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OverviewFull Product DetailsAuthor: Vincent K. Omachonu (University of Miami, Coral Gables, Florida, USA)Publisher: Taylor & Francis Ltd Imprint: CRC Press Weight: 0.620kg ISBN: 9781138499690ISBN 10: 1138499692 Pages: 230 Publication Date: 13 November 2018 Audience: Professional and scholarly , Professional & Vocational Format: Hardback Publisher's Status: Active Availability: In Print  This item will be ordered in for you from one of our suppliers. Upon receipt, we will promptly dispatch it out to you. For in store availability, please contact us. Table of ContentsContents About the Author .......................................................................................xi Introduction.............................................................................................xiii 1 The Healthcare Industry: Challenges and Opportunities............1 Healthcare Cost and Sustainability..............................................................1 The Aging Population in the United States.................................................3 The Growing Trend of Retail Healthcare....................................................4 Telemedicine and Virtual Healthcare..........................................................6 Population Health Management..................................................................7 Price Transparency in Healthcare...............................................................8 Behavioral Healthcare................................................................................10 Data Security..............................................................................................12 Healthcare Technology and Electronic Medical Records System.............13 Data and Insights in Healthcare................................................................16 Preventive Care..........................................................................................17 Empathy and Compassion.........................................................................19 Transition from Volume-Based Healthcare to Value-Based Healthcare........22 Questions for Discussion...........................................................................23 References..................................................................................................23 2 Determinants of Value: Patients’ Perspective.............................27 Privacy, Confidentiality, and Security........................................................30 Timeliness...................................................................................................31 Patient Safety..............................................................................................32 Care for the “Whole Person”......................................................................33 The Hassle Factor in Healthcare...............................................................34 Chief Complaint.........................................................................................35 Empathy, Sensitivity, and Compassion......................................................36 Post-Discharge Follow-Up..........................................................................37 Care Coordination......................................................................................37 Attention to Detail (ATD)..........................................................................39 Availability of Information.........................................................................39 True Cost and Value..................................................................................40 Clinical Outcomes as a Measure of Value.................................................41 Value Proposition: Health Outcomes Divided by Costs...........................42 The Patient Experience Value Manifesto...................................................43 Questions for Discussion...........................................................................46 References..................................................................................................47 3 The Patient Experience...............................................................51 Measuring Patient Experience: HCAHPS Surveys.....................................54 Tactics and Strategies for Improving HCAHPS Scores..............................57 HCAHPS and Health Plans........................................................................66 Questions for Discussion...........................................................................66 References..................................................................................................67 4 Value Is in the Attention to Detail..............................................71 Attentiveness—The Gold Standard............................................................76 The Power of Details.................................................................................79 Culture of Attention to Detail....................................................................80 Today’s Culture of Distraction...................................................................81 Core Value Principles of ATD....................................................................83 Questions for Discussion...........................................................................85 References..................................................................................................85 Additional Reading.....................................................................................85 5 Data and Information.................................................................87 Why Collect Data?......................................................................................88 Data Collection Methods...........................................................................89 Observation................................................................................................90 Focus Groups and Interviews....................................................................91 Conducting Focus Groups: Group Composition and Size....................91 Surveys.......................................................................................................93 Documents and Records............................................................................94 Experiments...............................................................................................94 Stratifying Data..........................................................................................94 Data Variations...........................................................................................95 Types of Data.............................................................................................96 Attribute or Discrete Data......................................................................96 Variable or Continuous Data.................................................................97 Distinguishing Data Types.........................................................................97 Summary....................................................................................................98 Questions for Discussion...........................................................................98 References..................................................................................................99 6 Lean Management System.........................................................101 The Lean Process.....................................................................................104 Lean Tools and Their Applications..........................................................107 Value Stream Mapping.............................................................................107 What Is Value Stream Mapping?..............................................................108 Defining Waste......................................................................................... 110 The Process.............................................................................................. 111 Poka-Yoke................................................................................................. 113 Kaizen....................................................................................................... 115 Kaizen Events........................................................................................... 116 Day 1—Current State Documentation................................................. 117 Day 2—Current State Evaluation......................................................... 117 Day 3—Characterize the Future State; Plan Its Implementation........ 118 Day 4—Implement the Future State.................................................... 118 Day 5—Operationalize the Future State and Debrief........................ 119 The Five S Method................................................................................... 119 Planning for 5S.........................................................................................121 The Steps for Implementing 5S Methodology.........................................122 Benefits of 5S...........................................................................................125 SMED........................................................................................................125 Examples of SMED Healthcare Applications..........................................127 Five Whys.................................................................................................129 Kanban.....................................................................................................130 Steps for the Implementation of a Two-Bin Kanban System.................132 Benefits of Kanban in Hospitals and Clinics..........................................134 Standardized and Standard Work............................................................134 The Process..............................................................................................135 Benefits of Standardized Work................................................................136 Questions for Discussion.........................................................................137 References................................................................................................137 Additional Readings.................................................................................138 7 Six Sigma..................................................................................139 Key Concepts of Six Sigma...................................................................... 142 Examples of Defects................................................................................ 142 Control Charts.......................................................................................... 143 Control Charts for Attribute Data............................................................ 143 Attribute Data Chart Categories...............................................................146 Attribute Charts for Non-Conforming Items...........................................146 Attribute Charts for Non-Conformities....................................................146 P Chart Example...................................................................................... 147 Procedure for Constructing a P Chart..................................................... 147 Results...................................................................................................... 150 An NP Chart Example............................................................................. 150 Results...................................................................................................... 153 Variable Sample Size................................................................................ 153 Results...................................................................................................... 153 A C Chart Example.................................................................................. 154 Results...................................................................................................... 156 A U Chart Example.................................................................................. 156 Results...................................................................................................... 159 Bringing the Process Under Control....................................................... 159 Evidence of an Unstable Process............................................................. 159 The Meaning of a Stable Process............................................................160 Control Charts for Variable Data.............................................................160 Variable Data........................................................................................160 Judging Process Stability.......................................................................... 162 Example of an X - R Chart.................................................................... 162 Procedure for Constructing an R Chart................................................... 162 Results......................................................................................................166 Procedure for Constructing an X Bar Chart............................................ 167 Results...................................................................................................... 167 An X - S Chart........................................................................................ 167 Process Improvement Tools.....................................................................168 Tools for Managing Ideas........................................................................ 170 Brainstorming........................................................................................... 171 The Creativity Phase............................................................................ 173 The Clarification Phase........................................................................ 173 The Assessment Phase......................................................................... 174 Multi-Voting.............................................................................................. 174 Tools for Gathering and Analyzing Data................................................ 175 Flow Charts.............................................................................................. 175 Process for Creating Flow Charts........................................................ 175 Pareto Analysis.........................................................................................177 An Example..........................................................................................177 Cause and Effect Diagrams (Ishikawa or Fishbone Diagrams).............. 178 Process for Creating a Cause and Effect Diagram.............................. 179 Scatter Diagrams............................................................................... 179 An Example......................................................................................180 Coefficient of Correlation (R)...........................................................181 Discussion Questions and Problems.......................................................183 References................................................................................................187 Additional Readings.................................................................................187 8 Creating Value Through Digital Transformation......................189 The Meaning of Digital............................................................................190 Digital Health Applications...................................................................... 191 Impact on Employees.............................................................................. 193 Role of Leadership................................................................................... 194 Important First Steps in Implementing a Digital Strategy...................... 195 Questions for Discussion.........................................................................196 References................................................................................................196 9 Telemedicine: The Quest for Quality and Value.......................199 What Is Telemedicine?.............................................................................199 Structure-Related Measures of Quality....................................................204 Process of Care Measures........................................................................204 The Institute of Medicine (IOM) Model..............................................205 Dimensions of Quality Measurement in Telemedicine.......................206 Effectiveness and Process................................................................ 211 Patient-Centeredness and Structure.................................................212 Patient-Centeredness and Process...................................................213 Timeliness and Structure..................................................................213 Timeliness and Process.................................................................... 214 Efficiency and Structure................................................................... 214 Efficiency and Process..................................................................... 215 Equitability and Structure................................................................ 216 Equitability and Process................................................................... 216 Implications for Outcomes....................................................................... 217 Questions for Discussions....................................................................... 219 References................................................................................................ 219 Index........................................................................................................ 223ReviewsAuthor InformationDr. Vincent K. Omachonu is a Professor of Industrial Engineering at the University of Miami, and holds a secondary appointment as Professor in the Department of Health Sector & Policy at the University of Miami. He received his Ph.D. in Industrial Engineering from the New York University Polytechnic, New York. He has two masters degrees one in Operations Research from Columbia University, New York, and the other in Industrial Engineering from the University of Miami, Florida. His B.S. degree is also in Industrial Engineering from the University of Miami. Dr. Omachonu was one of the early contributors to the field of health care quality management. His seminal book titled Total Quality and Productivity Management in Health Care Organizations received the Institute of Industrial Engineers Joint Publishers Book-of-the-Year Award in 1993. Dr. Omachonu is a Master Black Belt in Lean Sigma. Dr. Omachonu’s other books include, Principles of Total Quality (co- authored with J. Ross), Healthcare Performance Improvement, 1999. His most recent book is titled Access to Health Care and Patient Safety (co-authored with M. Taveras Ponce [2013]) His book titled Principles of Total Quality was translated into the Spanish language (Principios de Calidad Total) in 2014. Dr. Omachonu has published several papers in technical and professional journals and has given hundreds of seminars and presentations to professional and management groups all over the United States and South/Central America. He has supervised the implementation of the quality management process in several service organizations. He has successfully conducted industrial engineering efficiency and customer flow studies. Dr. Omachonu has served as the evaluator for federal and State funded projects (SAMHSA, OMH, Department of Health, Ryan White, etc.) He has been featured twice on CNN Business. He has served on the Boards of a number of organizations including Interim Healthcare Services, Fort Lauderdale, Coral Gables Hospital, and Palmetto General Hospital, Miami. His clients include Humana, Leon Medical Centers, Miami, CAC Medical Centers, Miami, Peoples Health in New Orleans, Methodist Health System, Tennessee, Holy Cross Hospital, Fort Lauderdale, Baptist Health Systems, Florida, Bascom Palmer Eye Institute, Miami, Miami Children’s Hospital, Miami, Memorial Hospital System, HCA and Tenet Hospitals. Other clients include Florida Power & Light as well as some Fortune 500 companies. He has conducted educational and training sessions for physicians all over the United States in the areas of Physician-Patient Communication, Improving the Patient Experience, and Improving the HCAPH scores. Dr. Omachonu has facilitated several strategic planning initiatives and senior management retreats for major organizations. He has worked with several Black Belts in Lean Six Sigma. He has served as the Evaluator for all Primary Care projects funded by the Health Foundation of South Florida. He is a renowned speaker/trainer in the areas of Management, organizational development, process re-engineering, and methods improvement. He has published research papers in Health Services Research Journal, European Journal of Operational Research, and Journal of Healthcare Management Science. Dr. Omachonu has been the recipient of University of Miami school-wide teaching awards and multiple awards for teaching excellence in the School of Business (MBA Health Care Sector) program. He is one of 100 world-wide recipients of the IBM 2012 Faculty Award for his work in the field of Health Care. He was recently named the recipient of the Alexander Orr Teacher of the Year Award for the College of Engineering (2013). Tab Content 6Author Website:Countries AvailableAll regions |
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