Performance analysis of a focused hospital unit: The case of an integrated trauma center

Journal of Operations Management

Volumn 27, Issue 3, 2009, Pages 203-219

  Hyer, Nancy Lea ^a   Wemmerlöv, Urban ^b   Morris Jr , John A ^c  

^a VANDERBILT UNIVERSITY   (United States)

^b UNIVERSITY OF WISCONSIN MADISON   (United States)

^c VANDERBILT UNIVERSITY MEDICAL CENTER   (United States)

Author keywords

Case study; Focus; Healthcare; Operations; Performance analysis; Process design

Indexed keywords

DESIGN; HEALTH; HEALTH CARE; INDUSTRIAL PLANTS; PROCESS CONTROL; PROCESS DESIGN; SUGAR (SUCROSE);

BEFORE AND AFTER; BUSINESS REVIEWS; CASE STUDY; DESIGN AND OPERATIONS; FOCUS; HARVARD; HEALTH CARE INDUSTRIES; HEALTH CARE SYSTEMS; LENGTH OF STAYS; MEDICAL CENTERS; OPERATING MARGINS; OPERATIONS; PATIENT POPULATIONS; PERFORMANCE ANALYSIS;

HOSPITALS;

EID: 62749139693     PISSN: 02726963     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jom.2008.08.003     Document Type: Article

References (96)

1. Al-Shaqha W., and Zairi M. Re-engineering pharmaceutical care: towards a patient-focused care approach. International Journal of Health Care Quality Assurance 13 5 (2000) 208-217
2. American College of Surgeons, 2003. National Trauma Data Bank Report 2003, Chicago.
3. Anderson S. Measuring the impact of product mix heterogeneity on manufacturing overhead cost. The Accounting Review 70 3 (1995) 363-387
4. Baker S.P., O'Neill W., Haddon W., and Long W.B. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. Journal of Trauma 14 (1974) 187-196
5. Benders J., and Badham R. A history of cell-based manufacturing. In: Beyerlein M. (Ed). Work Teams: Past Present and Future (2000), Kluwer Academic Publishers, Boston, MA 45-57
6. Berdick E., and Humphries V. Hospital re-engineers to improve patient care. Health Care Strategic Management 12 11 (1994) 13-14
7. Berwick D.M., Godfrey B., and Roessner J. Curing Healthcare: New Strategies for Quality Improvements (1990), Jossey-Bass, San Francisco
8. Bohmer R.M.J. Medicine's service challenge: blending custom and standard care. Health Care Management Review 30 4 (2005) 322-330
9. Bouchard T.J. Field research methods: interviewing, questionnaires, participant observation, systematic observation, unobtrusive measures. In: Dunnette M.D. (Ed). Handbook of Industrial and Organizational Psychology (1976), Rand McNally, Chicago 363-413
10. Bozarth C., and Edwards S. The impact of market requirements focus and manufacturing characteristics plant performance. Journal of Operations Management 15 3 (1997) 161-180
11. Breedlove L., Fallon Jr. W., Cullado M., Dalton A., Donthi R., and Donovan D. Dollars and sense: attributing value to a Level I trauma center in economic terms. Journal of Trauma-Injury Infection & Critical Care 58 4 (2005) 668-674
12. Brush T., and Karnani A. Impact of plant size and focus on productivity: an empirical study. Management Science 42 7 (1996) 1065-1077
13. Bush R. Reducing waste in US health care systems. Journal of the American Medical Association 297 8 (2007) 871-874
14. Byrne M.M., Charns M.P., Parker V.A., Meterko M.M., and Wray N.P. The effects of organization on medical utilization: an analysis of service line organization. Medical Care 42 1 (2004) 28-37
15. Catron B., and Murphy B. Hospital price inflation: what does the new PPI tell us?. Monthly Labor Review 119 7 (1996) 24-31
16. Casalino L.P., Devers K.J., and Brewster L.R. Focused factories? Physician-owned specialty facilities. Health Affairs 22 6 (2003) 56-67
17. Charns M., and Tewksbury L. Collaborative Management in Health Care (1993), Jossey-Bass, San Francisco
18. Clemmer T.P., Spuhler V.J., Oniki T.A., and Horn S.D. Results of a collaborative quality improvement program on outcomes and costs in a tertiary critical care unit. Critical Care Medicine 27 9 (1999) 1768-1774
19. Committee on the Quality of Health Care in America/Institute of Medicine. Crossing the Quality Chasm (2001), National Academy Press, Washington, DC
20. Daft R.L. Organization Theory and Design. 4th ed. (1992), West Publishing, Saint Paul, MN
21. Devers, K.J., Brewster, L.R., Ginsburg, P.B., 2003. Specialty hospitals: focused factories or cream skimmers? Issue Brief No. 62.
22. Dobson A., Haught R., and Sen N. Specialty heart hospital: a comparative study. American Health Hospital Journal 1 1 (2003) 21-29
23. Dooley W.C. Ambulatory mastectomy. American Journal of Surgery 184 (2002) 545-548 discussion 548-549
24. Easton G.S., and Jarrell S.L. The effects of total quality management on corporate performance: an empirical investigation. The Journal of Business 71 2 (1998) 253-307
25. Ferdinand N.J. In: Weaver D. (Ed). Patient Care Redesign: Lessons from the Field (1999), Health Forum, Inc, Chicago Chapter 5
26. Ferris B.J. Converting a unit to patient-focused care. Health Progress April (1993) 22-25
27. Finkler S.A. The distinction between cost and charges. American College of Physicians. Annals of Internal Medicine, Philadelphia 96 1 (1982) 102-109
28. Fortune J., Wohltmann C., Margold B., Callahan C., and Sutyak J. Maximizing reimbursement from trauma response fees (UB-92: 68X)-lessons learned from a hospital comparison. Journal of Trauma-Injury Infection & Critical Care 59 5 (2005) 1276-1277
29. Gittell J.H. Coordinating mechanisms in care provider groups: relational coordination as a mediator and input uncertainty as a moderator of performance effects. Management Science 48 11 (2002) 1408-1426
30. Glaser B., and Strauss A. The Discovery of Grounded Theory: Strategies of Qualitative Research. (1967), Wiedenfeld and Nicholson, London
31. Goldfarb M.G., Bazzoli G.J., and Rosanna M.C. Trauma systems and the costs of trauma care. Health Services Research 31 1 (1996) 71-95
32. Groeger J.S., Strosberg M.A., Halpern N.A., et al. Descriptive analysis of critical care units in the United States. Critical Care Medicine 20 6 (1992) 846-863
33. Handfield R.B., and Melnyk S.A. The scientific theory-building process: a primer using the case of TQM. Journal of Operations Management 16 4 (1998) 321-339
34. Hayes R., Pisano G., and Upton D. Strategic Operations: Competing Through Capabilities (1996), The Free Press, New York
35. Hayes R.H., and Wheelwright S.C. Restoring Our Competitive Edge: Competing Through Manufacturing (1984), John Wiley & Sons, New York
36. Herzlinger R. Market Driven Health Care (1997), Persues Books, Reading, Massachusetts
37. Heskett J. Shouldice Hospital, Ltd. Harvard Business School Case 9-683-068 (2002), Harvard Business School Publishing, Boston
38. Hoffman B. Product line management: streamlining service, management, and staff performance. Osteopathic Hospital Leadership 30 5 (1986) 5-20
39. Huckman R.S., and Zinner D.E. Does focus improve operational performance? Lessons from the management of clinical trials. Strategic Management Journal 29 2 (2008) 173-193
40. Hyer N., and Brown K. The discipline of real cells. Journal of Operations Management 17 5 (1999) 557-574
41. Hyer N., and Wemmerlöv U. Reorganizing the Factory: Competing through Cellular Manufacturing Portland (2002), Productivity Press, Oregon
42. International Classification of Diseases, Clinical Modification (ICD-9-'CM), 2008. See http://www.cdc.gov/nchs/about/otheract/icd9/abticd9.htm.
43. In: Irani S.A. (Ed). Handbook of Cellular Manufacturing Systems (1999), John Wiley & Sons, New York
44. Johnson W., and Miller K. Lee memorial hospital records positive early results for first of several 'focused care centers,' foundation of hospital-wide conversion. Strategies for Healthcare Excellence 5 10 (1992) 2-8
45. Kaynak H. The relationship between total quality management practices and their effects on firm performance. Journal of Operations Management 21 (2003) 405-435
46. Ketokivi M., and Jokinen M. Strategy, uncertainty and the focused factory in international process manufacturing. Journal of Operations Management 24 3 (2006) 250-270
47. Kim C., Spahlinger D., Kin J., and Billi J. Lean health care: what can hospitals learn from world-class automaker?. Journal of Hospital Medicine 1 3 (2006) 191-199
48. Kremitske D., and West Jr. D. Patient-focused primary care: a model. Hospital Topics 75 4 (1997) 18-22
49. Lane R.O.D. Medical operations & service operations. In: van Wassenhove L., et al. (Ed). Proceedings of the 11th International Annual EurOMA Conference, Vol. II. INSEAD, Fontainebleau, June 27-30 (2004) 519-526
50. Laing K., and Baumgartner K. Implementing 'Lean' principles to improve the efficiency of the Endoscopy Department of a community hospital: a case study. Gastroenterology Nursing 28 3 (2006) 210-215
51. Lathrop J.P., Seufert G.E., MacDonald R.J., and Brickhouse Martin S. The patient-focused hospital: a patient care concept. Journal of the Society for Health Systems 3 2 (1991) 33-50
52. Lathrop J.P. Restructuring Health Care: The Patient-Focused Paradigm (1993), Jossey-Bass, San Francisco
53. Liedtka J., and Whitten E. Enhancing care delivery through cross-discipline collaboration: a case study. Journal of Healthcare Management 43 2 (1998) 185-205
54. In: Liker J. (Ed). Becoming Lean, Portland (1998), Productivity Press, Oregon
55. Little J.D.C. A proof for the queuing formula: L=λW. Operations Research 9 3 (1961) 383-387
56. MacKenzie E.J., Steinwachs D.M., Ramzy A.I., Ashworth III J.W., and Shankar B. Trauma case mix and hospital payment: the potential for refining DRGs. Health Services Research 26 April (1) (1991) 5-26
57. MacKenzie E.J., Damiano A., Miller T., and Luchter S. The development of the functional capacity index. The Journal of Trauma 41 5 (1996) 799-807
58. MacKenzie E.J., Steinwachs D.M., and Ramzy A.I. Evaluating performance of statewide regionalized systems of trauma care. The Journal of Trauma 30 6 (1990) 681-688
59. MacStravic R.S. Product line administration in hospitals. Health Care Management Review 11 2 (1986) 35-43
60. Mancini M.M. Chapter 7. In: Weaver D. (Ed). Patient Care Redesign: Lessons from the Field (1999), Health Forum, Inc., Chicago
61. Manning M.F. Product line management: will it work in health care?. Healthcare Financial Management 41 1 (1987) 23-32
62. McNulty T., and Ferlie E. Process transformation: limitations to radical organizational change within public service organizations. Organization Studies 25 8 (2004) 1389-1412
63. Moore D.S., and McCabe G.P. Introduction to the Practice of Statistics (2003), W.H. Freeman & Co, New York
64. Mowschenson P.M., and Hodin R.A. Outpatient thyroid and parathyroid surgery: a prospective study of feasibility, safety, and costs. Surgery 118 6 (1995) 1051-1053 discussion 1053-1054
65. Mukherjee A., Mitchell W., and Talbot B. The impact of new manufacturing requirements on production line productivity and quality at a focused factory. Journal of Operations Management 18 2 (2000) 139-168
66. Nadler, D.A., Tushman, M.L., 1980. A model for diagnosing organizational behavior, organizational dynamics, autumn 1980. Reprinted in Tushman, M.L., Moore, W.L. (Eds.), 1980, Readings in the Management of Innovation. Ballinger, Cambridge. pp. 148-163.
67. Nelson E., Batalden P., Huber T., Mohr J., Godfrey M., Headrick L., and Wasson J. Microsystems in health care. Part 1. Learning from high performing front line units. The Joint Commission Journal on Quality Improvement 28 9 (2002) 472-497
68. Newman K. Towards a new health care paradigm patient-focused care. The case of Kingston Hospital Trust. Journal of Management in Medicine 11 6 (1997) 357-371
69. Persoon T., Zaleski S., and Frerichs J. Improving preanalytic processes using the principles of lean production (Toyota production system). American Journal of Clinical Pathology 125 1 (2006) 16-25
70. Pesch M., and Schroeder R. Measuring factory focus: an empirical study. Production and Operations Management 5 3 (1996) 234-254
71. Raab S., Grzybicki D., Sudilovsky D., Balassanian R., Janosky J., and Vrbin C. Effectiveness of Toyota process redesign in reducing thyroid gland fine-needle aspiration error. American Journal of Clinical Pathology 126 4 (2006) 585-592
72. Ruffner J.K. Product line management: how six healthcare institutions make is work. Healthcare Forum 28 5 (1986) 11-14
73. Schweikhart S.B., and Smith-Daniels V. Reengineering the work of caregivers: role redefinition, team structures, and organizational redesign. Hospital & Health Services Administration 41 1 (1996) 19-35
74. Selzer D., Gomez G., Jacobson L., Wischmeyer T., Sood R., and Broadie T. Public hospital-based Level I trauma centers: financial survival in the new millennium. Journal of Trauma-Injury Infection & Critical Care 51 2 (2001) 301-307
75. Shortell S.M., Anderson D.A., Gillies R.R., Mitchell J.B., and Morgan K.L. The holographic organization. Healthcare Forum Journal March/April (1993) 20-26
76. Shortell S., and Kaluzny A. Health Care Management: Organization Design and Behavior (2000), Delmar, Albany, New York
77. Shortell S.M., Zimmerman J.E., Rousseau D.M., Gillies R.R., Wagner D.P., Draper E.A., Knaus W.A., and Duffy J. The performance of intensive care units: does good management make a difference?. Medical Care 32 5 (1994) 508-525
78. Sidky M., Barrable B., and Stewart H. Patients first: small hospitals in ontario favour patient-focused care. Leadership in Health Services 2 6 (1993) 8-11, 40
79. Siggelkow N. Persuasion with case studies. The Academy of Management Journal 50 1 (2007) 20-24
80. Skinner W. The focused factory. Harvard Business Review 52 3 (1974) 113-121
81. Spear, S.J., Kenagy, J., 2000. Deaconess-Glover Hospital, (A). Harvard Business School Case 601022, Boston, MA.
82. Strunk B.C., and Ginsburg P.B. Tracking Health Care Costs: Trends Turn Downward in 2003, Health Affairs (2004), University of Wisconsin-Madison 10.1377/hlthaff.w4.354 (posted online, June 9, 2004)
83. Suresh N.C., and Meredith J.R. Coping with the loss of pooling synergy in cellular manufacturing systems. Management Science 40 4 (1994) 466-483
84. Taheri P.A., Butz D.A., and Greenfield L.J. Paying a premium: how patient complexity affects costs and profit margins. Annals of Surgery 229 (1999) 807-814
85. Vera A., and Kuntz L. Process-based organization design and hospital efficiency. Health Care Management Review 32 1 (2007) 55-65
86. Vokurka R., and Davis R. Focused factories: empirical study of structural and performance differences. Production and Inventory Management Journal 41 1 (2000) 44-55
87. Voss C., Tsikriktsis N., and Frohlich M. Case research in operations management. International Journal of Operations & Production Management 22 2 (2002) 195-219
88. Walston S., and Bogue S. The effects of reengineering: fad or competitive factor?. Journal of Healthcare Management 44 6 (1999) 456-476
89. Walston S., Burns L.R., and Kimberly J. Does reengineering really work? An examination of the context and outcomes of hospital reengineering initiatives. Health Services Research 34 6 (2000) 1363-1388
90. In: Weaver D. (Ed). Patient Care Redesign: Lessons from the Field (1999), Health Forum, Inc., Chicago
91. Weber D. Toyota-style management drives Virginia mason. The Physician Executive 32 1 (2006) 12-17
92. Weber D.O., and Weber A.L. Reshaping the American hospital. The Healthcare Forum Journal 37 5 (1994) pSS1
93. Wemmerlöv U., and Hyer N. Cellular manufacturing in the U.S. industry: a survey of users. International Journal of Production Research 27 9 (1989) 1511-1530
94. Wemmerlöv U., and Johnson D. Cellular manufacturing at 46 user plants: implementation experiences and performance improvements. International Journal of Production Research 35 1 (1997) 29-49
95. Yin R. Case Study Research: Design and Methods (1994), Sage Publications, Thousand Oaks, CA
96. Young G., Charns M., and Heeren T. Product-line management in professional organizations: an empirical test of competing theoretical perspectives. Academy of Management Journal 47 5 (2004) 723-734