From the Back Cover
Advanced Operations Management Solutions for Improving All Facets of Hospital Performance: Operational, Clinical, Financial, and Organizational
• Provides a concise summary of basic management principles, framed in hospital terms
• Describes a practical approach to leveraging management principles to improve hospital practices
• Provides a structured framework for addressing the most pressing challenges facing hospitals now and in the future
By one estimate, the United States wastes $480 billion annually on healthcare expenditures that don’t improve care. Worse, because of faulty systems (not personnel), up to 98,000 people die annually due to preventable medical errors— and that doesn’t even count non-terminal events such as hospital-acquired infections.
In Hospital Operations, two leading Operations Management experts and five practicing clinicians demonstrate how to apply new OM advances and metrics to substantially improve any hospital’s performance. Replete with examples, Hospital Operations shows how to generate principles-driven breakthrough ideas to systematically improve emergency departments, operating rooms, nursing units, and diagnostic units. The authors conclude by previewing the “Hospital of the Future,” addressing issues ranging from prevention and self-care to emerging technologies and the growing maturity of evidence-based medicine.
This unique resource will be indispensable to all healthcare operations managers/executives and related healthcare professionals. Students in hospital management courses will also find sufficient history and institutional knowledge to take full advantage of it without prior knowledge of health care systems.
Most health care debates center on the best political and economic structure to promote health and health care. Whether they advocate a centralized, single-payer system, a decentralized market-based system, or anything in between, such debates tend to abstract away from actual hands on medical practice—a dangerous oversimplification. All the value in any conceivable system is only realized in the actual delivery, when hands touch patients. Everything else is prelude.
Hospital Operations focuses exclusively on the health care delivery process to generate insights and tools for improving hospital performance regardless of the political or economic environment. Specifically this book helps hospital administrators and clinicians to:
• Reduce ED over crowding
• Improve patient safety
• Enhance OR scheduling
• Strengthen organizational learning
• Improve bed availability
• Optimize nurse schedules
• Create seamless patient handoffs
• Reduce lab turnaround time and errors
• Improve imaging responsiveness
• Improve cost efficiency
• Sharpen strategic focus and prepare their hospitals for the increasingly competitive health care market of the future
About the Author
William S. Lovejoy is the Raymond T. Perring Family Professor of Business Administration and Professor in the Operations and Technology department of the Ross School of Business,University of Michigan, with a joint appointment in the School of Art and Design. Professor Lovejoy held positions in both the private and the public sectors before joining academia. He works with companies on new product development, the management of innovation, and process assessment and improvement; he works with hospitals and clinics on health care operations. His courses have enjoyed coverage by CNN, The Wall Street Journal, The New York Times, and Businessweek. His past editorial activities include department editor for the Operations and Supply Chains department of Management Science, and senior editor for Manufacturing and Services Operations Management. He is a fellow in the Production and Operations Management Society.
Jeffrey S. Desmond is an Associate Chief of Staff at the University of Michigan Health System and Associate Chair for Clinical Operations in the Department of Emergency Medicine. He is a Clinical Associate Professor at the University of Michigan Medical School. He received his MD from the University of Texas Health Science Center at Houston and did his residency in Emergency Medicine at the University of Massachusetts. He is the co-founder of the Graduate Medical Education Health Care Administration Track and has a strong interest in the development of physician leaders. His research focuses on the operational aspects of emergency care, and in addition to publishing in peer-reviewed journals he has guided or mentored numerous applied operations design and improvement projects.
Christopher R. Friese received his BSN and PhD from the University of Pennsylvania and is an Assistant Professor at the University of Michigan School of Nursing. He remains clinically active as an inpatient staff nurse at the University of Michigan Health System and holds advanced oncology certification. His research focuses on patient, provider, and system-related factors that influence care outcomes. His findings have been cited by the Institute of Medicine’s Future of Nursing report, the American Association of Colleges of Nursing, and two state Boards of Nursing to reform nursing educational policy. His work has helped guide oncology nurses in daily patient care, and through his leadership positions with the American Society of Clinical Oncology and the National Quality Forum he broadened quality measurement initiatives to include nursing-sensitive outcomes. In October 2012, he will be inducted as a Fellow in the American Academy of Nursing in recognition of his nursing leadership.
Steven L. Kronick is the Service Chief of Adult Emergency Medicine and an Associate Professor in the Department of Emergency Medicine at the University of Michigan. He received his MD from the University of Texas and his MS in Clinical Research Design and Statistical Analysis from the University of Michigan School of Public Health. He completed residencies in Internal Medicine at the University of Michigan and Emergency Medicine at Henry Ford Hospital. He is the director of Advanced Cardiac Life Support programs at UMHS and chairs the institutional CPR Committee.He is an item writer for the American Board of Emergency Medicine and has served on the American Heart Association’s ACLS Committee and on the International Liaison Committee on Resuscitation’s Task Force on the Consensus on Science. His research interests focus on emergency medicine operations and cardiac arrest in the hospital setting.
Michael W. Mulholland is the Frederick A. Coller Distinguished Professor and Chair, Department of Surgery at the University of Michigan Medical School. He also serves as Surgeon-in-Chief of University Hospital. His clinical interests are in gastrointestinal surgery with expertise in the treatment of pancreatic and biliary cancer, neoplastic diseases of the gastrointestinal tract and biliary reconstruction. His research interests include neurocrine control of pancreatic exocrine secretion and enteric neurobiology. He is the principal director of a research laboratory that has been continuously funded by the NIH since 1986. In 2004, he received the MERIT Award from the NIH for his work. In 2004 he was elected a member of the Institutes of Medicine of the National Academies. Dr. Mulholland is the senior editor of the textbook Surgery: Scientific Principles and Practice which has become the leading text in the field.
Jeffrey L.Myers is the A. James French Professor of Diagnostic Pathology, Director of the Divisions of Anatomic Pathology and MLabs, and Associate Director of the Medical Innovation Center at the University of Michigan. He received his MD from Washington University where he completed his residency in Anatomic Pathology at Barnes and Affiliated Hospitals followed by fellowship training at the University of Alabama at Birmingham. His research interests include pulmonary and general surgical pathology, patient safety, and practice innovation. He has published widely in the peer reviewed literature, co-authored multiple book chapters, and is co-editor of a textbook. Prior to Michigan he was a member of the Mayo Clinic staff where he was selected as a Distinguished Clinician in 2004. In 2010 he received the Outstanding Clinician Award and is a member of the League of Clinical Excellence at the University of Michigan Medical School.