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Managing Patient Flow in Hospitals: Strategies and Solutions, Second Edition

Learn to master the theory and practice of patient flow!

2009. 166 pages.

  • An individual license is intended for single users only. This ebook cannot be shared, disseminated, downloaded, or posted for widespread or public use. 
  • site license allows this ebook to be shared among unlimited users but only within one facility or site, either by posting to a secure intranet site or by providing other means of secure access. Please contact JCR Customer Service (877.223.6866 option 1) for pricing of a site license.
  • system license allows this ebook to be shared among unlimited users within all facilities or sites within a health care system, either by posting to a secure intranet site or by providing other means of secure access. Please contact JCR Customer Service (877.223.6866 option 1) for pricing of a system license.

$65.00 - $75.00
Product Description

Product Description

Edited by Eugene Litvak, PhD, a world-renowned leader in hospital operations redesign
Foreword by noted expert Susan Dentzer, then Editor-in-Chief, Health Affairs, and Health Policy Analyst, The NewsHour with Jim Lehrer, PBS TV
 
Efficient management of patient flow remains an urgent issue for most hospitals. Emergency department crowding, nurse staffing shortages, and patient outcomes, complication rates, and even mortality rates have all been linked to shortages of hospital beds and associated stresses on staff when patient volume peaks. To compound the problem of inefficiencies and variability in patient flow, health care systems face strenuous economic challenges not previously experienced.
 
A complete revision of its predecessor, Managing Patient Flow in Hospitals: Strategies and Solutions, Second Edition, provides hospitals with scientifically grounded methods to optimally manage patient flow and serves as an indispensable guide to effective operations management. 
 
This book will help anyone who leads or is otherwise involved in his or her hospital’s efforts to improve efficiency and the flow of patients. Applying the classic patient flow management methods and tools described in this book can help to ensure that patients receive timely, high-quality care; to streamline busy EDs or ICUs; to improve nursing workloads; and to safeguard the organization’s overall financial “health.”
 
Although this book draws on theory and practice as applied to hospitals, the patient flow management methods and tools could also be adapted to ambulatory care organizations and any other nonhospital setting. After all, all health care organizations face the challenge of balancing capacity and demand at every step in the care delivery process.
 
Key Topics:
  • Problems in patient flow management
  • Assessing the quantitative impact or patient flow issues on patients and staff 
  • Assessing, measuring, and evaluating patient flow 
  • Using quantitative methods to enhance patient flow
  • Applying strategies to manage patient flow 
  • Variability in patient flow 
  • Sustaining improvements on an ongoing basis 
Key Features:
  • A combination of literature syntheses, tools and methods, illustrative vignettes, and real-life case studies
  • Detailed case studies that illustrate how three health care organizations have successfully improved patient flow and eased crowding 
  • Authoritative, state-of-the-art tutorials 
  • Contributions from dozens of experts, leaders, and frontline staff
Standards: Leadership (LD), Nursing (NR), Performance Improvement (PI)
 
Setting: Critical Access Hospital, Hospital
 
Key Audience: 
  • Hospital executives
  • Chief operating officers
  • Chief financial officers
  • Board members
  • Medical officers
  • Physicians
  • Nurses and other clinicians
  • Quality, process improvement, and productivity managers
  • Emergency department leaders
  • Surgery, critical care, and nursing operations professionals
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Table of Contents

Table of Contents

Foreword

Susan Dentzer

Introduction

Eugene Litvak, Ph.D.

I. Tutorials
 

Chapter 1. The Problem of Patient Flow
Marilyn E. Rudolph, R.N., B.S.N., M.B.A.
 
Chapter 2. Impact of Patient Flow Issues on Nursing Staff and Patients
Peter I. Buerhaus, Ph.D., R.N., F.A.A.N.; Anne Miller, Ph.D., R.N.
 
Chapter 3. Assessment of Patient Flow
Brad Prenney, M.S., M.P.A.
 
Chapter 4. Strategies for Managing Patient Flow
Sandeep Green Vaswani, M.B.A.; Michael C. Long, M.D.; Brad Prenney, M.S., M.P.A.;
Eugene Litvak, Ph.D.

 
Chapter 5. Measurement and Evaluation of Patient Flow: The Right Data, Measures, and Analyses
Kathleen Kerwin Fuda, Ph.D.

II. Case Studies
 

Chapter 6. Cincinnati Children’s Hospital Medical Center: Redesigning Perioperative Flow Using Operations Management Tools to Improve Access and Safety
Frederick C. Ryckman, M.D.; Elena Adler, M.D.; Amy M. Anneken, M.S.; Cindi A. Bedinghaus, R.N., M.S.N.; Peter J. Clayton, M.P.A.; Kathryn R. Hays, M.S.N., R.N.; Brenda Lee; Jacquelyn W. Morillo-Delerme, M.D.; Pamela J. Schoettker, M.S.; Paul A. Yelton; Uma R. Kotagal, M.B.B.S., M.Sc.
 
Chapter 7. Kaiser Permanente Southern California, Kaiser Foundation Hospital in Anaheim: Optimizing Patient Flow
Judy Kibler, R.N., M.Ed.; Marlean Free, Ph.D.; Maria Lee, Ph.D., M.B.A.; Kirk Rinella, M.B.A., R.C.P., M.B.A.; Judy White; Ed Ellison, M.D.; Julie Miller-Phipps; Lisa Schilling, R.N., M.P.H.
 
Chapter 8. Improving Hospitalwide Patient Flow at Northwest Community Hospital
Barbara Weintraub, R.N., M.S.N., M.P.H., A.P.N., C.E.N.; Kirk Jensen, M.D., M.B.A.,
F.A.C.E.P.; Karen Colby, R.N., M.S., C.N.A.A.-B.C.

Index

 

Contributors

Contributors

About the Editor


Eugene Litvak, PhD, a world-renowned leader in hospital operations management and redesign, is the president and chief executive officer of the Institute for Healthcare Optimization in Newton, Massachusetts. He is also an adjunct professor in Operations Management in the Department of Health Policy and Management at the Harvard School of Public Health. He was a co-founder and director of the Program for the Management of Variability in Health Care Delivery at Boston University. He was also a professor at Boston University School of Management. He has authored over 60 titles involving operations in health care.  Currently, he serves on the Executive Leadership Council, Strategic Innovation Engine, at the US Centers for Medicare & Medicaid Services.

About the Foreword Writer

 
Susan Dentzer a respected health and health policy thought leader, journalist, speaker, and commentator, is the president and chief executive officer of the Network for Excellence in Health Innovation (NEHI). NEHI’s mission is to advance innovations that improve health, enhance the quality of health care, and achieve greater value for the money spent. She graduated from Dartmouth College and was a Nieman Fellow in health policy at Harvard University. Previously, Dentzer was the editor in chief of the journal Health Affairs. She also was the on-air Health Correspondent for the PBS NewsHour for 10 years.

About the Authors


The following authors contributed to Managing Patient Flow: Stratgies and Solutions:
  • Marilyn E. Rudolph, RN, BSN, MBA, vice president, performance improvement, VHA, Pennsylvania, Pittsburgh
  • Peter I. Buerhaus, PhD, RN, FAAN, Valere Potter Professor of Nursing; and director, Center for Interdisciplinary Health Workforce Studies, Institute for Medicine and Public Health, Vanderbilt University Medical Center
  • Anne Miller, PhD, RN, assistant professor, Center for Interdisciplinary Workforce Studies, School of Nursing, and Center for Perioperative Research in Quality, Vanderbilt University Medical Center
  • Brad Prenney, MS, MPA, chief operating officer, Institute for Healthcare Optimization
  • Sandeep Green Vaswani, MBA, senior vice president, Institute for Healthcare Optimization
  • Michael C. Long, MD, Senior Fellow and Clinical Consultant, Institute for Healthcare Optimization
  • Kathleen Kerwin Fuda, PhD, senior associate, Domestic Health Division, Abt Associates
  • Frederick C. Ryckman, MD, professor of surgery/transplantation and vice president of System Capacity and Perioperative Operations, Cincinnati Children’s Hospital Medical Center
  • Elena Adler, MD, adjunct associate professor, Department of Anesthesia, Cincinnati Children’s Hospital Medical Center
  • Amy M. Anneken, MS, lead decision support analyst, Division of Health Policy and Clinical Effectiveness, Cincinnati Children’s Hospital Medical Center
  • Cindi A. Bedinghaus, RN, MSN, senior clinical director, Perioperative Administration, Cincinnati Children’s Hospital Medical Center
  • Peter J. Clayton, MPA, vice president of operations, Department of Surgical Services, Cincinnati Children’s Hospital Medical Center
  • Kathryn R. Hays, MSN, RN, senior clinical director, Perioperative Administration, Cincinnati Children’s Hospital Medical Center
  • Brenda Lee, BSIE, quality improvement manager, Division of Health Policy and Clinical Effectiveness, Cincinnati Children’s Hospital Medical Center
  • Jacquelyn W. Morillo-Delerme, MD, associate professor, Department of Anesthesia, Cincinnati Children’s Hospital Medical Center
  • Pamela J. Schoettker, MS, medical writer, Division of Health Policy and Clinical Effectiveness, Cincinnati Children’s Hospital Medical Center
  • Paul A. Yelton, application specialist III, Operating Room, Cincinnati Children’s Hospital Medical Center
  • Uma R. Kotagal, MBBS, MSc, senior vice president for quality and transformation and director, Division of Health Policy and Clinical Effectiveness, Cincinnati Children’s Hospital Medical Center
  • Judith Kibler, RN, MEd, senior consultant and lead improvement advisor, Kaiser Permanente
  • Marlean Free, PhD, executive consultant and improvement advisor, Kaiser Permanente
  • Maria Lee, PhD, MBA, director of healthcare performance improvement, Kaiser Permanente 
  • Kirk Rinella, MBA, RCP, program manager, Strategic Work Environment, Kaiser Permanente
  • Judy White medical group administrator, Kaiser Permanente
  • Ed Ellison, MD, is area medical director, Kaiser Permanente
  • Julie Miller-Phipps executive director and senior vice president, Kaiser Permanente Hospital Health Plan
  • Lisa Schilling, RN, MPH, national vice president of Healthcare Performance Improvement and Execution Strategy, Kaiser Permanente, and a member of The Joint Commission Journal on Quality and Patient Safety’s Editorial Advisory Board
  • Barbara Weintraub, RN, MSN, MPH, APN, CEN, director, Pediatric and Adult Emergency and Trauma Services, Northwest Community Hospital, Arlington Heights, Illinois
  • Kirk Jensen, MD, MBA, FACEP, chief medical officer, BestPractices, Inc, and faculty member, Institute for Healthcare Improvement
  • Karen Colby, RN, MS, CNAA-BC, clinical director, Medical Pulmonary/Renal/Telemetry/ Oncology Units, Northwest Community Hospital