Biblioteca

Health care operations and supply chain management : operations, planning, and control / John F. Kros, Evelyn C. Brown.

By: Kros, John F
Contributor(s): Brown, Evelyn C, 1966
Material type: TextTextPublisher: San Francisco : Jossey-Bass, c2013Edition: First editionDescription: xxxii, 542 p. : il. ; 24 cmISBN: 9781118109779 (pbk.)Subject(s): ESTABLECIMIENTOS DE SALUD -- ADMINISTRACIÓN DE EMPRESAS | ADMINISTRACIÓN DE SERVICIOSDDC classification: 362.1068
Contents:
Tables and Figures xi Preface xxi The Authors xxxi PART I STRATEGY 1 Chapter 1 Health Care Operations and Supply Chain Strategy 3 Health Care Operations and Supply Chain Management 4 Purchasing, Logistics, and Vendor-Managed Inventories 7 Efficiency, Effectiveness, and Value 8 Competitive Dimensions of Health Care 12 The Bullwhip Effect in Health Care 14 MiniCase: The Bullwhip Effect in Health Care Organizations 18 Chapter 2 Financial Aspects of Health Care Operations and Supply Chain Management 21 Health Care Finance and Operations/Supply Chain Management 22 Income Statement/Operating Statement 24 Balance Sheet 27 Statement of Cash Flows 32 Basic Financial Ratios and Metrics 35 Time Value of Money 47 Break-Even Analysis 49 Crossover Analysis 53 Chapter 3 Managerial Accounting Aspects of Health Care Operations and Supply Chain Management 61 Managerial Aspects of Health Care Operations and Supply Chain Management 62 Managerial Accounting 62 Activity-Based Costing 65 Supply Chain Management behind the Scenes: Cost Drivers at Hospitals 69 PART II PROCESS DESIGN AND ANALYSIS OF HEALTH CARE OPERATIONS 75 Chapter 4 Data and Statistical Tools for Health Care Operations Improvement 77 Descriptive Statistics for Describing Data Sets 78 Graphical Methods of Data Description 78 Numerical Methods of Data Description 81 Hypothesis Testing: Analyzing the Difference of Two Means 101 Pareto Analysis 116 Box-and-Whisker Plots 117 Tornado Diagrams and Sensitivity Analysis 129 Chapter 5 Problem Solving and Decision-Making Tools in Health Care Operations 143 Health Care Operations and Supply Chain Management in Action: How Legal Decision Makers Use Decision Models 144 Framing the Decision Problem 146 Components of a Decision-Making Problem 146 Payoff Tables 149 Decision-Making Criteria without Probability Assessments 151 Decision-Making Criteria with Probability Assessments 159 Expected Value of Perfect Information 162 Modeling 177 Decision Trees 179 Chapter 6 Simulation 201 Introduction 202 Process Flows 202 Probability Distributions 203 Random Number Generation 210 Discrete-Event versus Continuous Simulation 211 Monte Carlo Simulation 213 Agent-Based Simulation 215 Simulation in Health Care 215 Queuing Analysis 216 Chapter 7 Process Improvement and Patient Flow 229 Introduction 230 Process Mapping 231 Value Stream Mapping 233 Use of Maps and Charts in Health Care 240 Staffing 242 Workload Management 243 Productivity and Efficiency Analysis 245 Common Health Care Productivity and Efficiency Measures 248 Improving Productivity and Efficiency 249 MiniCase: Improving Process Flow to Improve Service-Level Performance Statistics 253 Chapter 8 Facility Layout 257 Introduction 257 Layout Considerations 258 Types of Layouts 262 Muther Diagrams 264 Workload Management 266 Evaluating Different Types of Layouts 267 Basics of Optimization 270 Optimization Using Excel Solver 272 Optimizing Facility Layout and Design 280 PART III MANAGING HEALTH CARE OPERATIONS QUALITY 287 Chapter 9 Managing Quality in a Health Care Setting 289 What Is Service Quality? 290 Quality Planning, Control, and Improvement 291 Quality and Financial Performance 292 Seven Tools for Quality Control 294 Six Sigma Concepts 305 Six Sigma and Lean 311 MiniCase: Delayed Room Cleaning Dilemma 320 Chapter 10 Quality Control and Improvement 323 Design of Quality Control Systems 324 Process Quality Control 324 Variables Control 327 Using Control Charts 331 Process Capability 334 Total Quality Management and Continuous Improvement 337 International Organization for Standardization Certification 338 Malcolm Baldrige Award 340 PART IV PLANNING AND CONTROLLING HEALTH CARE OPERATIONS 351 Chapter 11 Lean Concepts in Health Care 353 Introduction 354 What Is Lean? 354 Controlling Waste 355 Controlling Flow with a Kanban System 357 Kaizen Events 359 Value Stream Mapping 362 Measures and Tools 362 Adverse Effects of Becoming Too Lean 364 MiniCase: Using Lean Concepts to Improve Inpatient Care 366 Chapter 12 Forecasting for Health Care Management 369 Analyzing Data Using Time Series and Regression Models 370 Linear and Nonlinear Trends 371 Seasonality in Data 372 Naive Forecasting 376 Moving Averages 378 Weighted Moving Averages 381 Exponential Smoothing 383 Autocorrelation 387 Regression as a Forecasting Technique 393 Multiple Regression Model 402 Measuring Accuracy 409 Measuring Forecasting Errors 423 Chapter 13 Project Management 431 Introduction 432 Role of Project Manager 432 Objectives and Trade-Offs 433 Planning and Control in Projects 435 Project Scheduling 437 Critical Path Method 440 Gantt Charts 448 Program Evaluation and Review Technique 451 Implementation 453 MiniCase: Implementing Electronic Medical Records at St. Hampton s Hospital 457 Chapter 14 Aggregate Planning, Scheduling, and Capacity Management in Health Care 461 Aggregate/Central Planning 462 Resource Planning and Control 464 Scheduling and Capacity Management 468 Workforce Scheduling 468 Dispatching Rules 473 Job Sequencing 474 Johnson s Rule 475 Service Facility Location Analysis 486 Center of Gravity Method 487 Chapter 15 Inventory Management 501 Introduction 502 Purpose of Inventories 502 Costs of Inventories 504 Economic Order Quantity 506 Independent versus Dependent Demand 509 Periodic Review Systems 510 Continuous Review Systems 511 ABC Inventory Management 515 Inventory Management Technology 519 Index 525
Summary: Este recurso proporciona a los estudiantes una base sólida en la gestión de operaciones, gestión de la cadena de suministro, y la implementación estratégica de los programas, técnicas y herramientas para la reducción de costes y la mejora de la calidad en las organizaciones de atención de la salud. Incorpora las características y funciones de Microsoft Excel en su caso en su cobertura de la estrategia de la cadena de suministro, diseño de procesos y análisis de las operaciones de atención de salud, la gestión de las operaciones de atención médica de calidad, y la planificación y el control de las operaciones de atención médica. El libro ilustra conceptos borde de ataque y técnicas como seis sigma y logística magras, y muestra cómo las operaciones y la mejora de los procesos relacionados con las tendencias contemporáneas de atención de salud, como la medicina basada en la evidencia y de pago por rendimiento
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Incluye bibliografía e indices

Tables and Figures xi

Preface xxi

The Authors xxxi

PART I STRATEGY 1

Chapter 1 Health Care Operations and Supply Chain Strategy 3

Health Care Operations and Supply Chain Management 4

Purchasing, Logistics, and Vendor-Managed Inventories 7

Efficiency, Effectiveness, and Value 8

Competitive Dimensions of Health Care 12

The Bullwhip Effect in Health Care 14

MiniCase: The Bullwhip Effect in Health Care Organizations 18

Chapter 2 Financial Aspects of Health Care Operations and Supply Chain Management 21

Health Care Finance and Operations/Supply Chain Management 22

Income Statement/Operating Statement 24

Balance Sheet 27

Statement of Cash Flows 32

Basic Financial Ratios and Metrics 35

Time Value of Money 47

Break-Even Analysis 49

Crossover Analysis 53

Chapter 3 Managerial Accounting Aspects of Health Care Operations and Supply Chain Management 61

Managerial Aspects of Health Care Operations and Supply Chain Management 62

Managerial Accounting 62

Activity-Based Costing 65

Supply Chain Management behind the Scenes: Cost Drivers at Hospitals 69

PART II PROCESS DESIGN AND ANALYSIS OF HEALTH CARE OPERATIONS 75

Chapter 4 Data and Statistical Tools for Health Care Operations Improvement 77

Descriptive Statistics for Describing Data Sets 78

Graphical Methods of Data Description 78

Numerical Methods of Data Description 81

Hypothesis Testing: Analyzing the Difference of Two Means 101

Pareto Analysis 116

Box-and-Whisker Plots 117

Tornado Diagrams and Sensitivity Analysis 129

Chapter 5 Problem Solving and Decision-Making Tools in Health Care Operations 143

Health Care Operations and Supply Chain Management in Action: How Legal Decision Makers Use Decision Models 144

Framing the Decision Problem 146

Components of a Decision-Making Problem 146

Payoff Tables 149

Decision-Making Criteria without Probability Assessments 151

Decision-Making Criteria with Probability Assessments 159

Expected Value of Perfect Information 162

Modeling 177

Decision Trees 179

Chapter 6 Simulation 201

Introduction 202

Process Flows 202

Probability Distributions 203

Random Number Generation 210

Discrete-Event versus Continuous Simulation 211

Monte Carlo Simulation 213

Agent-Based Simulation 215

Simulation in Health Care 215

Queuing Analysis 216

Chapter 7 Process Improvement and Patient Flow 229

Introduction 230

Process Mapping 231

Value Stream Mapping 233

Use of Maps and Charts in Health Care 240

Staffing 242

Workload Management 243

Productivity and Efficiency Analysis 245

Common Health Care Productivity and Efficiency Measures 248

Improving Productivity and Efficiency 249

MiniCase: Improving Process Flow to Improve Service-Level Performance Statistics 253

Chapter 8 Facility Layout 257

Introduction 257

Layout Considerations 258

Types of Layouts 262

Muther Diagrams 264

Workload Management 266

Evaluating Different Types of Layouts 267

Basics of Optimization 270

Optimization Using Excel Solver 272

Optimizing Facility Layout and Design 280

PART III MANAGING HEALTH CARE OPERATIONS QUALITY 287

Chapter 9 Managing Quality in a Health Care Setting 289

What Is Service Quality? 290

Quality Planning, Control, and Improvement 291

Quality and Financial Performance 292

Seven Tools for Quality Control 294

Six Sigma Concepts 305

Six Sigma and Lean 311

MiniCase: Delayed Room Cleaning Dilemma 320

Chapter 10 Quality Control and Improvement 323

Design of Quality Control Systems 324

Process Quality Control 324

Variables Control 327

Using Control Charts 331

Process Capability 334

Total Quality Management and Continuous Improvement 337

International Organization for Standardization Certification 338

Malcolm Baldrige Award 340

PART IV PLANNING AND CONTROLLING HEALTH CARE OPERATIONS 351

Chapter 11 Lean Concepts in Health Care 353

Introduction 354

What Is Lean? 354

Controlling Waste 355

Controlling Flow with a Kanban System 357

Kaizen Events 359

Value Stream Mapping 362

Measures and Tools 362

Adverse Effects of Becoming Too Lean 364

MiniCase: Using Lean Concepts to Improve Inpatient Care 366

Chapter 12 Forecasting for Health Care Management 369

Analyzing Data Using Time Series and Regression Models 370

Linear and Nonlinear Trends 371

Seasonality in Data 372

Naive Forecasting 376

Moving Averages 378

Weighted Moving Averages 381

Exponential Smoothing 383

Autocorrelation 387

Regression as a Forecasting Technique 393

Multiple Regression Model 402

Measuring Accuracy 409

Measuring Forecasting Errors 423

Chapter 13 Project Management 431

Introduction 432

Role of Project Manager 432

Objectives and Trade-Offs 433

Planning and Control in Projects 435

Project Scheduling 437

Critical Path Method 440

Gantt Charts 448

Program Evaluation and Review Technique 451

Implementation 453

MiniCase: Implementing Electronic Medical Records at St. Hampton s Hospital 457

Chapter 14 Aggregate Planning, Scheduling, and Capacity Management in Health Care 461

Aggregate/Central Planning 462

Resource Planning and Control 464

Scheduling and Capacity Management 468

Workforce Scheduling 468

Dispatching Rules 473

Job Sequencing 474

Johnson s Rule 475

Service Facility Location Analysis 486

Center of Gravity Method 487

Chapter 15 Inventory Management 501

Introduction 502

Purpose of Inventories 502

Costs of Inventories 504

Economic Order Quantity 506

Independent versus Dependent Demand 509

Periodic Review Systems 510

Continuous Review Systems 511

ABC Inventory Management 515

Inventory Management Technology 519

Index 525

Este recurso proporciona a los estudiantes una base sólida en la gestión de operaciones, gestión de la cadena de suministro, y la implementación estratégica de los programas, técnicas y herramientas para la reducción de costes y la mejora de la calidad en las organizaciones de atención de la salud. Incorpora las características y funciones de Microsoft Excel en su caso en su cobertura de la estrategia de la cadena de suministro, diseño de procesos y análisis de las operaciones de atención de salud, la gestión de las operaciones de atención médica de calidad, y la planificación y el control de las operaciones de atención médica. El libro ilustra conceptos borde de ataque y técnicas como seis sigma y logística magras, y muestra cómo las operaciones y la mejora de los procesos relacionados con las tendencias contemporáneas de atención de salud, como la medicina basada en la evidencia y de pago por rendimiento

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