Lean Healthcare Systems Engineering For Clinical Environments Download Ebook PDF Epub Online

Author : BOHDAN. OPPENHEIM
Publisher : Productivity Press
Release : 2021-05-24
Page : 160
Category : Health services administration
ISBN 13 : 9780367755331
Description :


It has been almost 20 years since the Institute of Medicine released the seminal report titled, Crossing the Quality Chasm. In it, the IoM identified six domains of care quality (safe, timely, effective, efficient, equitable, and patient-centric) and noted a huge gap between the current state and the desired state. Although this report received a great deal of attention, sadly there has been little progress in these areas. In the U.S., healthcare still has huge disparities, is inefficient, and is fragmented with delays in care that are often unsafe. Most U.S. citizens are expected to suffer from a diagnostic error sometime during their lifetime, not receive a large fraction of recommended care, and pay for one of the most expensive systems in the world. Much has been written about quality improvement over the years but many prominent quality and safety experts. Yet progress has been slow. Some have called on the healthcare professions to look outside of healthcare to other industries using examples in nuclear power and airlines for safety, the hotel and entertainment industry for a 'customer' focus, and the automotive industry, particularly Toyota for efficiency (Lean). This book by Dr. Oppenheim on lean healthcare systems engineering (LHSE) is a fresh approach that brings forth concepts that systems engineers have used in huge national defense projects. What's unique in this book is that these powerful system engineering tools are modified to be able to address smaller sized healthcare problems that still involve similar problems in fragmentation and poor communication and coordination. This book is an invaluable reference for a new powerful process named Lean Healthcare Systems Engineering (LHSE) for managing workflow and care improvement projects in all clinical environments. The book applies to ambulatory clinics and hospitals of all types including operating rooms, emergency departments, and ancillary departments, clinical and imaging laboratories, pharmacies, and population health. The book presents a generic rigorous but not mathematical step-by-step process of integrated healthcare, systems engineering and Lean. The book also contains the first major product created with the LHSE process, namely tabularized summaries of representative projects in healthcare delivery applications, called Lean Enablers for Healthcare Projects. Each full-page enabler table lists the challenges and wastes, powerful improvement goals, risks, and expected benefits, and some useful descriptions of the healthcare system of interest. The book provides user-friendly solutions to major problems in healthcare delivery operations in all clinical environments, addressing fragmentation, wastes, wrong incentives, ad-hoc and stove-piped management, lack of optimized processes, hierarchy gradient, lack of systems thinking, "blaming and shaming culture", burnout of providers and many others.


Author : Bohdan Oppenheim
Publisher : CRC Press
Release : 2021-05-25
Page : 224
Category : Business & Economics
ISBN 13 : 1000385701
Description :


It has been almost 20 years since the Institute of Medicine released the seminal report titled, Crossing the Quality Chasm. In it, the IoM identified six domains of care quality (safe, timely, effective, efficient, equitable, and patient-centric) and noted a huge gap between the current state and the desired state. Although this report received a great deal of attention, sadly there has been little progress in these areas. In the U.S., healthcare still has huge disparities, is inefficient, and is fragmented with delays in care that are often unsafe. Most U.S. citizens are expected to suffer from a diagnostic error sometime during their lifetime, not receive a large fraction of recommended care, and pay for one of the most expensive systems in the world. Much has been written about quality improvement over the years but many prominent quality and safety experts. Yet progress has been slow. Some have called on the healthcare professions to look outside of healthcare to other industries using examples in nuclear power and airlines for safety, the hotel and entertainment industry for a ‘customer’ focus, and the automotive industry, particularly Toyota for efficiency (Lean). This book by Dr. Oppenheim on lean healthcare systems engineering (LHSE) is a fresh approach that brings forth concepts that systems engineers have used in huge national defense projects. What’s unique in this book is that these powerful system engineering tools are modified to be able to address smaller sized healthcare problems that still involve similar problems in fragmentation and poor communication and coordination. This book is an invaluable reference for a new powerful process named Lean Healthcare Systems Engineering (LHSE) for managing workflow and care improvement projects in all clinical environments. The book applies to ambulatory clinics and hospitals of all types including operating rooms, emergency departments, and ancillary departments, clinical and imaging laboratories, pharmacies, and population health. The book presents a generic rigorous but not mathematical step-by-step process of integrated healthcare, systems engineering and Lean. The book also contains the first major product created with the LHSE process, namely tabularized summaries of representative projects in healthcare delivery applications, called Lean Enablers for Healthcare Projects. Each full-page enabler table lists the challenges and wastes, powerful improvement goals, risks, and expected benefits, and some useful descriptions of the healthcare system of interest. The book provides user-friendly solutions to major problems in healthcare delivery operations in all clinical environments, addressing fragmentation, wastes, wrong incentives, ad-hoc and stove-piped management, lack of optimized processes, hierarchy gradient, lack of systems thinking, “blaming and shaming culture”, burnout of providers and many others.


Author : Kimberly M. Brown
Publisher : Elsevier Health Sciences
Release : 2015-07-29
Page : 918
Category : Surgery, Operative
ISBN 13 : 032339356X
Description :


Simulation in Surgical Training and Practice is reviewed extensively in this important Surgical Clinics of North America issue. Articles include: Applying Educational Theory to Simulation Based Training and Assessment in Surgery; Figuring out Team Simulation Training; Faculty Development for Simulation Training; The Evolving Role of Simulation in Teaching Surgery in Undergraduate Medical Education; Using Simulation in Inter-Professional Education; Current Status of Simulation Based Training in Graduate Medical Education; National Simulation-based Training of Fellows: The Vascular Surgery Examp≤ Paying For it: Funding Models for Simulation Centers; Surgical Simulation Centers as Educational Homes for Practicing Surgeons; Better Assessment: Advanced Engineering Technology for Measuring Performance In and Out of the Simulation Lab; Moving the Needle - Simulation's Impact on Patient Outcomes; Human Factors Engineering and Effective Simulation - Partners for Improved Patient Safety; Simulation for the Assessment and Improvement of Teamwork and Communication in the Operating Room; Using Simulation to Improve Systems; Simulation for Maintenance of Certification; and more!


Author : Robert Wachter
Publisher : McGraw Hill Professional
Release : 2012-05-23
Page : 320
Category : Medical
ISBN 13 : 0071808124
Description :


Complete coverage of the core principles of patient safety Understanding Patient Safety, 2e is the essential text for anyone wishing to learn the key clinical, organizational, and systems issues in patient safety. The book is filled with valuable cases and analyses, as well as up-to-date tables, graphics, references, and tools -- all designed to introduce the patient safety field to medical trainees, and be the go-to book for experienced clinicians and non-clinicians alike. Features NEW chapter on the critically important role of checklists in medical practice NEW case examples throughout Expanded coverage of the role of computers in patient safety and outcomes Expanded coverage of new patient initiatives from the Joint Commission


Author : Bohdan W. Oppenheim
Publisher : John Wiley & Sons
Release : 2011-09-15
Page : 336
Category : Technology & Engineering
ISBN 13 : 9781118063989
Description :


"Bohdan W. Oppenheim has pulled together experience-based insights of experts across industry, government, and academia into a comprehensive sourcebook for lean systems engineering principles and practices. This book can educate those new to lean engineering, as well as provide new insights and enablers that best-in-class organizations will want to adopt." —Dr. Donna H. Rhodes, Principal Research Scientist, SEAri and LAI, Massachusetts Institute of Technology "Lean for Systems Engineering is targeted at the practitioner who is trying to make systems engineering more effective in her or his organization or program, yet its scholarly underpinnings make the text very suitable for teachers. Educators and trainers who wish to weave lean thinking into their systems engineering curriculum will find this an invaluable text." —Earll M. Murman, Ford Professor of Engineering Emeritus, Massachusetts Institute of Technology "At last, a book that distills years of research and scholarly inquiry into a concise and coherent form for both the student and practitioner. This book will become the favored guide and 'must read' for any engineer and manager trying to establish and maintain lean practices and principles in their systems engineering/product development processes. —J. Robert Wirthlin, PhD, Lt. Col., USAF, Program Director of the Graduate Research and Development Management Program, Air Force Institute of Technology Visiting Faculty, U.S. Air Force Center for Systems Engineering "A vital contribution to linking lean practices to systems engineering. I will definitely use it as a reference for my course and writings on a value approach to product and system development." —Dr. Stanley I. Weiss, Consulting Professor, Dept. of Aeronautics and Astronautics, Stanford University "Taking the opportunity to develop and refine the Lean Enablers for Systems Engineering provided clear direction for Lean Engineering Accelerated Planning at Rockwell Collins. The Lean Enablers form a solid basis for Lean Product Development. Following this checklist and methodology promotes Lean value and waste elimination—and commonsense best practices." —Deborah A. Secor, Principal Project Manager and Lean Master, Rockwell Collins "Bo Oppenheim has been at the forefront of lean systems engineering for the better part of the last decade...An ardent advocate of lean systems engineering, the author has offered an honest appraisal of where lean systems engineering stands today. Practitioners interested in lean systems engineering will find the Lean Enablers especially useful."— Azad M. Madni, PhD, Professor and Director, SAE Program, Viterbi School of Engineering; Professor, Keck School of Medicine, University of Southern California


Author : Jay Kalra
Publisher : Springer Nature
Release :
Page :
Category :
ISBN 13 : 3030807444
Description :



Author : National Academy of Engineering
Institute of Medicine
Publisher : National Academies Press
Release : 2011-07-14
Page : 340
Category : Medical
ISBN 13 : 0309120640
Description :


Improving our nation's healthcare system is a challenge which, because of its scale and complexity, requires a creative approach and input from many different fields of expertise. Lessons from engineering have the potential to improve both the efficiency and quality of healthcare delivery. The fundamental notion of a high-performing healthcare system--one that increasingly is more effective, more efficient, safer, and higher quality--is rooted in continuous improvement principles that medicine shares with engineering. As part of its Learning Health System series of workshops, the Institute of Medicine's Roundtable on Value and Science-Driven Health Care and the National Academy of Engineering, hosted a workshop on lessons from systems and operations engineering that could be applied to health care. Building on previous work done in this area the workshop convened leading engineering practitioners, health professionals, and scholars to explore how the field might learn from and apply systems engineering principles in the design of a learning healthcare system. Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary focuses on current major healthcare system challenges and what the field of engineering has to offer in the redesign of the system toward a learning healthcare system.


Author : Susan E. Skochelak
Publisher : Elsevier Health Sciences
Release : 2020-05-06
Page : 352
Category : Medical
ISBN 13 : 0323694675
Description :


The first textbook devoted to this emerging area, Health Systems Science now brings you fully up to date with today’s key issues and solutions. This increasingly important branch of health care explores how health care is delivered, how health care professionals work together to deliver that care, and how the health system can improve patient care and health care delivery. Along with basic and clinical sciences, health systems science is rapidly becoming a crucial 'third pillar' of medical science, with an emphasis on understanding the role of human factors, systems engineering, leadership, and patient improvement strategies that will help transform the future of health care and ensure greater patient safety. In this 2nd Edition, new chapters, new exercises, and new information help you acquire the knowledge and skills you need for success in today’s challenging healthcare system. The first comprehensive text for mastering health systems science, offering practical coverage of all of the factors in the lives of patients that influence their well-being, the structures and processes of the health system itself, societal factors, communication, and information technology. NEW to this edition: New content on systems thinking, ethics and legal issues, and international care models further define and address this new important component of health care education; additional exercises; and expanded information on the patient experience and private practice. Complete coverage of patient safety, quality improvement, value in health care, teamwork, stewardship of health care resources, population health, clinical informatics, care coordination, leadership, and health care financing/reform. Patient improvement strategies incorporate checklists, information technology, team training, and more. A consistent chapter template provides clear coverage of each topic, including Learning Objectives, Chapter Outline, Core Chapter Content, Summary, Questions for Reflection, and Annotated Bibliography and References. Developed by the American Medical Association’s Accelerating Change in Medical Education Consortium, and authored by a team that includes AMA staff members working with individuals from the Consortium member schools.


Author : Institute of Medicine
Committee on Optimizing Scheduling in Health Care
Publisher : National Academies Press
Release : 2015-08-24
Page : 154
Category : Medical
ISBN 13 : 0309339227
Description :


According to Transforming Health Care Scheduling and Access, long waits for treatment are a function of the disjointed manner in which most health systems have evolved to accommodate the needs and the desires of doctors and administrators, rather than those of patients. The result is a health care system that deploys its most valuable resource--highly trained personnel--inefficiently, leading to an unnecessary imbalance between the demand for appointments and the supply of open appointments. This study makes the case that by using the techniques of systems engineering, new approaches to management, and increased patient and family involvement, the current health care system can move forward to one with greater focus on the preferences of patients to provide convenient, efficient, and excellent health care without the need for costly investment. Transforming Health Care Scheduling and Access identifies best practices for making significant improvements in access and system-level change. This report makes recommendations for principles and practices to improve access by promoting efficient scheduling. This study will be a valuable resource for practitioners to progress toward a more patient-focused "How can we help you today?" culture.


Author : Andrea Matta
Jingshan Li
Publisher : Springer Science & Business Media
Release : 2013-11-20
Page : 315
Category : Mathematics
ISBN 13 : 3319018485
Description :


The International Conference on Health Care Systems Engineering (HCSE) provided a timely opportunity to discuss statistical analysis and operations management issues in health care delivery systems. The conference took place in Milan between May 22nd and 24th, 2013. Scientists and practitioners discussed new ideas, methods and technologies for improving the operation of health care organizations. The event and this resulting volume emphasize research in the field of health care systems engineering developed in close collaboration with clinicians.​ Topics applicable to researchers and practitioners include: hospital drug logistics, operating theatres, modelling and simulation in patient care and healthcare organizations, home care services.


Author : Charles Protzman
Fred Whiton
Publisher : CRC Press
Release : 2018-09-03
Page : 1602
Category : Business & Economics
ISBN 13 : 1315362872
Description :


While there are numerous Lean Certification programs, most companies have their own certification paths whereby they bestow expert status upon employees after they have participated in or led a certain number of kaizen events. Arguing that the number of kaizen events should not determine a person's expert status, The Lean Practitioner's Field Book: Proven, Practical, Profitable and Powerful Techniques for Making Lean Really Work outlines a true learning path for anyone seeking to understand essential Lean principles. The book includes a plethora of examples drawn from the personal experiences of its many well-respected and award-winning contributors. These experts break down Lean concepts to their simplest terms to make everything as clear as possible for Lean practitioners. A refresher for some at times, the text provides thought-provoking questions with examples that will stimulate learning opportunities. Introducing the Lean Practitioner concept, the book details the five distinct Lean Practitioner levels and includes quizzes and criteria for each level. It highlights the differences between the kaizen event approach and the Lean system level approach as well as the difference between station balancing and baton zone. This book takes readers on a journey that begins with an overview of Lean principles and culminates with readers developing professionally through the practice of self-reliance. Providing you with the tools to implement Lean tools in your organization, the book includes discussions and examples that demonstrate how to transition from traditional accounting methods to a Lean accounting system. The book outlines an integrated, structured approach identified by the acronym BASICS (baseline, analyze, suggest solutions, implement, check, and sustain), which is combined with a proven business strategy to help ensure a successful and sustainable transformation of your organization.


Author : Kogan Page
Publisher : Kogan Page Publishers
Release : 2004
Page : 942
Category : Degrees, Academic
ISBN 13 : 9780749441371
Description :


In a single volume, the new edition of this guide gives comprehensive coverage of the developments within the fast-changing field of professional, academic and vocational qualifications.;Fully indexed, it provides details on all university awards and over 200 career fields, their professional and accrediting bodies, levels of membership and qualifications, and is a one-stop guide for careers advisors, students and parents. It should also enable human resource managers to verify the qualifications of potential employees.


Author : Tim Swanwick
Emma Vaux
Publisher : John Wiley & Sons
Release : 2020-02-14
Page : 80
Category : Medical
ISBN 13 : 1119565235
Description :


Quality improvement (QI) is embedded in the fabric of successful healthcare organisations across the world, with healthcare professionals increasingly expected to develop and lead improvement as a core part of their clinical responsibilities. As a result, QI is rapidly becoming a feature of the education and training programmes of all healthcare professionals. Written and edited by some of the leading clinicians and managers in the field, ABC of Quality Improvement is designed for clinicians new to the discipline, as well as experienced leaders of change and improvement. Providing comprehensive coverage and clear, succinct descriptions of the major tools, techniques and approaches, this new addition to the ABC series demystifies quality improvement and develops a broader understanding of what constitutes quality in healthcare. With practical examples of improvement interventions and the common pitfalls that can befall them, this book will support and enable readers to manage change projects within their own organisations. Relevant to doctors, dentists, nurses, health service managers and support staff, medical students and doctors in training, their tutors and trainers, and other healthcare professionals at various levels, ABC of Quality Improvement will give readers the confidence to embark on their own improvement projects, whoever, and wherever they may be.


Author : Charles Protzman
George Mayzell
Publisher : CRC Press
Release : 2010-12-21
Page : 402
Category : Business & Economics
ISBN 13 : 1439813868
Description :


Winner of a 2013 Shingo Research and Professional Publication Award This practical guide for healthcare executives, managers, and frontline workers, provides the means to transform your enterprise into a High-Quality Patient Care Business Delivery System. Designed for continuous reference, its self-contained chapters are divided into three primary sections: Defines what Lean is and includes some interesting history about Lean not found elsewhere. Describes and explains the application of each Lean tool and concept organized in their typical order of use. Explains how to implement Lean in various healthcare processes—providing examples, case studies, and valuable lessons learned This book will help to take you out of your comfort zone and provide you with new ways to extend value to your customers. It drives home the importance of the Lean Six Sigma journey. The pursuit of continuous improvement is a journey with no end. Consequently, the opportunities are endless as to what you and your organization can accomplish. Forty percent of the authors’ profits from this book will be donated to help the homeless through two Baltimore charities. Praise for the book: ... well-timed and highly informative for those committed to creating deep levels of sustainable change in healthcare. — Peter B. Angood, MD, FACS, FCCM, Senior Advisor – Patient Safety, in National Quality Forum ... the most practical and healthcare applicable book I have ever read on LEAN thinking and concepts. — Gary Shorb, CEO, Methodist Le Bonheur Healthcare ... well written ... an essential reference in the library of all healthcare leaders interested in performance improvement. — Lee M. Adler, DO, VP, Quality and Safety Innovation & Research, Florida Hospital, Orlando; Associate Professor, University of Central Florida College of Medicine ... a must read for all Leadership involved in healthcare. ... I can see reading this book over and over. — Brigit Zamora, BSN, RN, CPAN, CAPA, Administrative Nurse Manager, Florida Hospital, Orlando


Author : Sir Trisha Greenhalgh
Sir Glenn Robert
Publisher : John Wiley & Sons
Release : 2008-04-15
Page : 328
Category : Medical
ISBN 13 : 0470987278
Description :


This is a systematic review on how innovations in health service practice and organisation can be disseminated and implemented. This is an academic text, originally commissioned by the Department of Health from University College London and University of Surrey, using a variety of research methods. The results of the review are discussed in detail in separate chapters covering particular innovations and the relevant contexts. The book is intended as a resource for health care researchers and academics.


Author : Ryan Burge
Publisher : CRC Press
Release : 2013-12-10
Page : 181
Category : Business & Economics
ISBN 13 : 1466583568
Description :


Engineering Solutions to America’s Healthcare Challenges covers the technologies, systems, and processes that are emerging in hospitals, clinics, community centers, universities, and the White House to repair healthcare in the United States. Focusing on the importance of individuals being proactive about their own state of health, it presents a systems approach to changing the way healthcare professionals do business and take care of their patients. Written by a leading government and private sector consultant with more than a decade of experience as an industrial engineer, the book features interviews with leading industry experts, both domestic and international. Describing how industrial engineering practices are shaping healthcare, it explains why systems thinking must be the foundation for every aspect of healthcare. The book presents proven Lean and Six Sigma tools that can help any healthcare organization begin making operational improvements that result in a better quality of care for patients—all while reducing and even eliminating the waste of time, money, and human resources. These solutions include implementing Six Sigma in emergency rooms, 5S in accounting for medical inventory, using Theory of Constraints to form a plan for shortening the length of stay in hospitals, how informatics are used to aggregate and benchmark sensitive data, and design of experiments to recruit and retain the best healthcare talent. The book illustrates the most common factors involved with successful Six Sigma projects in healthcare organizations and considers the implications of a rapidly growing medical tourism industry. It addresses the role of insurance on healthcare improvement and also previews some of the most fascinating technological advances currently in development. It also offers examples and analysis of The Institute of Medicine's six aims for healthcare: safety, effectiveness, efficiency, timeliness, family-centered focus, and equity.


Author : Institute of Electrical and Electronics Engineers. Region 6
Publisher :
Release : 1971
Page :
Category : Aerospace telemetry
ISBN 13 :
Description :



Author : Jonathan Cylus
Irene Papanicolas
Publisher : Health Policy
Release : 2016-12-15
Page : 264
Category : Medical
ISBN 13 : 9789289050418
Description :


In this book the authors explore the state of the art on efficiency measurement in health systems and international experts offer insights into the pitfalls and potential associated with various measurement techniques. The authors show that: - The core idea of efficiency is easy to understand in principle - maximizing valued outputs relative to inputs, but is often difficult to make operational in real-life situations - There have been numerous advances in data collection and availability, as well as innovative methodological approaches that give valuable insights into how efficiently health care is delivered - Our simple analytical framework can facilitate the development and interpretation of efficiency indicators.


Author : William A. Haseltine
Publisher : Brookings Institution Press
Release : 2013
Page : 182
Category : Medical
ISBN 13 : 0815724160
Description :


A Brookings Institution Press and the National University of Singapore Press publication This is the story of the Singapore healthcare system: how it works, how it is financed, its history, where it is going, and what lessons it may hold for national health systems around the world. Singapore ranks sixth in the world in healthcare outcomes, yet spends proportionally less on healthcare than any other high-income country. This is the first book to set out a comprehensive system-level description of healthcare in Singapore, with a view to understanding what can be learned from its unique system design and development path. The lessons from Singapore will be of interest to those currently planning the future of healthcare in emerging economies, as well as those engaged in the urgent debates on healthcare in the wealthier countries faced with serious long-term challenges in healthcare financing. Policymakers, legislators, public health officials responsible for healthcare systems planning, finance and operations, as well as those working on healthcare issues in universities and think tanks should understand how the Singapore system works to achieve affordable excellence.


Author : Paul E. Plsek
Publisher : CRC Press
Release : 2013-10-07
Page : 216
Category : Business & Economics
ISBN 13 : 1482203847
Description :


Virginia Mason Medical Center (VMMC) was one of the first health care organizations to implement Lean and its methodologies. Other organizations have followed VMMC’s lead, but this world class organization still leads in the utilization of innovative Lean tools. Accelerating Health Care Transformation with Lean and Innovation: The Virginia Mason Experience describes how VMMC has systematically integrated innovative structures, methods, and cultural practices into its implementation of Lean. Describing how your organization can create a strategy and build a culture of innovation and learning, it supplies concrete examples that show—not just conceptually, but through VMMC's actual experiences—how Lean and innovation can work hand-in-hand to incrementally improve and radically transform your value streams. Explaining how to use the voices and experiences of patients and their families to drive improvement and innovation in new directions, the book supplies a clear understanding of how Lean can help you achieve your goals in today’s increasingly demanding marketplace.