Healthcare systems engineering

430 Pages·2016·8.405 MB·English

by  Griffin, Paul M

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Healthcare Systems Engineering
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Healthcare
Systems
Engineering
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Paul M. Griffin
Harriet B. Nembhard
Christopher J. DeFlitch
Nathaniel D. Bastian
Hyojung Kang
David A. Muñoz
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Contents
Acknowledgments xi
Chapter 1
TheHealthcareDeliverySystem 1
Overview 1
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1.1 HealthcareDeliveryComponents 2
1.2 MajorStakeholders 6
1.3 GlobalIssuesinHealth 6
1.4 DriversforHealthcareSystems 13
QuestionsandLearningActivities 22
References 23
Chapter 2
ComplexityandSystemsinHealthcare 25
Overview 25
2.1 TakingaSystemsApproachtoHealthcare 25
2.2 ComplexAdaptiveSystems 28
CaseStudy2A:ComplexityinChronicKidney
Disease 31
2.3 SystemsThinkingandSystemDynamics 34
CaseStudy2B:SystemsThinkingandCausal
LoopDiagramsinCKD 40
CaseStudy2C:SystemDynamicsandStock
FlowDiagramsinCKD 45
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vi Contents
QuestionsandLearningActivities 48
References 49
Chapter 3
PatientFlow 53
Overview 53
3.1 HealthcareSettingsandClinical
Workflows 53
3.2 PatientFlowthroughaHospital 64
3.3 CareTransitions 71
3.4 ProcessMapping 75
3.5 Queuing 78
CaseStudy3:EDCrowding – APatientFlow
Solution 80
QuestionsandLearningActivities 83
References 83
Chapter 4
HealthcareFinancing 91
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Overview 91
4.1 FinancingModelsforHealthServices 91
4.2 CompensationModelsforProviders 95
4.3 CostAllocationandCharges 97
4.4 CapitalBudgeting 103
QuestionsandLearningActivities 107
References 108
Chapter 5
HealthDataandInformatics 111
Overview 111
5.1 HealthcareData 116
5.2 ElectronicHealthRecords 121
5.3 HealthInformationExchange 130
5.4 PubliclyReported HealthcareData 132
CaseStudy5:HealthInformaticsata
Hospital—A10-YearJourney 136
QuestionsandLearningActivities 139
References 140
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Contents vii
Chapter 6
Lean 141
Overview 141
6.1 LeanPhilosophyandMethods 141
6.2 DriversforLeanHealthcareSystems 143
6.3 AToolset forEliminatingWastes 146
6.4 ValueStreamMapping 148
6.5 A3 150
6.6 5S 157
6.7 Kanban 160
6.8 LeanImplementations 164
6.9 LeanThinking 165
QuestionsandLearningActivities 166
References 166
Chapter 7
SixSigma 169
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7.1 SixSigmaPhilosophy 169
7.2 SixSigmaQuality 170
CaseStudy7A:QuantifyingComplexityin
TranslationalResearch 201
CaseStudy7B:EvaluatingCollaborationin
TranslationalResearch 205
CaseStudy7C:ResourceAllocationin
TranslationalResearch 208
QuestionsandLearningActivities 210
References 212
Chapter 8
ReliabilityandPatientSafety 217
Overview 217
8.1 HumanReliability 217
8.2 ErrorsinHealthcare 218
8.3 MedicationErrors 220
8.4 PatientFalls 222
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8.5 HumanFactorsandErgonomicsforPatient
Safety 227
QuestionsandLearningActivities 236
References 237
Chapter 9
HealthAnalytics 245
Overview 245
9.1 DataMining 245
CaseStudy9A:PredictingParkinson’sDisease
UsingDataMining 251
9.2 DataVisualization 255
CaseStudy9B:DataVisualizationinObesity
Counseling 269
9.3 SocialNetworkAnalysis 271
CaseStudy9C:SNAinaPediatricIntensive
CareUnit(PICU) 277
9.4 DataEnvelopment Analysis 280
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CaseStudy9D:UsingDEAforFinding
Best-in-ClassHospitalsinaNetwork 285
9.5 MulticriteriaDecisionMaking 287
CaseStudy9E:UseofGPtoOptimize
HelicopterEmplacement atMedicalTreatment
Facilities 291
QuestionsandLearningActivities 292
References 293
Chapter 10
CapacityManagement 297
Overview 297
10.1 CapacityManagement Challenges 297
10.2 ManagingNursingUnits 299
10.3 ManagingOperatingRooms 310
10.4 ManagingDiagnosticUnits 316
10.5 NurseStaffingandScheduling 317
QuestionsandLearningActivities 320
References 321
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