Aligning the Perioperative Process to Hospital Strategy

Author(s):  
Jim Ryan ◽  
Barbara Doster ◽  
Sandra Daily ◽  
Carmen C. Lewis

This chapter identifies how dynamic technological activities of analysis, evaluation, and synthesis, applied to internal and external organizational data, can highlight complex relationships within integrated hospital processes to target opportunity for improvement and ultimately yield improved capabilities aligned to hospital strategy. This case study examines process management practices of balanced scorecards and dashboards to monitor, improve, and align the perioperative process to overall hospital goals at strategic, tactical, and operational levels. Based on a 168-month longitudinal study of a 1,157 registered-bed academic medical center, this case study investigates the impact of integrated hospital information systems and business analytics to improve perioperative workflow efficiency, patient care perspective, stakeholder satisfaction, clinical operations, and financial cost effectiveness. The conclusion includes discussion of study implications and limitations.

2016 ◽  
pp. 1119-1139
Author(s):  
Jim Ryan ◽  
Barbara Doster ◽  
Sandra Daily ◽  
Carmen Lewis

Dynamic technological activities of analysis, evaluation, and synthesis can highlight complex relationships within integrated processes to target improvement and ultimately yield improved processes. Likewise, the identification of existing process limitations, potential capabilities, and subsequent contextual understanding are contributing factors that yield measured improvement. Based on a 120-month longitudinal study of an academic medical center, this study investigates how integrated information systems and business analytics can improve perioperative efficiency and effectiveness across patient quality of care, stakeholder satisfaction, clinical operations, and financial cost effectiveness. This case study examines process management practices of balanced scorecard and dashboards to monitor and improve the perioperative process, aligned to overall hospital goals at strategic, tactical, and operational levels. The conclusion includes discussion of study implications and limitations.


Author(s):  
Jim Ryan ◽  
Barbara Doster ◽  
Sandra Daily ◽  
Carmen Lewis

Dynamic technological activities of analysis, evaluation, and synthesis can highlight complex relationships within integrated processes to target improvement and ultimately yield improved processes. Likewise, the identification of existing process limitations, potential capabilities, and subsequent contextual understanding are contributing factors that yield measured improvement. Based on a 120-month longitudinal study of an academic medical center, this study investigates how integrated information systems and business analytics can improve perioperative efficiency and effectiveness across patient quality of care, stakeholder satisfaction, clinical operations, and financial cost effectiveness. This case study examines process management practices of balanced scorecard and dashboards to monitor and improve the perioperative process, aligned to overall hospital goals at strategic, tactical, and operational levels. The conclusion includes discussion of study implications and limitations.


Author(s):  
Jim Ryan ◽  
Barbara Doster ◽  
Sandra Daily ◽  
Carmen Lewis

Based on a 143-month longitudinal study of an academic medical center, this paper examines operations management practices of continuous improvement, workflow balancing, benchmarking, and process reengineering within a hospital's perioperative operations. Specifically, this paper highlights data-driven efforts within perioperative sub-processes to balance overall patient workflow by eliminating bottlenecks, delays, and inefficiencies. This paper illustrates how dynamic technological activities of analysis, evaluation, and synthesis applied to internal and external organizational data can highlight complex relationships within integrated processes to identify process limitations and potential process capabilities, ultimately yielding balanced patient workflow through data-driven perioperative process improvement. Study implications and/or limitations are also included.


Author(s):  
Jim Ryan ◽  
Barbara Doster ◽  
Sandra Daily ◽  
Carmen Lewis

Based on a 143-month longitudinal study of an academic medical center, this paper examines operations management practices of continuous improvement, workflow balancing, benchmarking, and process reengineering within a hospital's perioperative operations. Specifically, this paper highlights data-driven efforts within perioperative sub-processes to balance overall patient workflow by eliminating bottlenecks, delays, and inefficiencies. This paper illustrates how dynamic technological activities of analysis, evaluation, and synthesis applied to internal and external organizational data can highlight complex relationships within integrated processes to identify process limitations and potential process capabilities, ultimately yielding balanced patient workflow through data-driven perioperative process improvement. Study implications and/or limitations are also included.


2017 ◽  
Vol 08 (03) ◽  
pp. 754-762
Author(s):  
Karen Sharp ◽  
Michele Williams ◽  
Adrienne Bogacz ◽  
Sighle Denier ◽  
Ann McAlearney ◽  
...  

SummaryThis case study overviews the conversion of provider training of the electronic medical record (EMR) from an instructor-led training (ILT) program to eLearning at an Academic Medical Center (AMC). This conversion provided us with both a useful training tool and the opportunity to maximize efficiency within both our training and optimization team and organization. eLearning Development Principles were created and served as a guide to assist us with designing an eLearning curriculum using a five step process. The result was a new training approach that allowed learners to complete training at their own pace, and even test out of sections based on demonstrated competency. The information we have leads us to believe that a substantial return on our investment can be obtained from the conversion with positive impacts that have served as the foundation for the future of end user EMR training at our AMC.Citation: Sharp K, Williams M, Aldrich A, Bogacz A, Denier S, McAlearney AS. Conversion of Provider EMR Training from Instructor Led Training to eLearning at an Academic Medical Center. Appl Clin Inform 2017; 8: 754–762 https://doi.org/10.4338/ACI-2017-03-CR-0040


Author(s):  
Fred Willie Zametkin LaPolla ◽  
Denis Rubin

Background: The authors’ main university library and affiliated academic medical center library sought to increase library programming around data visualization, a new service area for both libraries. Additionally, our institution is home to many researchers with a strong interest in data visualization but who are generally working in isolation of one another.Case Presentation: This case study describes an innovative workshop, the “Data Visualization Clinic,” where members of our library’s community bring in data visualization projects such as figures in papers, projects hosted online, and handouts and receive constructive feedback from a group of peers. The authors detail the process of hosting a clinic and the feedback that we received from participants.Conclusions: The “Data Visualization Clinic” offers a viable workshop to leverage expertise of library users and build the library’s reputation as a hub of data visualization services without heavy investment in infrastructure like special monitors or coding skills. That said, it faces the challenge of relying on the participation of the broader community, which is often pressed for time. The event can also serve as an opportunity for researchers who have an interest in data visualization to meet and network.


2020 ◽  
pp. 1738-1757
Author(s):  
Jim Ryan ◽  
Barbara Doster ◽  
Sandra Daily ◽  
Carmen Lewis

This study examines the development and use of balanced scorecard metrics as key performance indicators within each stage of the perioperative process to enable business process management across the entire process to gauge performance and target improvement opportunities. The identification of existing limitations, potential capabilities, and the subsequent contextual understanding are contributing factors toward perioperative improvement. This paper identifies how dynamic technological activities of analysis, evaluation, and synthesis applied to internal and external organizational data can highlight complex relationships within integrated hospital processes to address root causes rather than symptoms and ultimately yield improved capabilities. This case study investigates how integrated information systems can identify, qualify, and quantify perioperative performance indicators to measure improvement based on a 157-month longitudinal study of a large, 1,157 registered-bed teaching hospital. The theoretical and practical implications and/or limitations of this study's results are also discussed with respect to practitioners and researchers alike.


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