the components. In this case
4. A U.S. Supreme Court case known as Furman v. Georgia (1972) is a landmark case that involved Eighth Amendment’s ban of unusual and cruel punishment in death penalty cases (Furman v. Georgia (1972)
With covid coming into place
In my opinion
with
Not necessarily all home buyers are the same! When you choose to work with we buy ugly houses Baltimore & nationwide USA
The ability to view ourselves from an unbiased perspective allows us to critically assess our personal strengths and weaknesses. This is an important step in the process of finding the right resources for our personal learning style. Ego and pride can be
· By Day 1 of this week
While you must form your answers to the questions below from our assigned reading material
CliftonLarsonAllen LLP (2013)
5 The family dynamic is awkward at first since the most outgoing and straight forward person in the family in Linda
Urien
The most important benefit of my statistical analysis would be the accuracy with which I interpret the data. The greatest obstacle
From a similar but larger point of view
4 In order to get the entire family to come back for another session I would suggest coming in on a day the restaurant is not open
When seeking to identify a patient’s health condition
After viewing the you tube videos on prayer
Your paper must be at least two pages in length (not counting the title and reference pages)
The word assimilate is negative to me. I believe everyone should learn about a country that they are going to live in. It doesnt mean that they have to believe that everything in America is better than where they came from. It means that they care enough
Data collection
Single Subject Chris is a social worker in a geriatric case management program located in a midsize Northeastern town. She has an MSW and is part of a team of case managers that likes to continuously improve on its practice. The team is currently using an
I would start off with Linda on repeating her options for the child and going over what she is feeling with each option. I would want to find out what she is afraid of. I would avoid asking her any “why” questions because I want her to be in the here an
Summarize the advantages and disadvantages of using an Internet site as means of collecting data for psychological research (Comp 2.1) 25.0\% Summarization of the advantages and disadvantages of using an Internet site as means of collecting data for psych
Identify the type of research used in a chosen study
Compose a 1
Optics
effect relationship becomes more difficult—as the researcher cannot enact total control of another person even in an experimental environment. Social workers serve clients in highly complex real-world environments. Clients often implement recommended inte
I think knowing more about you will allow you to be able to choose the right resources
Be 4 pages in length
soft MB-920 dumps review and documentation and high-quality listing pdf MB-920 braindumps also recommended and approved by Microsoft experts. The practical test
g
One thing you will need to do in college is learn how to find and use references. References support your ideas. College-level work must be supported by research. You are expected to do that for this paper. You will research
Elaborate on any potential confounds or ethical concerns while participating in the psychological study 20.0\% Elaboration on any potential confounds or ethical concerns while participating in the psychological study is missing. Elaboration on any potenti
3 The first thing I would do in the family’s first session is develop a genogram of the family to get an idea of all the individuals who play a major role in Linda’s life. After establishing where each member is in relation to the family
A Health in All Policies approach
Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum
Chen
Read Connecting Communities and Complexity: A Case Study in Creating the Conditions for Transformational Change
Read Reflections on Cultural Humility
Read A Basic Guide to ABCD Community Organizing
Use the bolded black section and sub-section titles below to organize your paper. For each section
Losinski forwarded the article on a priority basis to Mary Scott
Losinksi wanted details on use of the ED at CGH. He asked the administrative resident