Scanning the Headlines: Efficiency

             

 Updated on May 10, 2012

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Naik, T., and others.  A structured approach to transforming a large public hospital emergency department via lean methodologies.  Journal for Healthcare Quality;34(2):86-97, Mar./Apr. 2012.

Grossman, J., and others.  STAT: how to make every minute count.  Journal for Healthcare Quality;34(2):98-103, Mar./Apr. 2012.

Johnson, M., and Capasso, V.  Improving patient flow through a better discharge process.  Journal of Healthcare Management;57(2):89-93, Mar.-Apr. 2012.

Borghans, I., and others.  Fifty ways to reduce length of stay: an inventory of how hospital staff would reduce the length of stay in their hospital.  Health Policy;104(3):222-233, Mar. 2012.

Channon, B.S., Riley, E.G., and Sussman, J.H.  Achieving sustainable cost transformation.  HFM. Healthcare Financial Management;66(3):73-82, Mar. 2012.

DeJohn, P.  New study benchmarks performance of ASCs. OR Manager;28(3):23-25, Mar. 2012.

Patterson, P.  Electronic tool aids in navigating preop process.  OR Manager;28(3):9-11, Mar. 2012.

Streamlining preoperative care: role of software.  OR Manager;28(3):6-8, Mar. 2012.

Duckett, S., and Nijssen-Jordan, C.  Using quality improvement methods at the system level to improve hospital emergency department treatment times.  Quality Management in Health Care;21(1):29-33, Jan.-Mar. 2012.

Hansson, J., and others.  What happened to the no-wait hospital? A case study of operational plans for reduced waits.  Quality Management in Health Care;21(1):34-43, Jan.-Mar. 2012.

Balancing staff productivity with open OR time.  OR Manager;28(2):13-14, Feb. 2012.

Lean: tackling waste in the sterile supply area.  OR Manager;28(2):21-24, Feb. 2012.

Vardaman, J.M., Cornell, P.T., and Clancy, T.R.  Complexity and change in nurse workflows.  JONA. Journal of Nursing Administration;42(2):78-82, Feb. 2012.

Grimshaw, H.  Physician scribes improve productivity.  MGMA Connexion;12(2):27-28, Feb. 2012.

Helton, J., and others.  Do EHR investments lead to lower staffing levels?  Healthcare Financial Management;66(2):54-60, Feb. 2012.  http://www.hfma.org/Publications/hfm-Magazine/Archives/2012/February/Do-EHR-Investments-Lead-to-Lower-Staffing-Levels-/ 

New ‘patient accelerated care environment’ aims to facilitate work flow, free up ED for acute care needs.  ED Management;24(2):17-19, Feb. 2012.

Lourde, K.  Physicians moving in.  Provider;38(2):22-23, 25-26, 28, 30, 32-33, Feb. 2012.  http://www.providermagazine.com/archives/archives-2012/Pages/0212/Physicians-Moving-In.aspx?PF=1

Lindeman, S., and Lyke, J.P.  Smooth transitions reduce hospital visits.  Provider;38(2):35-36, 38, Feb. 2012.  http://www.providermagazine.com/archives/archives-2012/Pages/0212/Smooth-Transitions-Reduce-Hospital-Visits.aspx?PF=1

Rodak, S.  6 strategies for improving OR performance through a hospital- employed anesthesiology model.  Becker’s Hospital Review;2012(1):50-51, Jan.-Feb. 2012.  http://www.beckershospitalreview.com/news-analysis/6-strategies-for-improving-or-performance-through-a-hospital-employed-anesthesiology-model.html

Silich, S.J., and others.  Using six sigma methodology to reduce patient transfer times from floor to critical-care beds.  Journal for Healthcare Quality;34(1):4-54, Jan.-Feb. 2012.

Guillamondegui, O., and others.  Using the national surgical quality improvement program and the Tennessee surgical quality collaborative to improve surgical outcomes.  Journal of the American College of Surgeons.  Jan 23, 2012.  http://www.journalacs.org/article/S1072-7515%2811%2901328-7/abstract

Pawloski, P., Cusick, D., and Amborn, L.  Development of clinical pharmacy productivity metrics.  American Journal of Health-System Pharmacy;69(1):49-54, Jan. 1, 2012.

Expert: take aim at long wait times by mastering the art of cue management.  ED Management.  24(1):5-6, Jan. 2012.

AHRQ Quality Indicators TM toolkit for Hospitals. Improving Performance on the AHRQ Quality Indicators.  Rockville, MD:  Agency for Healthcare Research and Quality.  Jan. 2012. http://www.ahrq.gov/qual/qitoolkit/index.html

Data for benchmarking your OR’s performance.  OR Manager;28(1):13-16, Jan. 2012.

Rodak, S.  10 years later:  Virginia Mason production system still going strong.  Becker's Hospital Review.    Sept. 21, 2011.  http://www.beckershospitalreview.com/hospital-management-adminstration/10-years-later-virginia-mason-production-system-still-going-strong.html

Andrabi, I.  Creating an outcomes-based culture:  How to engage front-line staff in process.  Becker's Hospital Review.  Sept. 2, 2011.  http://www.beckershospitalreview.com/hospital-financial-and-business-news/creating-an-outcomes-based-culture-how-to-engage-front-line-staff-in-process-improvement.html

Benneyan, J.  Improving hospital quality by reducing process variation.  H&HN.  Aug. 3, 2011.  http://www.hhnmag.com/hhnmag/HHNDaily/HHNDailyDisplay.dhtml?id=2650005784

Betbeze, P.  Think you're operating at capacity?  Think again.  HealthLeaders Media.  July 8, 2011.  http://www.healthleadersmedia.com/content/LED-268364/Think-Youre-Operating-at-Capacity-Think-Again

Litvak, E., and Bisognano, M.  More patients, less payment: increasing hospital efficiency in the aftermath of health reform.  HealthAffairs.  Jan. 20, 2011.  http://content.healthaffairs.org/content/30/1/76.abstract

Clark, C.  Top 10 healthcare quality issues for 2011.  HealthLeaders Media.  Jan. 3, 2011.  http://www.healthleadersmedia.com/content/QUA-260831/Top-10-Healthcare-Quality-Issues-for-2011

Resar, R., and others.  Hospital Inpatient Waste Identificaiton Tool - Free.  Cambridge, MA:  Institute for Healthcare Imrpovement, 2011.  http://www.ihi.org/IHI/Results/WhitePapers/HospitalInpatientWasteIDToolWhitePaper.htm

Rosenthal, J., Gauthier, A., and Arons, A.  State Strategies to Improve Quality and Efficiency: Making the Most of Opportunities in National Health Reform.   New York:  The Commonwealth Fund.  Dec. 23, 2010.  http://www.commonwealthfund.org/Content/Publications/Fund-Reports/2010/Dec/State-Strategies-to-Improve-Quality-and-Efficiency.aspx

Jones, S., and others.  Electronic health record adoption and quality improvement in US hospitals.  American Journal of Managed Care.  Dec. 22, 2010.  http://www.ajmc.com/supplement/managed-care/2010/AJMC_10dec_HIT/AJMC_10decHIT_Jones_SP64to71

Kaestner, R., and, Silber, J.H.  Evidence on the efficacy of inpatient spending on Medicare patients.  The Milbank Quarterly;88(4):560-594, Dec. 2010.

March of Dimes. Toward Improving the Outcome of Pregnancy: Enhancing Perinatal Health Through Quality, Safety and Performance Initiatives. Dec. 2010. http://www.marchofdimes.com/professionals/medicalresources_tiop.html

Carman, J.M., and others.  Keys for successful implementation of total quality management in hospitals.  Health Care Management Review;35(4):283-293, Oct.-Dec. 2010.

Zilm, F., Crane, J., and, Roche, K.T.  New directions in emergency service operations and planning.  Journal of Ambulatory Care Management;33(4):296-306, Oct.-Dec. 2010.

Schilling, L., and others. Kaiser Permanente's performance improvement system, Part 1: From benchmarking to executing on strategic priorities. Joint Commission Journal on Quality and Patient Safety. 36(11):484-98, Nov. 2010.

Meyer, H.  Life in the ‘lean’ lane: performance improvement at Denver Health.  Health Affairs;29(11):2054-2060, Nov. 2010.

Mullins, C.D., Onukwugha, E., Cooke, J.L., and others.  The potential impact of comparative effectiveness research on the health of minority populations.  Health Affairs;29(11):2098-2104, Nov. 2010.

Tarpey, K., and others. A proactive risk avoidance system for using failure mode and effects analysis for “same-name” physician orders.  Joint Commission Journal on Quality and Patient Safety. 36(10):461-467, Oct. 2010.

Zonderland, M.E., and others.  Planning and scheduling of semi-urgent surgeries.  Health Care Management Science.  13(3):257-267, Sept. 2010.

Fischman, D. Applying lean Six Sigma methodologies to improve efficiency, timeliness of care, and quality of care in an internal medicine residency clinic.  Quality Management in Health Care. 19(3):201-10, July-Sept. 2010.

DelliFraine, J. L., Langabeer, J. R. 2nd, and Nembhard,  I. M. Assessing the evidence of six sigma and lean in the health care industry. Quality Management in Health Care. 19(3):211-25, July-Sept. 2010.

Suneja, A.  The quiet revolution.  HH&N online.  Aug. 30, 2010.

Ashley, L,. and others. A practical guide to failure mode and effects analysis in health care: making the most of the team and its meetings.  Joint Commission Journal on Quality and Patient Safety. 36(8):351-358, Aug. 2010.

Moss, J. Reducing errors during patient-controlled analgesia therapy through failure mode and effects analysis. Joint Commission Journal on Quality and Patient Safety. 36(8):359-364, Aug. 2010.

Patterson, P. Breakthroughs on wrong-site surgery.  OR Manager. 26(8):20-22, Aug. 2010

Taylor, H., and others. The Ethical Review of Health Care Quality Improvement Initiatives: Findings from the Field.  New York:  Commonwealth Fund, Aug. 2010.

Byrnes, J., and Fifer, J.  Getting quality and cost to the top of the agenda.  PEJ. Physician Executive Journal.  36(4):22-28, July/Aug. 2010.

Huggins , E. J. Lean methodology: supporting battlefield medical fitness by cutting process waste. Journal for Healthcare Quality. 32(4):39-49, July/Aug. 2010.

Carboneau, C., and others. A lean Six S igma team increases hand hygiene compliance and reduces hospital-acquired MRSA infections by 51%. Journal for Healthcare Quality. 32(4):61-70, July/Aug . 2010.

Romano, P., and others.  Selecting Quality and Resource Use Measures a Decision Guide for Community Quality Collaboratives.  Rockville, MD:  Agency for Healthcare Research and Quality.  July 7, 2010.

Hospitals in Pursuit of Excellence: A Compendium of Implementation Guides. Chicago: American Hospital Association, July 2010.

Six Sigma team spurs improvement. ED Management. 22(7):76-77, July 2010.

McCarthy, D., and  Klein, S.  The Triple Aim Journey: Improving Population Health and Patients' Experience of Care, While Reducing Costs.  New York:  Commonwealth Fund, July 2010.

Toyota situation is no reason to abandon Lean, say experts.  Healthcare Benchmarks and Quality Improvement.  17(7):73-76, July 2010.

Chassin, M., and others.  Accountability Measures Using Measurement to Promote Quality Improvement.  The New England Journal of Medicine.  June 23, 2010.

Mosquera, M.  AHRQ offers tool to build quality data web site.  Government HealthIT, June 3, 2010.

Paine, L., and others.  Assessing and improving safety culture throughout an academic medical centre:  a prospective cohort study.  BMJ Quality and Safety in Health Care.  19(6):547-554, June 30, 2010.  http://qualitysafety.bmj.com/content/19/6/547

Using Workforce Practices to Drive Quality Improvement: A Guide for Hospitals.  Rockville, MD:  Agency for Healthcare Research and Quality, June 2010.

Dealing with short discharge opportunities: admissions from ED leave little time to plan.  Healthcare Benchmarks and Quality Improvement.  17(6):66-68, June 2010.

Ways a hospital can improve DP process: communication gap should be tackled.  Healthcare Benchmarks and Quality Improvement.  17(6):68-70, June 2010.

Kumar, S., and Thomas, K. M. Utilizing DMAIC Six Sigma and evidence-based medicine to streamline diagnosis in chest pain.  Quality Management in Health Care.  19(2):107-116, Apr.-June 2010.

Deckard, G. J., and others. Improving timeliness and efficiency in the referral process for safety net providers: application of the Lean Six Sigma methodology. Journal of Ambulatory Care Management. 33(2):124-130, Apr.-June 2010.

Most Primary-Care Physician Practices May Be Too Small To Measure Quality Adequately.  Manasquan, NJ :  Managed Care Information Center.  May 25, 2010.

Institute for Healthcare Improvement. Hospital Inpatient Waste Identification Tool. London: Health Foundation, May 10, 2010.  http://www.ihi.org/NR/rdonlyres/1F85E49F-FD5F-4D5D-854D-899C683B24A1/13226/HospitalInpatientWasteIdentificationTool_May10.pdf

Arter, D. Auditing in a healthcare environment: guest essay. Milwaukee, WI: American Society for Quality, May 2010.

‘Line at the door’ is tackled first.  ED Management.  22(5):55, May 2010.

Overhaul of staff is done ‘right, not fast.’  ED Management.  22(5):56, May 2010.

ED fills the gap during transition.  ED Management.  22(5):57, May 2010.

Will longer wait times mean more ED lawsuits?  ED Management.  22(5):57-58, May 2010.

Wait time too long? Reduce risks this way.  ED Management.  22(5):58-59, May 2010.

Casalino, L.P.  A Martian’s prescription for primary care: overhaul the physician’s workday.  Health Affairs.  29(5):785-790, May 2010.

Chesluk, B.J., and Holmboe, E.S.  How teams work – or don’t – in primary care: a field study on internal medicine practices.  Health Affairs.  29(5):874-879, May 2010.

Chen, A.H., and others.  A safety-net system gains efficiencies through ‘ereferrals’ to specialists.  Health Affairs.  29(5):969-971, May 2010.

Fischer, B.S., and others.  Chicago: using evidence-based rules to make smarter referrals.  Health Affairs.  29(5):972-975, May 2010.

Weeks, W.B., and others.  Higher health care quality and bigger savings found at large multispecialty medical groups.  Health Affairs.  29(5):991-997, May 2010.

Coyne, K.P., Coyne, S.T., and Coyne, E.J.  When you’ve not to cut costs now.  Harvard Business Review.  88(5):74-82, May 2010.

Joint MD-RN team drives results for an orthopedic service line model.  OR Manager.  26(5):1, 17-20, May 2010.

For ORs, more pressure to perform.  OR Manager.  26(5):6-9, May 2010.

High-value care in surgical services.  OR Manager.  26(5):12-13, May 2010.

Vermillion, K., and others.  Innovations in performance management.  HFM. Healthcare Financial Management. 64(5):98-104, May 2010.

Barlow, R.D.  Heart of the hospital [SPD Department of the Year].  Healthcare Purchasing News;34(5):11-12, 14. May 2010.

A Lean process for OR technology. OR Manager. 26(4):20-21, Apr. 2010.

Buell, J. M. Lean Sig Sixma and patient safety: a recipe for success.  Healthcare Executive. 25(2):26-35. Mar./Apr. 2010.

Steffen, M.W.  Improving the efficiency of patient throughput via centralized inpatient scheduling.  Radiology Management.  32(2):30-36, Mar./Apr. 2010.

Thorpe, J., and others.  Releasing Medicare Claims Data to Support Quality Improvement Initiatives : Legal Barriers and Opportunities. Washington: The George Washington  University Medical Center, Mar. 2010

Improving the organ procurement and transplantation process: using FMEA to prevent communication failures. Joint Commission Perspectives on Patient Safety. 10(3):1-4, Mar. 2010.

ED was well prepared for no-diversion law.  ED Management.  22(3):33-34, Mar. 2010.

J. Yonek., S. Hines., and M. Joshi,  A Guide to Achieving High Performance in Multi-Hospital Health Systems. Chicago, IL: Health Research & Educational Trust, Mar. 2010.

Radiology and lab help improve flow.  ED Management.  22(3):34-35, Mar. 2010.

Hsieh, H-M, Clement, D.G., and Bazzoli, G.J.  Impacts of market and organizational characteristics on hospital efficiency and uncompensated care.  Health Care Management Review.  35(1):77-87, Jan./Mar. 2010.

Thompson, J.M., McCue, M.J.  Performance of freestanding inpatient rehabilitation hospitals before and after the rehabilitation prospective payment system.  Health Care Management Review.  35(1):36-45, Jan./Mar. 2010.

Trinh, H.Q., Begun, J.W., and Luke, R.D.  Better to receive than to give? Interorganizational service arrangements and hospital performance.  Health Care Management Review.  35(1):88-97, Jan./Mar. 2010.

Brown, E.C., and Kros, J.  Reducing room turnaround time at a regional hospital.  Quality Management in Health Care.  19(1):90-102, Jan./Mar. 2010.

Page, L.  Jim Nolan at AtlantiCare in New Jersey explains how his system won a Baldridge Award.  New Jersey:  Atlantic City, Feb. 18, 2010.

Evans, M.  How do they measure up? Quality-reporting efforts advance but still uneven.  Modern Healthcare.  40(7):30-32, Feb. 15, 2010.

Robeznieks, A.  One and done: Michigan study aims to cut readmission rates.  Modern Healthcare.  40(5):18.  Feb. 1, 2010.

Aboumatar, H. J., and others. Applying Lean Sigma solutions to mistake-proof the chemotherapy preparation process. Joint Commission Journal on Quality and Patient Safety. 36(2):79-86, Feb. 2010.

Cram, P, and others.  Acute myocardial infarction and coronary artery bypass grafting outcomes in specialty and general hospitals: analysis of state inpatient data.  Health Services Research.  45(1):62-78, Feb. 2010.

Follow-up calls help avoid readmissions.  Healthcare Benchmarks and Quality Improvement.  17(2):21-23, Feb. 2010.

Kaiser/VA/DoD partnership piloting a nationwide EHR network.  Healthcare Benchmarks and Quality Improvement.  17(2):13-15, Feb. 2010.

Lorch, S.A., and others.  The role of outpatient facilities in explaining variations in risk-adjusted readmission rates between hospitals.  Health Services Research.  45(1):24-41, Feb. 2010.

HOP QDRP modeled after inpatient program.  ED Management.  22(2):19-20, Feb. 2010.

Nurses improve medication administration accuracy.  Healthcare Benchmarks and Quality Improvement.  17(2):16-18, Feb. 2010.

Prepare for more monitoring of quality performance.  ED Management.  22(2):17-19, Feb. 2010.

Dimick, C.  Streamlining quality measures reporting: NQF Health IT division aims to simplify quality measures reporting from EHRs.  Journal of AHIMA.  81(2):54-55, Feb. 2010.

In ASC QI studies, try, measure, retry.  OR Manager.  26(2):24-28, Feb. 2010.

What makes an OR ‘highly reliable’?  OR Manager.  26(2):16-18, Feb. 2010.

Al-Araidah, O., and others.  Lead-time reduction utilizing lean tools applied to healthcare: the inpatient pharmacy at a local hospital.  Journal for Healthcare Quality.  32(1):59-66, Jan./Feb. 2010.

Chen, J.Y., and others.  Impact of a pay-for-performance program on low performing physicians.  Journal for Healthcare Quality.  32(1):13-22, Jan./Feb. 2010.

Dowling, D.A.  Interview with a quality leader: Michael Bailit on pay-for-performance.  Journal for Healthcare Quality.  32(1):10-12, Jan./Feb. 2010.

Garcia-Caban, I.A.  Pay-for-performance: quality programs at the crossroads.  Journal for Healthcare Quality.  32(1):3-7, Jan./Feb. 2010.

Makadon, H.J., and others.  Value management: optimizing quality, service, and cost.  Garcia-Caban, I.A.  Pay-for-performance: quality programs at the crossroads.  Journal for Healthcare Quality.  32(1):29-34, Jan./Feb. 2010.

Revere, L., and Robinson, L.  How healthcare organizations use the internet to market quality achievements.  Journal of Healthcare Management.  55(1):39-50, Jan./Feb. 2010.

Burns, T., and Lamberth, B.  Facility wide benefits of radiology vascular access teams.  Radiology Management.  32(1):28-34, Jan./Feb. 2010.

Knightly, D.V., and Place, J.N.  Best practices in computerized tomography.  Radiology Management.  32(1):16-25, Jan./Feb. 2010.

Queen, K.N.  QA and QC processes in imaging.  Radiology Management.  32(1):40-45, Jan./Feb. 2010.

Carlson, J.  Integrating success: top-performing health networks offer lessons in using efficiencies, expertise to improve patient care.  Modern Healthcare.  40(4):28-31, Jan. 25, 2010.

Robeznieks, A.  ASCs say bring it on.  Modern Healthcare.  40(4):17, Jan. 25, 2010.

Baldrige award winners see no end point in their journey to excellence.  AHA News.  46(1):7, Jan. 11, 2010.

Pourshadi, K.  Go lean in 2010: Reducing waste in construction.  HealthLeaders Media.  Jan. 4, 2010.

Jha, A., and, Epstein, A.  Hospital governance and the quality of care.  Health Affairs.  29(1):182-187, Jan. 2010.

Carroll, J.  States collect valuable data on hospital prices and performance.  Managed Care.  19(1):36-38, Jan. 2010.

Byrnes, J., and Fifer, J.  A guide to highly effective quality programs. Healthcare Financial Management.  64(1):80-87, Jan. 2010.

Safe Practices for Better Healthcare-2010 Update.:  A Consensus Report.  Washington:  National Quality Forum, 2010.  (WX 153 S128 2010).

Institute of Medicine.  Value in Healthcare:  Accounting for Cost, Quality, Safety, Outcomes, and Innovation.  Workshop Summary.  Washington:  The National Academies Press, 2010.  (W 74 AA1 I59v 2010).

Baker, N., and others.  White Papers. Reducing Costs Through the Appropriate Use fo Specialty Services - Free.  Cambridge, MA:  Institute for Healthcare Improvement, 2010.

Measurement Framework : Evaluating Efficiency Across Patient Focused Episodes of Care.  Washington:  National Quality Forum, 2010.

Trerise, B.  Establishing an organizational culture to enable quality improvement.  Leadership in Health Services.  23(2):130-140, 2010.

Board Quality Education Program : A Self Assessment Tool.  Chicago:  The American Hospital Association’s Center for Healthcare Governance, 2010. (WX 150 B662q 2010).

Quality Curriculum for Trustees.  Chicago:  The American Hospital Association’s Center for Healthcare Governance, 2010. (WX 150 Q35 2010).

Croteau, R., editor.  Root Cause Analysis in Health Care:  Tools and Techniques.  Oakbrook Terrace, IL:  Joint Commission Resources, 2010.  (WX 153 R782 2010).  (Includes CD-Rom).

Jackson, T., editor.  5S for Healthcare:  Lean Tools for Healthcare.  Boca Raton, FL:  CRC Press, 2010.  (WX 150 Z999 2010).

Baker, N., and others.  White Papers. Reducing Costs Through the Appropriate Use of Specialty Services - Free.  Cambridge, MA:  Institute for Healthcare Improvement, 2010.

Jimmerson, C.  Value Stream Mapping for Healthcare Made Easy.  New York:  Productivity Press, 2010.  (W 84.1 J61v 2010).

Romano, P., Hussey, P., and Ritley, D. Selecting Quality and Resource Use Measures: A Decision Guide for Community Quality Collaboratives.  Rockville, MD: Agency for Healthcare Research and Quality, 2010.

Suneja, A., and Suneja, C.  Lean Doctors:  A Bold and Practical Guide to Using Lean Principles to Transform Healthcare Systems One Doctor at a Time.  Milwaukee, WI:  ASQ Quality Press, 2010.  (W 87 S958l 2010).