Healthcare Systems Engineering

Apply engineering and design principles to revitalize the healthcare delivery system Healthcare Systems Engineering is the first engineering book to cover this emerging field, offering comprehensive coverage of the healthcare system, healthcare delivery, and healthcare systems modeling. Written by leading industrial engineering authorities and a medical doctor specializing in healthcare delivery systems, this book provides a well–rounded resource for readers of a variety of backgrounds. Examples, case studies, and thoughtful learning activities are used to thoroughly explain the concepts presented, including healthcare systems, delivery, quantification, and design. You?ll learn how to approach the healthcare industry as a complex system, and apply relevant design and engineering principles and processes to advance improvements. Written with an eye toward practicality, this book is designed to maximize your understanding and help you quickly apply toward solutions for a variety of healthcare challenges. Healthcare systems engineering is a new and complex interdisciplinary field that has emerged to address the myriad challenges facing the healthcare industry in the wake of reform. This book functions as both an introduction and a reference, giving you the knowledge you need to move toward better healthcare delivery. Understand the healthcare delivery context Use appropriate statistical and quantitative models Improve existing systems and design new ones Apply systems engineering to a variety of healthcare contexts Healthcare systems engineering overlaps with industrial engineering, operations research, and management science, uniting the principles and practices of these fields together in pursuit of optimal healthcare operations. Although collaboration is focused on practitioners, professionals in information technology, policy and administration, public health, and law all play crucial roles in revamping health care systems. Healthcare Systems Engineering is a complete and authoritative reference for stakeholders in any field. INDICE: Chapter 1 The Healthcare Delivery System .Overview .1.1 Healthcare Delivery Components .1.2 Major Stakeholders .1.3 Global Issues in Health .Global Spending .Global Outcomes .Unique Challenges .1.4 Drivers for Healthcare Systems .Financial .Population Health and Wellness .Equity .Quality First, Do No Harm .Electronic Health Records .Point of Care .Personalized Medicine .Questions and Learning Activities .References .Chapter 2 Complexity and Systems in Healthcare .Overview .2.1 Taking a Systems Approach to Healthcare .2.2 Complex Adaptive Systems .Defining Characteristics of Complex Adaptive Systems .Complexity in Healthcare .Case 2a: Complexity in Chronic Kidney Disease .2.3 Systems Thinking and System Dynamics .Dimensions of Systems Thinking .Linear vs. Feedback Perspectives .Methodologies .Causal Loop Diagrams .Case 2b: Systems Thinking and Causal Loop Diagrams in CKD .Stock Flow Model .Case 2c: System Dynamics and Stock Flow Diagrams in CKD .Questions and Learning Activities .References .Chapter 3 Patient Flow .Overview .3.1 Healthcare Settings and Clinical Workflows .Primary Ambulatory Care .Specialty Ambulatory Care .Emergency Care .Outpatient Surgical Center .Operating Room Care .Inpatient Care .Long–Term Care .3.2 Patient Flow through a Hospital .Admission and Discharge .ED Capacity and Crowding .Boarding .OR Scheduling .Variability .3.3 Care Transitions .Transfers within a Hospital .Patient Transfer from the ED to Inpatient .Primary Care to Specialty Care .Inpatient Setting to Long–Term Care Facilities .Inpatient Setting to Home .3.4 Process Mapping .Benefits of Process Mapping .Creating a Process Map .3.5 Queuing .3.6 Case Study: ED Crowding A Patient Flow Solution .Questions and Learning Activities .References .Chapter 4 Healthcare Financing .Overview .4.1 Financing Models for Health Services .Insurance and Third–Party Payment .Agency Issues .Government–Provided Insurance .Universal Healthcare .4.2 Compensation Models for Providers .Fee for Service .Bundled Payments Diagnostic–Related Groups .Pay–for–Performance Plans .Shared Savings Plans .Capitation .4.3 Cost Allocation and Charges .Costs .Setting Charges .Cost Shifting .4.4 Capital Budgeting .Net Present Value .Project Selection .References .Chapter 5 Health Data and Informatics .Overview .5.1 Healthcare Data .5.2 Electronic Health Records .Computerized Physician Order Entry .Clinical Decision Support Systems .Meaningful Use .5.3 Health Information Exchange .5.4 Publicly Reported Healthcare Data .Hospital Compare .Health, United States .Medicare Provider Charge Data .State Departments of Health .5.5 Case Study .Health Informatics at a Hospital a 10–Year Journey .Questions and Learning Activities .References .Chapter 6 Lean .Overview .6.1 Lean Philosophy and Methods .6.2 Drivers for Lean Healthcare Systems .Driver 1: Define Value Based on the Voice of the Patient (Customer) .Driver 2: Create an Environment That Supports the Staff .Driver 3: Eliminate All Forms of Waste .Driver 4: Deliver Excellent Clinical Quality .6.3 A Toolset for Eliminating Wastes .6.4 Value Stream Mapping .6.5 A3 .6.6 5S .6.7 Kanban .6.8 Lean Implementations .6.9 Lean Thinking .Questions and Learning Activities .References .Chapter 7 Six Sigma .Overview .7.1 Six Sigma Philosophy .7.2 Six Sigma Quality .Six Sigma Costs and Benefits .Six Sigma DMAIC Methodology .Define Phase Concepts and Tools .Critical to Quality (CTQ) Flowdown .SIPOC .Measure Phase Concepts and Tools .Cause–and–Effect Diagram .Pareto Chart .Analyze Phase Concepts and Tools .Failure Modes and Effects Analysis .Improve Phase Concepts and Tools .Lean Thinking and Lean Tools .Comparative Experiments .Design of Experiments .Control Phase Concepts and Tools .Statistical Process Control .Control Plan and Documentation .Six Sigma Implementations .Leading Change .Strategy and Strategic Management .Change Management .Health Organization Transformation .Six Sigma in Translational Research .Questions and Learning Activities .References .Chapter 8 Reliability and Patient Safety .Overview .8.1 Human Reliability .8.2 Errors in Healthcare .8.3 Medication Errors .Poor Prescription .Illegible Handwriting .Wrong Medication Administration .8.4 Patient Falls .Risk Factors .Risk Mitigation Strategies .Risk Factor Assessment and Screening .Individual Interventions .System Redesign (Environmental Interventions) .8.5 Human Factor and Ergonomics for Patient Safety .Individuals .Situation Awareness .Decision–Making Support .Methods for Better Medical Decision Making .Technology .Medical Device Design .Organization .Communication .Questions and Learning Activities .References .Chapter 9 Health Analytics .Overview .9.1 Data Mining .Definition and Methodologies .Preprocessing .Data Mining .Interpretation/Evaluation .Medical Data Mining .Mining Claims Data .Mining Clinical Trial Data .Mining Adverse Drug Reaction Incidents .Mining Healthcare Market Segments .Case 9.1: Predicting Parkinson s Disease Using Data Mining .Data Acquisition and Preprocessing .Data Mining and Knowledge Discovery .Results .9.2 Data Visualization .Definition and Function of Data Visualization .Brief History of Data Visualization .Data Visualization Techniques Today .The Data Visualization Process .Perception .Human Factors in Data Visualization .Data Visualization in Healthcare Practice .Technique 1: Icon Arrays .Technique 2: Magnifier Risk Scale .Technique 3: Risk Scale .Technique 4A: Timeline .Technique 4B: Timeline Belt .Technique 5: Heatmap .Technique 6: Kaleidomaps by Bale et al. .Technique 7: Timeline Browser by Cousins and Kahn .Technique 8: Glyph .Technique 9: Overlaps and Interconnections .Case 9.2: Data Visualization in Obesity Counseling .Questions and Learning Activities .Social Network Analysis .Network Representation .Descriptive Network Properties .Case 9.3: SNA in a Pediatric Intensive Care Unit (PICU) .Data Envelopment Analysis .DEA Models .Model Formulations .Case 9.4: Using DEA for Finding Best–in–Class Hospitals in a Network .Multicriteria Decision Making .MCDM Terms and Concepts .Goal Programming .Case 9.5: Use of GP to Optimize Helicopter Emplacement at Medical Treatment Facilities .Questions and Learning Activities .References .Chapter 10 Capacity Management .Overview .10.1 Capacity Management Challenges .10.2 Managing Nursing Units .Boarding .Diversion .Transferring Patients .10.3 Managing Operating Rooms .Determining Block Times .Block Scheduling .Block Scheduling in Practice .10.4 Managing Diagnostic Units .10.5 Nurse Staffing and Scheduling .References .Chapter 11 Healthcare Logistics .Overview .11.1 Facility Location .Basic Location Models .Location of Healthcare Facilities .Willingness–to–Travel Constraints .Choice Constraints .Equity Modeling .Model Formulation .11.2 Home Healthcare Routing and Scheduling .HHC Routing/Allocation .HHC Heuristics .References .Chapter 12 Health Supply Chains .Overview .12.1 Forecasting Demand .Time Series Models .Forecast Error .12.2 Inventory Control .Deterministic Models .Stochastic Models .Newsvendor Model .12.3 Healthcare Distribution .Distribution Requirements Planning .Transportation Planning .Vendor Management Inventory .Cold Chains for Healthcare Products .12.4 Coordinating Activities in the Supply Chain .Pooling .Information Sharing .Supply Chain Contracting .References .Chapter 13 Infection Control .Overview .13.1 Historical Perspective .13.2 Infection Control Classification .13.3 Checklists for Infection Control .13.4 The Case of Sepsis .13.5 Mathematical Modeling of Hospital Infection Control .Compartment Models .Compartment Model Applied to Hand Washing .Tuberculosis Infection Control .References

• ISBN: 978-1-118-97108-6
• Editorial: John Wiley & Sons
• Encuadernacion: Cartoné
• Páginas: 432
• Fecha Publicación: 20/04/2016
• Nº Volúmenes: 1
• Idioma: Inglés