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Cover image for Quantitative methods in health care management : techniques and applications
Title:
Quantitative methods in health care management : techniques and applications
Personal Author:
Publication Information:
San Francisco, CA : Jossey-Bass, 2005
ISBN:
9780787971649

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30000004731307 RA394 O92 2005 Open Access Book Book
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Summary

Summary

As health care organization leaders use data more consistently in decision making, it is important they understand the quantitative methods that help convert data to information. Quantitative Methods in Health Care Management provides important insights into the various quantitative methods, detailing many different problems and their solutions. It contains numerous helpful exhibits and graphics that explain and demonstrate the methods presented. It also provides a readable narrative for the manager who wants a high-level refresher on quantitative methods."


Author Notes

Yasar A. Ozcan is professor of Health Administration at Virginia Commonwealth University.


Table of Contents

Tables, Figures, & Exhibitsp. vii
Forewordp. xiii
Acknowledgmentsp. xv
About the Authorp. xvii
Introductionp. xix
1 Introduction to Quantitative Decision-Making Methods in Health Care Managementp. 1
Historical Background and the Development of Decision Techniquesp. 2
The Health Care Manager and Decision Makingp. 3
Information Technology (IT) and Health Care Managementp. 3
The Scope of Health Care Services, and Recent Trendsp. 4
Health Care Services Managementp. 6
Distinctive Characteristics of Health Care Servicesp. 7
Summaryp. 9
Patient Participation
Simultaneous Production and Consumption
Perishable Capacity
The Intangible Nature of Health Care Outputs
The High Levels of Judgment Called upon, and the Heterogeneous Nature of Health Care
2 Forecastingp. 10
Steps in the Forecasting Processp. 11
Forecasting Approachesp. 12
Summaryp. 44
Identify the Goal of the Forecast
Establish a Time Horizon
Select a Forecasting Technique
Conduct the Forecast
Monitor Accuracy
Judgmental Forecasts
Time-Series Approach
Techniques for Averaging
Techniques for Trend
Techniques for Seasonality
Employing Seasonal Indices in Forecasts
Accuracy of Forecasts
Forecast Control
3 Decision Making in Health Care Facilitiesp. 49
The Decision Processp. 49
The Decision Tree Approachp. 64
Decision Analysis with Nonmonetary Values and Multiple Attributesp. 68
Summaryp. 70
What Causes Poor Decisions?
The Decision Level and Decision Milieu
Decision Making Under Uncertainty
Payoff Table
Maximin Case
Maximax Case
Hurwitz Case
Minimax Regret Case
Laplace Case
Decision Making Under Risk
Expected Value Model
Expected Opportunity Loss
Expected Value of Perfect Information (EVPI)
What If Payoffs Are Costs?
Analysis of the Decision Tree: Rollback Procedure
Software Illustration of Payoff and Decision Tree Methods
4 Facility Locationp. 79
Location Methodsp. 81
Summaryp. 96
Cost-Profit-Volume (CPV) Analysis
Factor Rating Methods
Multi-Attribute Methods
Center-of-Gravity Method
Software Solution Using WinQSB
Geographic Information Systems (GIS) in Health Care
5 Facility Layoutp. 102
Product Layoutp. 103
Process Layoutp. 104
Summaryp. 114
Process Layout Tools
Method of Minimizing Distances and Costs
Computer-Based Layout Programs
Fixed-Position Layout
6 Reengineeringp. 121
Work Design in Health Care Organizationsp. 123
Summaryp. 147
Work Design
Work Measurement Using Time Standards
Work Measurement Using Work Sampling
Work Simplification
Worker Compensation
7 Staffingp. 152
Workload Management Overviewp. 153
Summaryp. 173
Establishment of Workload Standards and Their Influence on Staffing Levels
Patient Acuity Systems
The Development of Internal Workload Standards
External Work Standards and Their Adjustments
Productivity and Workload Management
8 Schedulingp. 177
Staff Schedulingp. 177
Summaryp. 193
Surgical Suite Resource Scheduling
Surgical Suite Scheduling Methods
Assessment of Scheduling Alternatives
Estimation of Procedure Times
9 Productivityp. 195
Trends in Health Care Productivity: Consequences of PPSp. 196
Summaryp. 222
Productivity Definitions and Measurements
Commonly Used Productivity Ratios
Adjustments for Inputs
Adjustments for Output Measures
Case Mix Adjustments
Productivity Measures Using Direct Care Hours
The Relationships Between Productivity and Quality in Hospital Settings
Summary of Productivity-Related Dilemmas in the Hospital Setting
Dealing with the Multiple Dimensions of Productivity: New Methods of Measurement
Data Envelopment Analysis
Overview on Improving Health Care Productivity
10 Resource Allocationp. 227
Linear Programmingp. 227
Summaryp. 240
Maximization Models
Minimization Models
Integer Linear Programming
11 Supply Chain and Inventory Managementp. 244
Health Care Supply Chainp. 244
Summaryp. 267
Flow of Materials
Supply Chain Management Issues for Providers
Contemporary Issues in Medical Inventory Management
Traditional Inventory Management
Requirements for Effective Inventory Management
Inventory Accounting Systems
Lead Time
Cost Information
Classification System
Economic Order Quantity Model
Software Solution
When to Reorder
12 Quality Controlp. 272
Quality in Health Carep. 272
Quality Measurement and Control Techniquesp. 279
Summaryp. 302
Quality Experts
Quality Certifications and Awards
Total Quality Management (TQM) and Continuous Quality Improvement (CQI)
Six Sigma
Process Variability
Monitoring Variation Through Control Charts
Control Charts for Attributes
Control Charts for Variables
Investigation of Control Chart Patterns
Process Improvement
Methods for Generating New Ideas
Tools for Investigating the Presence of Quality Problems and Their Causes
13 Project Managementp. 308
The Characteristics of Projectsp. 309
Summaryp. 335
The Project Manager
Managing Teams and Relationships on Projects
Planning and Scheduling Projects
The Gantt Chart
PERT and CPM
The Network
Critical Path Method (CPM)
Probabilistic Approach
The Case of a Dominant Critical Path
Project Compression: Trade-Offs Between Reduced Project Time and Cost
14 Queuing Models and Capacity Planningp. 345
Summaryp. 364
Queuing System Characteristics
Measures of Queuing System Performance
Typical Infinite-Source Models
Model Formulations
15 Simulationp. 373
Simulation Processp. 373
Performance Measures and Managerial Decisionsp. 384
Summaryp. 386
Monte Carlo Simulation Method
Appendices
Appendix A Standard Normal Distribution P(0p. 389
Appendix B Standard Normal Distribution P(-3.5p. 391
Appendix C Cumulative Poisson Probabilitiesp. 393
Appendix D t-distributionp. 397
Referencesp. 399
Indexp. 405
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