Transforming Health Care Management: Integrating Technology Strategies / Edition 1

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Using straightforward, accessible language, this groundbreaking resource is a comprehensive primer on the most progressive tools and techniques currently used for assessing healthcare systems and healthcare process effectiveness. Typically these tools are embedded in programs such as Total Quality Management, continuous process improvement, process reengineering, protocol redesign, or most recently, Six Sigma and organizational transformation.

Transforming Health Care Management presents an integrated, multi-disciplinary approach while focusing on fundamental concepts. It will thoroughly prepare the reader to design, implement, manage, operate, monitor or improve technology, processes, and programs and is an ideal text for those studying healthcare information technology, operations research, systems analysis, process improvement, or informatics.


Chapters cover highly technical subjects using clear and accessible language.
Vignettes from the author’s years of professional experience illustrate particularly complex concepts.
Focuses on key concepts and applications rather than theory and jargon.
Accompanied by a complete package of instructor resources (downloadable Instructor’s Manual, TestBank, PowerPoint slides) to facilitate teaching and learning.

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Product Details

  • ISBN-13: 9780763744502
  • Publisher: Jones & Bartlett Learning
  • Publication date: 2/7/2008
  • Edition description: 1E
  • Edition number: 1
  • Pages: 236
  • Product dimensions: 6.00 (w) x 8.90 (h) x 0.60 (d)

Table of Contents

About the Author xi

Preface xiii

Chapter 1 Digitally Transforming Health Care: An Introduction 1

Introduction 1

Historical Perspectives 3

Modern Developments 7

Chapter 2 Multi-disciplinary Concepts: A Fundamental Foundation 11

Flowchart 12

Pareto Charting and Analysis 15

Ishikawa (Cause and Effect) Diagramming 17

Run Charts 19

Control Charts 20

Process Capability Analysis 27

Scatter Diagrams 28

Histograms 29

Team Dynamics Facilitation Techniques 30

Brainstorming 32

Contingency Diagramming 33

Why Technique 35

Nominal Group Technique 35

Force Field Analysis 36

Summary 38

Chapter Questions 38

Additional Resources 39

Chapter 3 Information Technology: Components, Functions, and Features 41

Computer Use and User Requirements 42

Patients Deserve More, Not Just More Technology 43

System Fundamentals and Computer Applications 46

Fundamental System Terminology and Operations 51

HEPIS (Healthcare E-Patient Information System) 55

Summary 70

Chapter Questions 70

Additional Resources 70

Chapter 4 Networking to Digitally Transform Healthcare Communication 72

Networks 72

Common Topologies 73

Network Categories and Configurations 74


HIPAA Severity Mandates 78

Summary 79

Chapter Questions 79

Additional Resources 79

Chapter 5 Quality Management 81

Choosing Total Quality 81

Leaders and Legends 82

Deming's Strategy and Process Variation 85

Cost of Quality 87

Quality Is Free 87

Cause and Effect 89

Be the Best 89

Summary 91

Chapter Questions 91

Additional Resources 91

Chapter 6 Process Redesign Strategies 93

Summary 96

Chapter Questions 97

Additional Resources 97

Chapter 7Transformational Strategies for Tactical Project Management 98

The Project Management Process 101

Summary 110

Chapter Questions 110

Additional Resources 110

Chapter 8 Tactical Work Breakdown and Workload Analysis 111

Work Simplification 111

Why Technique 114

Work Distribution Analysis 117

Flow Process Analysis 119

Horizontal Flow Process Analysis 121

Time Flow Analysis 122

Job Sequencing 122

Summary 126

Chapter Questions 126

Additional Resources 126

Chapter 9 Tactical Performance Management and Metrics: Productivity Benchmarking for Operations Improvement 127

Productivity Metrics 129

Labor Costs and Benchmarks 130

Productivity Indexing 134

Benchmarking 134

Workforce Planning and Resource Allocation 134

Resource Scheduling 135

Control of Labor Expenses and Budgeting 135

Outcomes 137

Summary 138

Chapter Questions 138

Additional Resources 138

Chapter 10 Queuing Theory and Waiting Line Analysis 140

Waiting Line Balancing 141

Single Channel, Single Server 144

Probability Distributions 145

Exponential Probability Distributions 147

Summary 148

Chapter Questions 148

Additional Resources 149

Chapter 11 Process Simulation and Predictive Modeling 150

Credibility and Acceptance 152

Model Types 154

Degree of Difficulty: Model Design and Analysis 156

Summary 157

Chapter Questions 157

Additional Resources 158

Chapter 12 Strategic Application of Six Sigma Concepts 159

Summary 172

Chapter Questions 172

Additional Recources 172

Chapter 13 Lean Enterprise Theory and Facilitation 173

Visual Management 175

Pull, Push, and Takt Time 177

Lean Implementations and Implications 177

Lean Opportunities and Principled Application 180

Summary 182

Chapter Questions 183

Additional Resources 183

Chapter 14 Telemedicine and Clinical Informatics 184

Evolving Perspectives 187

Informatics Applications 189

Summary 196

Chapter Questions 197

Additional Resources 197

Chapter 15 Emerging Technologies 198

NHII Status and Current Strategy 200

Picture Archiving and Communication Systems (PACs) 203

Clinical Terminology Challenges 204

CPOE 208

RFID 209

Summary 212

Chapter Questions 212

Additional Resources 213

Chapter 16 Visionary Perspectives: Healthcare's Future ... 2014 and Beyond 215

Fast Forward to 2014 227

Bibliography 229

Index 231

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