Healthcare Operations Management 4th Edition Daniel B. McLaughlin, John R. Olson, Luv Sharma - Solutions

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Read the Executive Summary of the IOM report To Err Is Human(http://fermat.nap.edu/openbook.php?record_id=9728&page=1) and answer the following questions: Why did this report spur an interest in quality management in the healthcare industry? What does IOM recommend to address these problems? How
Use the data in the World Health.xls to analyze worldwide life expectancy. Answer the following questions.a. Discuss the validity of the data.b. Construct a histogram, stem plot, dot plot, and normal probability plot of CIA life expectancy at birth (years), total for 2006. What do these graphs
Using the data in Health Insurance Coverage.xls, compare insurance coverage in Minnesota to coverage in Texas.a. Analyze the validity of the data.b. Produce a histogram to compare the two states. Do Minnesota and Texas appear to have similar coverage types?c. Produce a Pareto chart for the two
Think of a question, problem, or issue in your organization. Design a valid study to address the issue. Be sure to discuss how you would address all aspects of validity, including logic, sampling, and measurement.Assuming that you can collect valid data, how would you analyze them? How would you
The balanced scorecard, Six Sigma, Lean, and simulation employ many of the tools, techniques, and tests found in this chapter. Discuss how, where, and why a particular tool would be used for each.
Discuss the difference between statistical and practical significance.
Discuss the difference between correlation and causation.
Discuss how you would redesign a report you receive at work to make it more useful for you. Would a visual presentation of the data be helpful?How would you present the data?
John Allen Paulos (http://abcnews.go.com/Technology/WhosCounting/)and Jordan Ellenberg (www.slate.com/?id=3944&QueryText=Do+the+Math&Action=DepartmentSrch&GroupBy=Department) both write on numbers, statistics, and probability. Read an article of interest to you and discuss.
The U.S. presidential elections of 1936, 1948 (Harris Poll Online 2006), and 2000 (Wikipedia 2006) are good examples of flawed studies that led to flawed conclusions. What was the flaw in each of these studies?Discuss a situation from your personal experience in which a study that was not valid
Complete the TOC exercise found at: http://webcampus.stthomas.edu/cob/jmhays/ (Note: this is not a healthcare exercise, but it does help in understanding TOC.)
Pick one solution to the problem identified in exercise 4 and do a force field analysis.
Think of a problem in your healthcare organization. Perform an RCA of the identified problem using the five whys technique and a fishbone diagram.
For this exercise, choose a service offered by a healthcare organization and create a service blueprint. You may have to imagine some of the systems and services that take place backstage if you are unfamiliar with them.
Individually or in teams, develop a map of a healthcare process or system with which you are familiar. Make sure that your process map has a start and an endpoint, all inputs and outputs are defined, and all key process steps are included. Explain your map to the rest of the class—this may help
The high cost of medical care and insurance is a growing societal problem.Develop a mind map of this problem. (Advanced: Use Inspiration software.)
In the DRG case-mix problem, VVH has determined that it could convert 15 of its routine beds to ICU beds for a cost of $2,000. What should VVH do and why?
In the HMO vaccination program example, analyze the situation if the probability of a flu outbreak is only 65 percent and the cost of the vaccination program is $8 million. What would your decision be in this case?
Discuss a problem your organization has solved or a suboptimal decision the organization made because the frame was incorrect.
Answer the following questions quickly for a fun illustration of some of the ten decision traps:• Can a person living in Milwaukee, Wisconsin, be buried west of the Mississippi?• If you had only one match and entered a room where there was a lamp, an oil heater, and some kindling wood, which
Conduct a meeting with colleagues. Have an observer measure Nexi, advocacy and inquiry comments, internal and external comments, and positive and negative comments. Develop a plan to move toward higher performance based on the research findings of Losada and Heaphy.
For the project identified above, create a feasible WBS and project schedule. Enter the schedule into Microsoft Project.
Review the Institute for Healthcare Improvement web site and identify and select a quality improvement project (www.ihi.org/IHI/Results/ImprovementStories/). Although you will not know all the details of the organization that executed this project, create a charter document for your chosen project.
Download the project charter and project schedule from ache.org/books/OpsManagement. Complete the missing portions of the charter. Develop a risk assessment and mitigation plan. Add tasks to the schedule for those areas that require more specificity. Apply resources to each task, determine the
Identify five common risks in healthcare clinical projects and develop contingency responses for each.
Who should constitute members of the project team, key stakeholders, and project sponsors in a clinical project in a physician’s office? Support your choices. In a hospital? Again, support your choices.
What methods could be used to involve the customer or patient in identifying the key elements of the balanced scorecard?
How would a department link its balanced scorecard to a corporate scorecard?
How do you manage the other operations of an organization, those that do not appear on a strategy map or balanced scorecard?
If you were to add another perspective, what would it be? Draw a strategy map of a healthcare delivery organization and include this perspective.
What other indicators might be used in each of the four perspectives for public health agencies? For health plans?
Assume you are a lobbyist for the CON policy proposal outlined at the end of the chapter. What would be your arguments to a skeptical state legislature worried about “government-run healthcare?”
What projects would you initiate if you were in a primary care clinic that was classified as Tier 4 in the Minnesota Advantage program?
What are three strategies to maximize P4P revenue?
Review the four public reporting systems listed earlier in the chapter. How well do they meet the five goals of Shaller et al. for public reporting?
Select three PQIs from Table 3.1 and go the National Guideline Clearinghouse to find guidelines that would minimize hospital admissions for these conditions. What would be the challenges in implementing each of these guidelines?
What are other examples of a care delivery setting with a mix of standard and custom care?
Why is SCM becoming increasingly important to healthcare organizations?
How are Lean initiatives similar to TQM and/or Six Sigma initiatives?How are they different?
What are some of the reasons for the success of Lean?
What are some of the reasons for the success of Six Sigma?
Research firms that have won the Baldrige Award in the healthcare sector. What factors led to their success in winning the award?
Why has ISO 9000 certification become important to healthcare organizations?
What are the major factors leading to increased interest in the use of operations management tools and techniques in the healthcare sector?
How has operations management changed since its early days as scientific management?
What is the difference between data, information, knowledge, and wisdom?Give specific examples of each in your own organization.
Identify three systems in a healthcare organization (at any level) where feedback delays affect the performance of the system.
Identify three systems in a healthcare organization (at any level) that have balancing feedback.
Identify three systems in a healthcare organization (at any level) that have reinforcing feedback.
Give three examples of possibilities for system improvement at the boundaries of the healthcare subsystems (patient, microsystem, organization, and environment).
Review the ten action steps recommended by IOM to close the quality chasm. Rank them from easiest to most difficult to achieve, and give a rationale for your rankings.
Describe the tools, methods, and techniques in this book that would be used to address the following operating issues:a. A hospital laboratory department provides results that are late and frequently erroneous.b. A clinic’s web-based patient information system is not being used by the expected
Describe tools (other than control charts) that can be used to ensure that processes achieve their desired results.
What should be the key financial performance indicator used to analyze performance changes for hospitals? Clinics? Health plans? Public health agencies?
Identify methods to reduce employees’ resistance to change during an operations improvement project.
If VVH were to focus on increasing throughput in the system, how would you go about doing so? Be specific.
Develop a balanced scorecard for VVH’s clinics.
Develop a project charter for one project associated with VVH’s problems.
How would you address the no-show and cancelation issues?
Frame the original issue for VVH. Mind maps and RCA may be useful here.
Can you foresee any of the emerging technologies discussed in this chapter being applied to streamline processes at your workplace?Discuss the road map and challenges with such an implementation.
Have you witnessed any of the emerging trends and technologies discussed in this chapter at your organization? Discuss your experience.
Compare and contrast the following three organizational approaches to financial management using operations management tools:a. A centralized department that has experts (Six Sigma black belts) on staff who charter and lead projects throughout an organizationb. A centralized department that only
How important is it to involve physicians in financial improvement efforts? What is the best strategy for physician engagement?
Why do other payers use Medicare as the benchmark for payment?What are other options?
Using the Excel inventory template found on the companion website if you choose, and starting with an Excel spreadsheet including data for this problem, which also is available on the companion website, prepare the following exercise.Hospital purchasing agent Abby Smith needs to order examination
Using the materials available at the book’s companion website, investigate and summarize commercially available software solutions for healthcare organizations. Using the forecasting template found on the companion website, forecast total US healthcare expenditures for 2017 with SMA, WMA, SES,
Describe the ERP system(s) found in your organization. How could it be improved?
Think of an item for which your organization carries SS. Why is SS needed for this item? Can the amount of SS needed be reduced? How?
List some inventory items found in your organization. Which of these might be classified as A, B, or C items? Why? How would you manage these items differently depending on their classification?
Why is SCM important to healthcare organizations?
A clinic wants to work down its backlog to implement advanced access.The clinic currently has 1,200 booked appointments and sees 100 patients a day. The physician staff have agreed to extend their schedules and can now see 110 patients per day. What is their current backlog, and how many days will
Which schedule would you choose, and why?
What are the differences in the two schedules?Which would you choose? Why? Now, increase the waiting time weight to 3 and recompute the small neighborhood optimal schedule. How is this optimal schedule different from the previous one? Finally, change the service time to 20 minutes and compare the
Use the Optimal Outpatient Scheduling tool (Kaandorp and Koole 2007b), provided on the companion website, to compare two appointment scheduling schemes—individual appointments and optimal scheduling—under the following assumptions. For the individual scheduling scheme, assume an 8-hour day that
The VVH radiology department currently uses FCFS to determine how to sequence patient X-rays. On a typical day, the department collects patient X-ray data, and these data are available on the book’s companion website. Use the data to compare various sequencing rules. Assuming these data are
Two of the nurses (Mary and Tom) at Riverview UCC have decided to work part time rather than their previous full-time schedule. Each prefers to work only two (consecutive) days per week. Once they become part-time employees, salary and benefits per nurse-day for these nurses will be reduced to $160
Can advanced-access techniques be used with appointment scheduling schemes? Why or why not?
What are the consequences of using advanced access in a multispecialty clinic? How might these tools be applied to provide same-day scheduling?
How could advanced-access techniques be used for the following types of facilities?a. An ambulatory surgery centerb. A freestanding imaging center
What job sequencing rule do you see most often in healthcare? Why?Can you think of any additional job sequencing rules not described in this text?
The hematology lab manager has received complaints that the turnaround time for blood tests is too long. Data from the past month show that the arrival rate of blood samples to one technician in the lab is five per hour and the service rate is six per hour. Using queuing theory, and assuming that
Access the following process maps on the companion website:• Operating Suite• Cancer Treatment Clinic Use basic improvement tools, theory of constraints, Six Sigma, or Lean tools to determine possible process improvements.
Access the National Guideline Clearinghouse ( https://www.ahrq.gov/gam/index.html) and translate one of the guidelines described into a process map. Add decision points and alternative paths to account for unusual issues that might occur in the process. (Hint: Use Microsoft Visio or another similar
Describe several places or times in your organization where people or objects (paperwork, tests, etc.) wait in line. How do the characteristics of each example differ?
How can the electronic health record or other digital technologies be used to make significant process improvements for both efficiency and quality increases?
How can barriers to process improvement, such as staff reluctance to change, lack of capital, technological barriers, or clinical practice guidelines, be overcome?
Which process improvement tool can have the most powerful impact, and why?
How do you determine which process improvement tools should be used in a given situation? What is the cost and return of each approach?
Are any drawbacks inherent in Lean Six Sigma? Explain.
Does your primary care clinic have advanced-access scheduling? Should it? To determine supply and demand and track progress, what measures would you recommend to your clinic?
From your own experiences, describe a specific instance in which standardized work, kanban, jidoka and andon, and rapid changeover would enable an organization to improve its effectiveness or efficiency.
From your own experiences, discuss a specific example of each of the seven types of waste.
What are the differences between Lean and Six Sigma? The similarities?Would you like to see both applied in your organization? Why or why not?
What are the drivers of the healthcare industry’s focus on patient satisfaction and on employing resources in an effective manner?
Clinicians at VVH have been complaining about the turnaround time for blood work. The laboratory manager decides to investigate the problem and collects turnaround time data on five randomly selected requests every day for one month (shown in the following chart).a. Construct an X-bar chart using
List at least three poka-yokes currently used in the healthcare industry.Can you think of a new one for your organization?
Discuss a real example of each of the four costs of quality in a healthcare organization.
What does quality in healthcare mean to your organization? To you personally?
Read the executive summary of the IOM (1999) report To Err Is Human (www.nap.edu/read/9728/chapter/2?term=executive+summary)and answer the following questions:a. Why did this report spur an interest in quality management in the healthcare industry?b. What does IOM recommend to address these

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Healthcare Operations Management 4th Edition Daniel B. McLaughlin, John R. Olson, Luv Sharma - Solutions

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