Edited by Eugene Litvak, Ph.D., a world-renowned leader in hospital operations management and redesign Foreword by Dr. Harvey Fineberg, president of the Gordon and Betty Moore Foundation and former president of the Institute of Medicine Optimizing patient flow impacts patient safety and the quality of care, and it has financial implications for health care institutions. Yet the story hasn't changed much in the decades that patient flow has been a focus of health care administrators. Hospitals are straining to meet demand. Surgeries continue to be delayed. Ambulances are diverted. Emergency departments are overcrowded while waiting for inpatient beds. Staffing shortages and economic challenges only serve to exacerbate the inefficiencies of patient flow. Perhaps this approach to managing patient flow is not the best one. Crowded emergency departments and empty operating rooms are indicative of the variability in patient flow throughout the hospital, including emergency rooms and ICUs, as well as the flow to other settings of care, such as home care. Our second title edited by patient flow expert Dr. Eugene Litvak, Optimizing Patient Flow: Advanced Strategies for Managing Variability to Enhance Access, Quality, and Safety, offers readers innovative techniques for optimizing patient flow and improving operations management while providing clear examples of successful implementation. It can help you optimize patient flow in your own organization. This book goes beyond the introductory information provided in JCR s popular Managing Patient Flow in Hospitals: Strategies and Solutions, Second Edition. Dr. Litvak has teamed with CEOs, doctors, and researchers who have compiled their own experiences with patient flow to produce a book that guides the reader to practical and achievable advances in patient flow by sharing stories of how it was attained in actual health care organizations and providing specific approaches to reducing and managing variability. Key Topics Reducing and managing natural and artificial variability Smoothing and optimizing the admissions process and surgical flow Capacity planning and queue management strategies Assessing the quantitative impact of patient flow issues on patients and staff Standardizing patient admission, transfer, and discharge Key Features Hospital CEOs share their actual experiences implementing patient flow measures Researchers present the nuts and bolts of the mechanics of patient flow Real-life case studies illustrate how improved patient flow impacts emergency departments, telemetry bed utilization, and post-acute care Standards: No direct standards correlations, but related to Leadership and Performance Improvement Setting: Hospitals, critical access hospital, home care Key Audience Hospital executives including chief operating officers and chief financial officers Board members Physicians and medical officers Nurses and nurse executives Quality, process improvement, and productivity managers Emergency department, surgery, critical care, and nursing operations professionals
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About the Editor Eugene Litvak, PhD, is President and CEO of the Institute for Healthcare Optimization. He is also an Adjunct Professor in Operations Management in the Department of Health Policy & Management at the Harvard School of Public Health (HSPH), where he teaches the course Operations Management in Service Delivery Organizations . Prior to his current position he was a co-founder (with Michael C. Long, MD) and director of the Program for the Management of Variability in Health Care Delivery at the Boston University (BU) Health Policy Institute and a Professor at the BU School of Management. Before joining Boston University Dr. Litvak was a faculty member at the Harvard Center for Risk Analysis. For more than 20 years Dr, Litvak has led the development and practical application of innovative approaches for managing patient flow variability for cost reduction and quality improvement in health care delivery systems. He has authored more than 60 publications in the area of operations management in health care delivery, as well as editor of JCR's Managing Patient Flow in Hospitals: Strategies and Solutions, 2nd Edition. He was a member of the Institute of Medicine (currently the National Academy of Medicine) Committees The Future of Emergency Care in the United States Health System , The Learning Health Care System in America and Optimizing Scheduling in Health Care. Dr. Litvak also served as a member of the National Advisory Committee to the American Hospital Association for Improving Quality, Patient Safety and Performance . Currently, he serves on the Executive Leadership Council, Strategic Innovation Engine, Centers for Medicare & Medicaid Services.
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