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Author: Patricia M. Gilbert Publisher: ISBN: Category : Languages : en Pages : 19
Book Description
This study was assigned as part of the Army Medical Department (AMEDD) Study Program, FY 82. An extensive literature review was accomplished to include critiquing and summarizing of numerous articles. Examples of productivity measurement methods are described from randomly selected articles. The summary of each article includes the unit of measurement and method used. The effectiveness of the type of measuring method used is also addressed. Although no completely satisfactory measurement method exists because of limitations that must be considered such as: patient mix, office arrangement, rural area versus metropolitan area, nature of illness, etc., the cited examples described in this report show time and motion measurement as the most widely used method. Study results reveal a definite need for the development of a well-defined collection methodology for use by OTSG and which, as recommended, should encompass the following elements: (1) frequency with which various tasks are performed, (2) numbers and types of examinations, (3) frequency of diagnostic categories, (4) diagnosis and procedures by provider/clinic, and (5) aggregate procedural data.
Author: Patricia M. Gilbert Publisher: ISBN: Category : Languages : en Pages : 19
Book Description
This study was assigned as part of the Army Medical Department (AMEDD) Study Program, FY 82. An extensive literature review was accomplished to include critiquing and summarizing of numerous articles. Examples of productivity measurement methods are described from randomly selected articles. The summary of each article includes the unit of measurement and method used. The effectiveness of the type of measuring method used is also addressed. Although no completely satisfactory measurement method exists because of limitations that must be considered such as: patient mix, office arrangement, rural area versus metropolitan area, nature of illness, etc., the cited examples described in this report show time and motion measurement as the most widely used method. Study results reveal a definite need for the development of a well-defined collection methodology for use by OTSG and which, as recommended, should encompass the following elements: (1) frequency with which various tasks are performed, (2) numbers and types of examinations, (3) frequency of diagnostic categories, (4) diagnosis and procedures by provider/clinic, and (5) aggregate procedural data.
Author: National Academies of Sciences, Engineering, and Medicine Publisher: National Academies Press ISBN: 0309495474 Category : Medical Languages : en Pages : 335
Book Description
Patient-centered, high-quality health care relies on the well-being, health, and safety of health care clinicians. However, alarmingly high rates of clinician burnout in the United States are detrimental to the quality of care being provided, harmful to individuals in the workforce, and costly. It is important to take a systemic approach to address burnout that focuses on the structure, organization, and culture of health care. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being builds upon two groundbreaking reports from the past twenty years, To Err Is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century, which both called attention to the issues around patient safety and quality of care. This report explores the extent, consequences, and contributing factors of clinician burnout and provides a framework for a systems approach to clinician burnout and professional well-being, a research agenda to advance clinician well-being, and recommendations for the field.
Author: Marshall O. Zaslove Publisher: Jones & Bartlett Learning ISBN: 9780763713553 Category : Medical offices Languages : en Pages : 340
Book Description
The Successful Physician: A Productivity Handbook for Practitioners will enable you to streamline, modernize, and improve your practice -- using practical, proven, common-sense methods any physician can apply. Filled with easy-to-follow, easy-to-implement suggestions, this book is written for the practicing physician by a practicing physician. Three major sections show you how to improve your use of the three major tools -- your time, knowledge, and relationship management. By investing a small amount of time and effort into upgrading the use of any one of the tools, you'll free up additional resources to re-invest in further efficiency and productivity-- resulting in greater personal satisfaction and less risk, hassle, and frustration.
Author: Dennis Han Publisher: Quality Press ISBN: 1953079628 Category : Business & Economics Languages : en Pages : 53
Book Description
Synchrony is the ability of a healthcare process to control the pace of the physician process and the pace of the patient process such that the physician and patient are ready for each other at the same time, without waste or delay. When a process achieves synchrony, the patient does not wait for the doctor, nor does the doctor wait for the patient. Dr. Dennis Han is an ophthalmologist specializing in diseases of the retina at the Medical College of Wisconsin and Froedtert Memorial Hospital; Aneesh Suneja is an engineer and lean consultant who worked with Dr. Han to transform his practice. With the help of Suneja, Han’s patients experienced an 85% reduction in non-value added wait times, and a corresponding 97% “top box” rating on patient satisfaction surveys (“strongly agree to recommend this doctor’s office to others”). Financially, his practice saw a 25% year-over-year increase in relative value units (RVU) production and a 41% increase in payments due to increased physician availability. If you are a physician, clinic manager, administrator, technician, or provider of health services in a clinic setting, you can use the guidelines described in this book to effect a transformation as well. "Thank you, doctor Dennis Han, MD, and co-author Aneesh Suneja, MBA, for this marvelous work that applies Lean principles in healthcare settings. The focus on physician medical clinics is a brave venture into this complex, hectic world that has traditionally been dominated by physicians with a predominant emphasis on patient volume, and subsequent billing volume, versus caring for their customers... This important work is essential for just about all existing physician clinics." Dale Farris Healthcare quality improvement specialist with 25 years experience. "Lean principles have opened up more slots for patient care allowing better clinic and staff utilization, and have increased patient throughput while reducing employee overhead and burnout. There is a joy on the faces of the staff when they get to leave the office earlier than expected because lean principles have been deployed." Jose Martinez, MD Practicing physician and beneficiary of the “Synchrony” "Physician office managers and their medical staffs would be the primary targets for this book. However, I also see it being applicable to the higher educational setting...[such as in colleges and institutions teaching healthcare improvement.]" Jim Bente Vice President, Planning and Institutional Effectiveness, College of duPage Adjunct Faculty, Carnegie Mellon University
Author: Kim Wong Publisher: GRIN Verlag ISBN: 3656823839 Category : Medical Languages : en Pages : 46
Book Description
Master's Thesis from the year 2012 in the subject Health - Public Health, grade: 2,5, University of Cologne, language: English, abstract: Imbalance between demand for and supply of physicians is an issue regularly addressed by the media, researchers and policy makers. It has been widely spread in many countries for years. Healthcare organizations in both of developed and developing countries have all experienced from that. Physician to patient ratio is one of the important normative population based indicators to measure this imbalance. It equals to the entire number of physicians in a healthcare organization dividing its patient volume within a certain period (e.g., a year). The quotient is often standardized in form of X (number of physicians) per 1,000 patients, or in form of ''1:X'' in order to express the amount of patients (X) that under one physician's management clearly. In comparison with other measurements, this kind of indicators are less complicated and easier to comprehend. An imbalance between physician demand and supply in a healthcare organization could be explicitly identified and quantified by comparing its actual physician to patient ratio with a ''gold standard''. Unfortunately, a wide-range suitable gold standard of physician to patient ratio does not exist. Therefore, healthcare organizations must make great efforts to find their own gold standards. The physician to patient ratio could be easily confounded with the patient to physician ratio which represents the number of physicians, who oversee one patient within his or her entire hospital stay. In an ideal model for patient care is ''1:1'' the target patient to physician ratio to aim at. But in reality, this ratio is not easy to realize. In this paper, merely the physician to patient ratio is under discussion. Imbalance between demand for and supply of physicians could bring inappropriate physician to patient ratio to healthcare organizations. It is one of the major threats to healthcare organizations, as it might have consequences such as lower quality of healthcare services, closure of hospital's ward, increasing wait time, reducing number of staff beds, under-utilization of physicians or higher medical costs. Managing the physician to patient ratio is not only a key to predict these risks but also the hope for turning the imbalance situations into balance ones. [...]
Author: Aneesh Suneja Publisher: Quality Press ISBN: 0873893042 Category : Business & Economics Languages : en Pages : 228
Book Description
Foreword by Michael F. Gutzeit, M.D., Chief Medical Officer and Vice President of Quality, Children's Hospital of Wisconsin This practical, how-to book clearly and succinctly takes the reader through six proven “success steps” for implementing lean in any healthcare environment: 1. Create physician flowbr 2. Support physician value-added timebr 3. Visually communicate patient statusbr 4. Standardize everyone’s workbr 5. Lay out the clinic for minimal motionbr 6. Change the care delivery model Why go through such a transformation? Because it works. Tell a doctor that he can see the same number of patients, offering the same high quality and personal care, and have an extra 90 minutes at the end of his clinic day – and that means something. Tell the staff that they can look forward to actually ending on time, with satisfied patients, no backlog, and having focused their attention completely on quality patient care – and they will listen. These Lean principles and success steps work in clinics ranging from orthopedics to neurology to cardiac care—the specialty doesn’t matter. They work in small practices and large hospital settings. Lean methodology provides the tools to address the frustrations patients and doctors alike experience in the clinic process. Included throughout the book is a case study showing the lean transformation undertaken at the Orthopedic Center at Children’s Hospital of Wisconsin, with numerous quotes and insights from those actually involved. This transformation resulted in patient wait times being reduced by more than 70 percent, the clinic being able to see 25 percent more patients in less space, patient satisfaction scores sometimes reaching 100 percent, and staff satisfaction scores improving by more than 25 percent.
Author: Practice Support Resources Publisher: ISBN: 9780975995648 Category : Languages : en Pages : 48
Book Description
How to apply productivity to a physician in a practice setting is vital for success. This booklet gives you ways to boost performance. Proven tips for physician time management and efficiency. Patient volume benchmarks Physician delegation tips Ways to manage increased patient volume Employee evaluation of physicians Patient survey of physician performance How managed care evaluates physicians Physician responsibilities to employer Physician job description
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309339227 Category : Medical Languages : en Pages : 226
Book Description
According to Transforming Health Care Scheduling and Access, long waits for treatment are a function of the disjointed manner in which most health systems have evolved to accommodate the needs and the desires of doctors and administrators, rather than those of patients. The result is a health care system that deploys its most valuable resource-highly trained personnel-inefficiently, leading to an unnecessary imbalance between the demand for appointments and the supply of open appointments. This study makes the case that by using the techniques of systems engineering, new approaches to management, and increased patient and family involvement, the current health care system can move forward to one with greater focus on the preferences of patients to provide convenient, efficient, and excellent health care without the need for costly investment. Transforming Health Care Scheduling and Access identifies best practices for making significant improvements in access and system-level change. This report makes recommendations for principles and practices to improve access by promoting efficient scheduling. This study will be a valuable resource for practitioners to progress toward a more patient-focused "How can we help you today?" culture.
Author: Patricia M. Gilbert
Author: Patricia M. Gilbert
Author: National Academies of Sciences, Engineering, and Medicine
Author: Marshall O. Zaslove
Author: Dennis Han
Author: Charles R. Carpenter
Author: Gordon F. West
Author: Kim Wong
Author: Aneesh Suneja
Author: Practice Support Resources
Author: Institute of Medicine