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Management accounting and organisational change: an institutional perspective

Author(s):Mostafa Kamal Hassan*


Journal of Accounting & Organizational Change; Volume: 1 Issue: 2; 2005 Conceptual paper

Application of the Balanced Scorecard in Spanish private health-care management


Author(s):Ignacio Urrutia, Scott D. Eriksen
Measuring Business Excellence; Volume: 9 Issue: 4; 2005 Research paper

Tracks of change in hospitals: a study of quasi-market transformation


Author(s):Martin Kitchener, Richard Whipp
Journal of Management in Medicine; Volume: 12 Issue: 4/5; 1998 Case study

The role of technology and quality on hospital financial performance: An exploratory analysis
Author(s):Ling X. Li, David A. Collier
International Journal of Service Industry Management; Volume: 11 Issue: 3; 2000 Research
paper

A model for calculating costs of hospital wards: an Italian experience


Author(s):Livio Garattini, Giovanni Giuliani, Eva Pagano
Journal of Management in Medicine; Volume: 13 Issue: 2; 1999 Research paper

A New Era in Costing and Budgeting: Implications of Health Sector Reform in New Zealand
Author(s):Manzurul Alam, Stewart Lawrence
International Journal of Public Sector Management; Volume: 7 Issue: 6; 1994 Research paper

Cash to accrual and cash to accrual: A case study of financial reporting in two NSW hospitals
1857 to post-1975
Author(s):Julie E.M. Scott, Jill L. McKinnon, Graeme L. Harrison
Accounting, Auditing & Accountability Journal; Volume: 16 Issue: 1; 2003 Case study

Whole life cycle performance measurement re-engineering for the UK National Health Service
estate
Author(s):A. Halim Boussabaine, Richard J. Kirkham
Facilities; Volume: 24 Issue: 9/10; 2006 Research paper

Challenges in costing health care services: Recent evidence from the UK


Author(s):Deryl Northcott, Sue Llewellyn
International Journal of Public Sector Management; Volume: 15 Issue: 3; 2002 Research paper

ERP implementation in rural health care


Author(s):Kenneth J. Trimmer, Lela D. “Kitty” Pumphrey, Carla Wiggins
Journal of Management in Medicine; Volume: 16 Issue: 2/3; 2002 Research paper

A model for evaluating TQM effectiveness in health-care systems


Author(s):R.P. Mohanty, K. Santhi, C. Haripriya
Work Study; Volume: 45 Issue: 2; 1996 Research paper

Procurement performance measurement system in the health care industry


Author(s):Arun Kumar, Linet Ozdamar, Chai Peng Ng
International Journal of Health Care Quality Assurance; Volume: 18 Issue: 2; 2005 Case study

The quality of health care and patient satisfaction: An exploratory investigation of the 5Qs model
at some Egyptian and Jordanian medical clinics
Author(s):Mosad Zineldin
International Journal of Health Care Quality Assurance; Volume: 19 Issue: 1; 2006 Research
paper

ERP integration in a healthcare environment: a case study


Author(s):Constantinos J. Stefanou, Andreas Revanoglou
Journal of Enterprise Information Management; Volume: 19 Issue: 1; 2006 Case study

Delivering effective health care through teamwork: the role of pharmaceutical care management
Author(s):Waleed M. Al-Shakhaa, Mohammed Zairi
Health Manpower Management; Volume: 24 Issue: 6; 1998 Case study

An empirical study of patients' expectations and satisfactions in Egyptian hospitals


Author(s):Mohamed M. Mostafa
International Journal of Health Care Quality Assurance; Volume: 18 Issue: 7; 2005 Research
paper

Earthquake disaster management planning in health care facilities


Author(s):Fariborz Nateghi-Alahi, Yasamin O. Izadkhah
Disaster Prevention and Management; Volume: 13 Issue: 2; 2004 Research paper

On the need and opportunities for improving costing and cost management in healthcare
organizations
Author(s):Robert Capettini, Chee W. Chow, Alan H. McNamee
Managerial Finance; Volume: 24 Issue: 1; 1998 Literature review

A bi-cultural analysis of the cost of caring: nursing burnout in the United States and the
Philippines
Author(s):David L. Turnipseed, Patricia H. Turnipseed
Career Development International; Volume: 2 Issue: 4; 1997 Research paper

Medical rapid prototyping applications and methods


Author(s):L.C. Hieu, N. Zlatov, J. Vander Sloten, E. Bohez, L. Khanh, P.H. Binh, P. Oris, Y.
Toshev
Assembly Automation; Volume: 25 Issue: 4; 2005 Research paper

Rapid manufacturing of patient-specific shielding masks, using RP in parallel with metal spraying

Author(s):Deon J. de Beer, Michéle Truscott, Gerrie J. Booysen, Ludrick J. Barnard, Jakobus G.


van der Walt
Rapid Prototyping Journal; Volume: 11 Issue: 5; 2005 Case study

Evidence-based re-engineering: re-engineering the evidence: A systematic review of the


literature on business process redesign (BPR) in hospital care
Author(s):S.G. Elkhuizen, M. Limburg, P.J.M. Bakker, N.S. Klazinga
International Journal of Health Care Quality Assurance; Volume: 19 Issue: 6; 2006 Literature
review

Quality management and health: a double connection


Author(s):Yvonne Lagrosen, Ingela Bäckström, Stefan Lagrosen
International Journal of Quality & Reliability Management; Volume: 24 Issue: 1; 2007 Research
paper

Marketing issues for the hospital industry


Author(s):Yezdi H. Godiwalla, Shirley Y. Godiwalla
International Journal of Health Care Quality Assurance; Volume: 15 Issue: 1; 2002 Research
Paper

19. A multi-criteria data envelopment analysis model for measuring the productive efficiency of
hospitals
Author(s):Minwir Al-Shammari
International Journal of Operations & Production Management; Volume: 19 Issue: 9; 1999
Research paper

A comparison of hospital quality programmes: lessons for other services


Author(s):John Øvretveit
International Journal of Service Industry Management; Volume: 8 Issue: 3; 1997 Research
paper

An empirical investigation of quality improvement initiatives in for-profit and not-for-profit


hospitals: Environmental, competitive and outcome concerns
Author(s):Phillip Miller, Mahmoud M. Yasin, Thomas W. Zimmerer
International Journal of Health Care Quality Assurance; Volume: 19 Issue: 7; 2006 Research
paper

Telehealth adoption in hospitals:an organisational perspective


Author(s):Marie-Pierre Gagnon, Lise Lamothe, Jean-Paul Fortin, Alain Cloutier, Gaston Godin,
Camille Gagné, Daniel Reinharz
Journal of Health Organisation and Management; Volume: 19 Issue: 1; 2005 Research paper

Comparison of clinical indicators for performance measurement of health care quality: a


cautionary note
Author(s):Peter A. Gross, Barbara I. Braun, Stephen B. Kritchevsky, Bryan P. Simmons
British Journal of Clinical Governance; Volume: 5 Issue: 4; 2000 General review

Comparison of clinical indicators for performance measurement of health care quality: a


cautionary note
Author(s):Peter A. Gross, Barbara I. Braun, Stephen B. Kritchevsky, Bryan P. Simmons
Clinical Performance and Quality Healthcare; Volume: 8 Issue: 4; 2000 General review

A TQM evaluation framework for hospitals: Observations from a study


Author(s):Ziaul Huq
International Journal of Quality & Reliability Management; Volume: 13 Issue: 6; 1996 Research
paper

A new tool for measurement of process-based performance of multispecialty tertiary care


hospitals
Author(s):Seetharaman Hariharan, Prasanta K. Dey, Harley S.L. Moseley, Areti Y. Kumar,
Jagathi Gora
International Journal of Health Care Quality Assurance; Volume: 17 Issue: 6; 2004 Case study

Comparing public and private hospital care service quality in Turkey


Author(s):Tolga Taner, Jiju Antony
Leadership in Health Services; Volume: 19 Issue: 2; 2006 Research paper

Small hospitals and performance measurement: implications and strategies


Author(s):Terry R. Lied
International Journal of Health Care Quality Assurance; Volume: 14 Issue: 4; 2001 Research
Paper

Promotion and advertising agency utilization: a nation-wide study of hospital providers


Author(s):Beth Hogan, Sharon L. Oswald, Tony L. Henthorne, William Schaninger
Journal of Services Marketing; Volume: 13 Issue: 2; 1999 Research paper

Comparing the quality of private and public hospitals


Author(s):Naceur Jabnoun, Mohammed Chaker
Managing Service Quality; Volume: 13 Issue: 4; 2003 Research paper

An udit of the management of emergency surgical admissions in Wales: are we keeping pace
with the trend?
Author(s):L. Barthelmes, H. Kakkilaya, L.R. Jenkinson
Clinical Governance: An International Journal; Volume: 9 Issue: 1; 2004 Case study

Cash to accrual and cash to accrual: A case study of financial reporting in two NSW hospitals
1857 to post-1975
Author(s):Julie E.M. Scott, Jill L. McKinnon, Graeme L. Harrison
Accounting, Auditing & Accountability Journal; Volume: 16 Issue: 1; 2003 Case study

Japanese healthcare quality improvement


Author(s):John Øvretveit
International Journal of Health Care Quality Assurance; Volume: 14 Issue: 4; 2001 Case study

How quality improvement programs can affect general hospital performance


Author(s):Eitan Naveh, Zvi Stern
International Journal of Health Care Quality Assurance; Volume: 18 Issue: 4; 2005 Research
paper

An empirical investigation of the effectiveness of contemporary managerial philosophies in a


hospital operational setting
Author(s):Mahmoud M. Yasin, Linda W. Zimmerer, Phillip Miller, Thomas W. Zimmerer
International Journal of Health Care Quality Assurance; Volume: 15 Issue: 6; 2002 Research
paper

Using the balanced scorecard to measure Chinese and Japanese hospital performance
Author(s):Xiao-yun Chen, Kazunobu Yamauchi, Ken Kato, Akio Nishimura, Katuski Ito
International Journal of Health Care Quality Assurance; Volume: 19 Issue: 4; 2006 Research
paper

The Trent Regional Day Case Commission: An initiative to investigate the constraints to the
extension of the use of day surgery
Author(s):Nick Payne, Chris Knight, Cynthia Marvin
Journal of Management in Medicine; Volume: 9 Issue: 5; 1995 Research paper

The establishment of a TQM system for the health care industry


Author(s):Ching-Chow Yang
The TQM Magazine; Volume: 15 Issue: 2; 2003 Research paper

Investigating intervention strategies to increase the appropriate use of benzodiazepines in elderly


medical in-patients
Author(s):Gwenno M. Batty, R. Hooper, C. Alice Oborne, S.H.D. Jackson
British Journal of Clinical Governance; Volume: 6 Issue: 4; 2001 Research paper

Building an activity-based costing hospital model using quality function deployment and
benchmarking
Author(s):Marvin E. González, Gioconda Quesada, Rhonda Mack, Ignacio Urrutia
Benchmarking: An International Journal; Volume: 12 Issue: 4; 2005 Research paper

Transformational leadership and service quality in UAE hospitals


Author(s):Naceur Jabnoun, Aisha Juma AL Rasasi
Managing Service Quality; Volume: 15 Issue: 1; 2005 Research paper

Evaluation of information leaflets for flexible cystoscopy


Author(s):J. Shah, S. Sill
Clinical Governance: An International Journal; Volume: 12 Issue: 1; 2007 Research paper

Issues in quality of high-tech home care: sources of information and staff training in Quebec
primary care organizations and relationships with hospitals
Author(s):P. Lehoux, R. Pineault, L. Richard, J. St-Arnaud, S. Law, H. Rosendal
International Journal of Health Care Quality Assurance; Volume: 16 Issue: 1; 2003 Conceptual
Paper

Measuring the seismic vulnerability of strategic public facilities: response of the health-care
system
Author(s):Scira Menoni, Fabrizio Meroni, Floriana Pergalani, Vincenzo Petrini, Lucia Luzi,
Gaetano Zonno
Disaster Prevention and Management; Volume: 9 Issue: 1; 2000 Research Paper

Benchmarking of hospital activity data: an international comparison


Author(s):Mark Booth, Phil James, Vladimir Stevanovic
Benchmarking: An International Journal; Volume: 12 Issue: 6; 2005 Research paper

Assessing performance of multi-hospital organizations: a measurement approach


Author(s):Ugur Yavas, Natalia Romanova
International Journal of Health Care Quality Assurance; Volume: 18 Issue: 3; 2005 Research
paper

An innovative framework for health care performance measurement


Author(s):Puay Cheng Lim, Nelson K.H. Tang, Peter M. Jackson
Managing Service Quality; Volume: 9 Issue: 6; 1999 Research paper

Patient focused healthcare: an important concept for provision and management of space and
services to the healthcare sector
Author(s):Anders Melin, Jan-Åke Granath
Facilities; Volume: 22 Issue: 11/12; 2004 Research Paper

The role of technology and quality on hospital financial performance: An exploratory analysis
Author(s):Ling X. Li, David A. Collier
International Journal of Service Industry Management; Volume: 11 Issue: 3; 2000 Research
paper

Quality assurance for clinical research: challenges in implementing research governance in UK


hospitals
Author(s):Linda S. Franck, Emma Pendleton, Barbara Pittam, Michael Preece, Al Aynsley-Green
International Journal of Health Care Quality Assurance; Volume: 17 Issue: 5; 2004 General
review

Using operational information and information systems to improve in-patient flow in hospitals
Author(s):N.C. Proudlove, R. Boaden
Journal of Health Organisation and Management; Volume: 19 Issue: 6; 2005 Research paper

Equitable Service Provision:: A Feasibility Study of the Common Waiting Lists Model
Author(s):R. Madhok
International Journal of Health Care Quality Assurance; Volume: 7 Issue: 1; 1994 Research
paper

Hospital Advertising: The Influence of Perceptual and Demographic Factors on Consumer


Dispositions
Author(s):Syed Saad Andaleeb
Journal of Services Marketing; Volume: 8 Issue: 1; 1994 Research paper

Determinants of customer satisfaction with hospitals: a managerial model


Author(s):Syed Saad Andaleeb
International Journal of Health Care Quality Assurance; Volume: 11 Issue: 6; 1998 Research
Paper

Measuring hospital service quality: a methodological study


Author(s):Clara Martínez Fuentes
Managing Service Quality; Volume: 9 Issue: 4; 1999 Case study /

Accreditation: a tool for organizational change in hospitals?


Author(s):Marie-Pascale Pomey, André-Pierre Contandriopoulos, Patrice François, Dominique
Bertrand
International Journal of Health Care Quality Assurance; Volume: 17 Issue: 3; 2004 Case study

Informed consent for radiological procedures: a Scottish survey


Author(s):Sandra A. Mathers, Graham A. McKenzie, Rosemary A. Chesson
Clinical Governance: An International Journal; Volume: 10 Issue: 2; 2005 Research paper

Understanding the role of hospitals and their environment in practical training


Author(s):L'ubica Sobotová, Tan?a Nosková, Janka Voleková, L'ubica Ághová
Management of Environmental Quality: An International Journal; Volume: 14 Issue: 3; 2003
Case study

The managerial and clinical implications of patient-focused care


Author(s):Keith Hurst
Journal of Management in Medicine; Volume: 10 Issue: 3; 1996 Research paper

Investing in health care management: a way to explore the future value outlook of the health care
sector
Author(s):Esther A. Agyeman-Budu, Frank Welvaert
Corporate Governance; Volume: 6 Issue: 4; 2006 Case study

Using simulation to increase efficiency in blood supply chains


Author(s):Jyrki S. Rytilä, Karen M. Spens
Management Research News; Volume: 29 Issue: 12; 2006 Research paper

Measuring technical efficiency of output quality in intensive care units


Author(s):Jaume Puig Junoy
International Journal of Health Care Quality Assurance; Volume: 10 Issue: 3; 1997 Research
paper

TQM success efforts: use more quantitative or qualitative tools?


Author(s):Larry Scheuermann, Zhiwei Zhu, Sandra B. Scheuermann
Industrial Management & Data Systems; Volume: 97 Issue: 7; 1997 Research paper

Quality management in German health care – the EFQM Excellence Model


Author(s):Johannes Moeller, Jochen Breinlinger-O’Reilly, John Elser
International Journal of Health Care Quality Assurance; Volume: 13 Issue: 6; 2000 Case study

Measuring the operational performance of intensive care units using the analytic hierarchy
process approach
Author(s):Prasanta Kumar Dey, Seetharaman Hariharan, Benjamin Thomas Clegg
International Journal of Operations & Production Management; Volume: 26 Issue: 8; 2006
Research paper

Management accounting and organisational change: an institutional perspective


Author(s):Mostafa Kamal Hassan*
Journal of Accounting & Organizational Change; Volume: 1 Issue: 2; 2005 Conceptual paper

Work identities of nurses: Between caring and efficiency demands


Author(s):Simone Kirpal
Career Development International; Volume: 9 Issue: 3; 2004 Research paper

The quality of health care and patient satisfaction: An exploratory investigation of the 5Qs model
at some Egyptian and Jordanian medical clinics
Author(s):Mosad Zineldin
International Journal of Health Care Quality Assurance; Volume: 19 Issue: 1; 2006 Research
paper

Diagnostic analysis based on ROC curves: theory and applications in medicine


Author(s):Ana Cristina Braga, Pedro Oliveira
International Journal of Health Care Quality Assurance; Volume: 16 Issue: 4; 2003 Conceptual
Paper
Methodological issues in patient satisfaction surveys
Author(s):Binshan Lin, Eileen Kelly
International Journal of Health Care Quality Assurance; Volume: 8 Issue: 6; 1995 Research
Paper

Managing FM (support services): business risks in the healthcare sector


Author(s):M.I. Okoroh, P.P. Gombera, B.D. Ilozor
Facilities; Volume: 20 Issue: 1/2; 2002 Research paper

Emergency preparedness and disaster management in Hawaii


Author(s):Ross Prizzia, Gary Helfand
Disaster Prevention and Management; Volume: 10 Issue: 3; 2001 Case study

Medical quality management: the case for action learning as a quality initiative
Author(s):Vance M. Jackson
Leadership in Health Services; Volume: 17 Issue: 2; 2004 Research paper

Integrated patient pathways: “mipp” – a tool for quality improvement and cost management in
health care. Pilot study on the pathway “Acute Myocardial Infarction”
Author(s):Katharina Schmid, Dieter Conen
International Journal of Health Care Quality Assurance; Volume: 13 Issue: 2; 2000 Case study

Patterns of improvisation for evidence-based practice in clinical settings


Author(s):Francis Lau, Sandra Doze, Doug Vincent, Deborah Wilson, Tom Noseworthy, Robert
Hayward, Andrew Penn
Information Technology & People; Volume: 12 Issue: 3; 1999 Technical paper

Using the Business Excellence Model to develop a strategy for a healthcare organisation
Author(s):Gail Naylor
International Journal of Health Care Quality Assurance; Volume: 12 Issue: 2; 1999 Case study

High-dependency care: findings of a prospective needs assessment study


Author(s):C. Kalayi, S.D. Blair, M. Maxwell
British Journal of Clinical Governance; Volume: 6 Issue: 3; 2001 Research paper

Transitions of care: the next major quality improvement challenge


Author(s):J. James Cotter, Wally R. Smith, Peter A. Boling
British Journal of Clinical Governance; Volume: 7 Issue: 3; 2002 General review

Elderly inpatients' priorities for acute care service quality


Author(s):Paul Alexander Clark, Dennis O. Kaldenberg, Maxwell Drain, Robert J. Wolosin
International Journal of Health Care Quality Assurance; Volume: 17 Issue: 2; 2004 Research
paper

Multi-agent model for Indian rural health care


Author(s):M. Syamala Devi, Vijay Mago
Leadership in Health Services; Volume: 18 Issue: 4; 2005 Conceptual paper

Using simulation in out-patient queues: a case study


Author(s):Fenghueih Huarng, Mong Hou Lee
International Journal of Health Care Quality Assurance; Volume: 9 Issue: 6; 1996 Research
paper
A conceptual framework for hospital quality management
Author(s):Yves Eggli, Patricia Halfon
International Journal of Health Care Quality Assurance; Volume: 16 Issue: 1; 2003 Research
Paper

Development of an integrated healthcare facilities management model


Author(s):Igal M. Shohet, Sarel Lavy
Facilities; Volume: 22 Issue: 5/6; 2004 Research paper

Antecedents of organizational commitment and the mediating role of job satisfaction


Author(s):Peter Lok, John Crawford
Journal of Managerial Psychology; Volume: 16 Issue: 8; 2001 Research paper

Establishing Continuous Quality Improvement in a Hong Kong Hospital


Author(s):Ma Hok Cheung, Hugh Koch
International Journal of Health Care Quality Assurance; Volume: 7 Issue: 2; 1994 Case study

Meaning of corporate social responsibility in a local French hospital: a case study


Author(s):Nada K. Kakabadse, Cécile Rozuel
Society and Business Review; Volume: 1 Issue: 1; 2006 Research paper

Casemix accounting systems and medical coding: Organisational actors balanced on


“leaky black boxes”
Author(s):Alan Lowe
Journal of Organizational Change Management; Volume: 14 Issue: 1; 2001 Case study

Implementation of TQM/CQI in the health-care industry: A comprehensive model


Author(s):Leon W. Brashier, Victor E. Sower, Jaideep Motwani, Michael Savoie
Benchmarking: An International Journal; Volume: 3 Issue: 2; 1996 Research paper

Leadership for the systemization of health care: the unaddressed issue in health care
reform
Author(s):Pieter Degeling, Adrian Carr
Journal of Health Organisation and Management; Volume: 18 Issue: 6; 2004 Conceptual Paper

Pharmaceutical care management: a modern approach to providing seamless and


integrated health care
Author(s):Waleed M. S. Al-Shaqha, Mohamed Zairi
International Journal of Health Care Quality Assurance; Volume: 14 Issue: 7; 2001 Conceptual
Paper

Integrated systems design for customer focused health care performance measurement:
a strategic service unit approach
Author(s):Allen E. Smith, Kerry D. Swinehart
International Journal of Health Care Quality Assurance; Volume: 14 Issue: 1; 2001 Research
paper

A framework for information systems evaluation: the case of an integrated community-


based health services delivery system
Author(s):Kevin J. Leonard, Kevin Mercer
Leadership in Health Services; Volume: 13 Issue: 2; 2000 Research paper
Quality improvement techniques to improve patient satisfaction
Author(s):E. Joseph Torres, Kristina L. Guo
International Journal of Health Care Quality Assurance; Volume: 17 Issue: 6; 2004 Research
paper

Consumer evaluation of hospital foodservice quality: an empirical investigation


Author(s):Olivia R.L. Wright, Luke B. Connelly, Sandra Capra
International Journal of Health Care Quality Assurance; Volume: 19 Issue: 2; 2006 Research
paper

Internal supply chain performance measurement: A health care continuous improvement


implementation
Author(s):Kerry D. Swinehart, Allen E. Smith
International Journal of Health Care Quality Assurance; Volume: 18 Issue: 7; 2005 Research
paper
Evidence-based implementation of evidence-based guidelines
Author(s):Steven Doherty
International Journal of Health Care Quality Assurance; Volume: 19 Issue: 1; 2006 Research
paper

Managing change: a barrier to TQM implementation in service industries


Author(s):Ziaul Huq
Managing Service Quality; Volume: 15 Issue: 5; 2005 General review

Procurement performance measurement system in the health care industry


Author(s):Arun Kumar, Linet Ozdamar, Chai Peng Ng
International Journal of Health Care Quality Assurance; Volume: 18 Issue: 2; 2005 Case study

Logistics in the health care industry


Author(s):P. Gary Jarrett
International Journal of Physical Distribution & Logistics Management; Volume: 28 Issue: 9/10;
1998 Research paper

Developing a logistics strategy through participative business modelling


Author(s):Henk Akkermans
International Journal of Operations & Production Management; Volume: 15 Issue: 11; 1995
Case studies

Using data mining/data repository methods to identify marketing opportunities in health care
Author(s):Edward Rafalski
Journal of Consumer Marketing; Volume: 19 Issue: 7; 2002 Case study

Online patient support systems – is there a need?


Author(s):Tomasz J. Spyt, Pamela A.C. Watt, Maria C. Boehm, Paul R. Stafford
British Journal of Clinical Governance; Volume: 7 Issue: 4; 2002 Research paper

The economics of quality – a practical approach


Author(s):John Øvretveit
International Journal of Health Care Quality Assurance; Volume: 13 Issue: 5; 2000 Research
Paper

Pseudoevidence-based medicine: what it is, and what to do about it


Author(s):Wally R. Smith
Clinical Governance: An International Journal; Volume: 12 Issue: 1; 2007 Viewpoint

Activity-based cost management in health care - another fad?


Author(s):Brian Aird
International Journal of Health Care Quality Assurance; Volume: 9 Issue: 4; 1996 Research
paper

Conflict management in a hospital - Designing processing structures and intervention methods


Author(s):Morten Skjørshammer
Journal of Management in Medicine; Volume: 15 Issue: 2; 2001 Case study

Quality optimization in the hospital laundry service: an application case


Author(s):Virginia García Fernández, Pilar L. González Torre, B. Adenso Díaz
International Journal of Health Care Quality Assurance; Volume: 14 Issue: 5; 2001 Research
paper

Patients’ complaints as a management tool for continuous quality improvement


Author(s):Rachel Javetz, Zvi Stern
Journal of Management in Medicine; Volume: 10 Issue: 3; 1996 Research paper

Evaluation of a program to improve the prescription-writing quality in hospital


Author(s):Patrice François, Dominique Bertrand, Jose Labarere, Magali Fourny, Jean Calop
International Journal of Health Care Quality Assurance; Volume: 14 Issue: 6; 2001 Research
paper

Born with quality: TQM in a maternity clinic


Author(s):Stefan Lagrosen
International Journal of Public Sector Management; Volume: 13 Issue: 5; 2000 Research paper

The benefits of reverse logistics: the case of the Manchester Royal Infirmary Pharmacy
Author(s):Liz Ritchie, Bernard Burnes, Paul Whittle, Richard Hey
Supply Chain Management: An International Journal; Volume: 5 Issue: 5; 2000 Case study

HR’s role in re-engineering at Leicester Royal Infirmary


Author(s):
Human Resource Management International Digest; Volume: 10 Issue: 4; 2002 Viewpoint

JIT in services: a review of current practices and future directions for research
Author(s):Leslie K. Duclos, Samia M. Sih, Rhonda R. Lummus
International Journal of Service Industry Management; Volume: 6 Issue: 5; 1995 Literature
review

Do star ratings really reflect hospital performance?


Author(s):Iain Snelling
Journal of Health Organisation and Management; Volume: 17 Issue: 3; 2003 Conceptual Paper

A grounded theory model of on-duty critical care nurses' information behavior: The patient-chart
cycle of informative interactions
Author(s):Michelynn McKnight
Journal of Documentation; Volume: 63 Issue: 1; 2007 Conceptual paper

In search of excellence in Irish health care


Author(s):Kay Downey-Ennis, Denis Harrington
International Journal of Health Care Quality Assurance; Volume: 15 Issue: 2; 2002 Research
Paper

Improving the pharmaceutical supply chain: Assessing the reality of e-quality through e-
commerce application in hospital pharmacy
Author(s):Liz Breen, Helen Crawford
International Journal of Quality & Reliability Management; Volume: 22 Issue: 6; 2005 Research
paper

Economic evaluation of quality assurance programmes


Author(s):M.B. Robinson
International Journal of Health Care Quality Assurance; Volume: 8 Issue: 5; 1995 Case stud

Implementing quality initiatives in the human resources department of a hospital: a case study
Author(s):David Moody, Jaideep Motwani, Ashok Kumar
Managing Service Quality; Volume: 8 Issue: 5; 1998 Case study

Identifying potential barriers to total quality management using principal component analysis and
correspondence analysis
Author(s):E.W.T. Ngai, T.C.E. Cheng
International Journal of Quality & Reliability Management; Volume: 14 Issue: 4; 1997 Research
Paper

Clinical practice guidelines: a critical review


Author(s):Keng Boon Harold Tan
International Journal of Health Care Quality Assurance; Volume: 19 Issue: 2; 2006 General
review

Structuration theory: its potential impact on logistics research


Author(s):Ira Lewis, Jim Suchan
International Journal of Physical Distribution & Logistics Management; Volume: 33 Issue: 4;
2003 Research paper

Managing waiting patients’ perceptions: The role of process control


Author(s):Stefanie Naumann, Jeffrey A. Miles
Journal of Management in Medicine; Volume: 15 Issue: 5; 2001 Research paper

Triangulating qualitative research and computer transaction logs in health information studies
Author(s):Pete Williams, Barrie Gunter
Aslib Proceedings; Volume: 58 Issue: 1/2; 2006 Research paper
1.
Hospital Cost Containment and Length of Stay: An Econometric Analysis
Journal article by Kathleen Carey; Southern Economic Journal, Vol. 67, 2000
Subjects:
Health care industry--Management, Hospital utilization--Length of stay, Medical care, Cost of--
Analysis
...resources consumed by health care costs has become widespread in recent years. Hospitals,
accounting for approximately 40% of this expense, have been a primary focus of cost control
strategy, as both government and private insurers have pressured...

2
Global Electronics, Inc.: ABC Implementation and the Change Management Process
Journal article by Peter C. Brewer, Paul E. Juras, E. Richard Ii Brownlee; Issues in Accounting
Education, Vol. 18, 2003
Subjects:
Accounting--Study and teaching, Activity-based costing--Study and teaching, Activity-based
costing--Technique, Cost accounting--Management, Cost accounting--Technique, Global
Electronics--Management, Semiconductor industry--Management
...year and Cost Accounting during their...cost-system design...Cambridge Hospital...Cambridge
Hospital Community Health...issues in Accounting Education...In Cases in Cost
Management...Measuring the cost of resource usage. Accounting Horizons (September...

3
To Tell or Not to Tell: An Auditing Case in Ethical Decision Making and Conflict Resolution
Journal article by Mary Thomas Keim, C. Terry Grant; Issues in Accounting Education, Vol. 18,
2003
Subjects:
American Institute of Certified Public Accountants, Auditing, Auditing--Case studies, Auditing--
Study and teaching, Financial Accounting Standards Board
...the "Big 5" referenced the five largest accounting firms in the profession Currently,
after...referenced as the "Big 4." (2) See, e.g., Hospital Computer Sys. Inc. v. Staten Island
Hosp...index.htm. --. 2002a. The Changing Accounting Regulatory Landscape. New York, NY:
AICPA...

4.
Transforming the Balanced Scorecard from Performance Measurement to Strategic
Management: Part I
Journal article by Robert S. Kaplan, David P. Norton; Accounting Horizons, Vol. 15, 2001
Subjects:
Accounting--Methods, Assets (Accounting)--Management, Customer satisfaction--Accounting and
auditing, Financial management--Planning, Total quality management--Methods
...work more efficiently--at lower cost, with fewer defects, and faster...nonprofit organizations.
Montefiore Hospital uses a combination of product...high-level perspectives: 1. Cost Incurred:
This perspective emphasizes...operational efficiency. The measured cost should include both the
expenses...

5
Managed Health Care Accounting
Journal article by Ronald A. Mitchell, Kevin J. Camperell; Journal of Accountancy, Vol. 179, 1995
Subjects:
Managed care plans (Medical care)--Accounting and auditing, Physicians--Accounting and
auditing
...capitation payment will be needed to fund the cost of outside specialists. Montelair
currently...Because Montclair physicians do not monitor hospital referrals, the physician group
has a liability...review and determine the most appropriate accounting method for income tax
reporting purposes...

6
Pilgrims Manufacturing, Inc.: Activity-Based Costing versus Volume-Based Costing
Journal article by Mohamed E.A. Hussein, Kinsun Tam; Issues in Accounting Education, Vol. 19,
2004
Subjects:
Activity-based costing--Study and teaching, Cost benefit analysis--Study and teaching
...16-19. Cokins, G. 1998. Why is traditional accounting failing managers? Hospital Management
Quarterly 20 (2): 72-80. Cooper, R...Kaplan. 1992. Activity-based systems: Measuring the cost of
resource usage. Accounting Horizons 6 (September...

7
Hospital Reserve Margins: Structural Determinants and Policy Implications Using Cross-Section
Data
Journal article by Glenn G. Graham, Thomas G. Cowing; Southern Economic Journal, Vol. 63,
1997
Subjects:
Hospitals--Finance, Reserves (Accounting)--Research
...errors are a common problem in hospital cost data, we decided to test and...3. -----, "A New
Approach to Hospital Cost Functions and Some Issues in...Structure of Hospital Costs, and the
Cost of Empty Hospital Beds." Journal of Health Economics...

8
Hospital Price Inflation: What Does the New PPI Tell Us?
Journal article by Brian Catron, Bonnie Murphy; Monthly Labor Review, Vol. 119, 1996
Subjects:
Hospitals--Statistics, Medical care, Cost of--Research, Producer Price Index (Index)--Analysis,
United States. Bureau of Labor Statistics--Research
...expenditures were estimated using Hospital Cost and Utilization Project data and
resource...published in the Federal Register.(2) Each hospital sampled for the PPI was asked to
provide...demonstrate similar price trends. Thus, properly accounting for the mix of these sample
units provides...

9
The CPI for Hospital Services: Concepts and Procedures
Journal article by Elaine Cardenas; Monthly Labor Review, Vol. 119, 1996
Subjects:
Consumer Price Index for All Urban Consumers (Index)--Analysis, Cost and standard of living--
Statistics, Hospitals--Statistics, Medical care, Cost of--Research, United States. Bureau of Labor
Statistics--Research
...charges, and thus may be a reflection of cost-shifting from the regulated and sometimes...often
is unregulated. Today, the complete Hospital and Related Services Index, which
includes...conventional fee-for-service plans (still accounting for roughly 40 percent of
enrollees(3...

10
The Nearly Good, the Bad, and the Ugly in Cost-Effectiveness Analysis of Health Care
Journal article by William Hildred, Larry Watkins; Journal of Economic Issues, Vol. 30, 1996
Subjects:
Medical care, Cost of--Analysis
...partly on the basis of each hospitals accounting cost, partly by comparison with...arbitrary. One
state-of-the-art hospital cost accounting system was considered quite...Moreover, current
literature on hospital cost accounting Orloff et al. 1988; Cart...

11
Medical Malpractice Law and Health Care Cost Containment: Lessons for Reformers from the
Clash of Cultures
Journal article by Jonathan J. Frankel; Yale Law Journal, Vol. 103, 1994
Subjects:
Health care reform--Economic aspects, Medical care, Cost of--Management, Medical personnel--
Malpractice, Tort reform--Analysis, Wickline v. State--228 Cal. Rptr. 661 (Ct. App. 1986), Wilson
v. Blue Cross & Blue Shield--271 Cal. Rptr. 876 (Ct. App. 1990)
...of sacrificing meaningful cost containment.(101) Some combination of the two approaches-
accounting for shared causation and...faced by inner-city public hospitals than to the general,
system-wide pressures for cost containment that are the...

12
The Employment Cost Index: What Is It? Understanding the Characteristics of the Employment
Cost Index Aids in Identifying the Cost Pressures Measured by This Important Government
Statistic --Pressures That Often Lead to Inflation in the Price of Goods and Services
Journal article by John W. Ruser; Monthly Labor Review, Vol. 124, 2001
Subjects:
Employment Cost Index (Index)--Analysis, Labor costs--Research, United States. Bureau of
Labor Statistics--Research
...thus affecting the companys cost of capital in advance of exercising...Statement 123, the
Financial Accounting Standards Board requires public...required benefits, so that, accounting for
taxes, employer cost and employee value may not be...

13
Collective Bargaining in 1990: Health Care Cost a Common Issue
Journal article by William M. Davis, Joan D. Borum, Phyllis I. Brown, Kay Anderson, John J.
Lacombe III, Douglas R. Leroy, Fehmida Sleemi, Edward J. Wasilewski; Monthly Labor Review,
Vol. 113, 1990
Subjects:
Collective bargaining--Forecasts, Collective labor agreements--Statistics, Cost and standard of
living--Analysis, Medical care, Cost of--Analysis, United States economic conditions--Analysis,
United States. Bureau of Labor Statistics--Reports, United States. Department of Commerce--
Forecasts, Wages--Statistics
...exceeds the hourly cost of specified wage...reopened in 1990. Hospitals, nursing homes...and
New York, each accounting for about 37 percent...Kaiser Foundation Hospitals and the
Permanente...increase funding or the hospitals would reduce services...Employers may absorb
the cost increases as a tradeoff...

14
An Instrumentalist Critique of "Cost-Utility Analysis"
Journal article by William Hildred, Fred Beauvais; Journal of Economic Issues, Vol. 29, 1995
Subjects:
Cost benefit analysis--Evaluation, Instrumentalism (Philosophy)--Analysis, Medical care--Analysis
...services. For example, in a hospital environment, a "charge...determined by one or another
accounting algorithm. The procedure...this process achieves cost shifting, whereby
redress...achieves each QALY at a cost of $4,200, while hospital hemodialysis costs...

15
Cost-Containment and Adverse Selection in Medicaid HMOs
Journal article by Dana P. Goldman, Arleen Leibowitz, Joan L. Buchanan; Journal of the
American Statistical Association, Vol. 93, 1998
Subjects:
Child health--Health aspects, Children--Health aspects, Cost control--Analysis, Health insurance--
Finance, Health maintenance organizations--Analysis, Medical care--Finance
...conditional expenditures. After accounting for selection in this manner...indicates that the HMO
increased the cost of childrens health care. We...J., and Damberg, C. (1992), "Cost and Use of
Capitated Medical...Managed Care as a Public Cost Containment Mechanism,"

Journal Articles on: Hospital Financial Management


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1.
Transforming the Balanced Scorecard from Performance Measurement to Strategic
Management: Part I
Journal article by Robert S. Kaplan, David P. Norton; Accounting Horizons, Vol. 15, 2001
Subjects:
Accounting--Methods, Assets (Accounting)--Management, Customer satisfaction--Accounting and
auditing, Financial management--Planning, Total quality management--Methods
...for Quality Management (EFQM) awards...scorecard, a financial service
organization...Montefiore Hospital uses a combination...Committee on Financial
Reporting...measurement. Sloan Management Review (Spring...corporate financial performance.
Academy of Management Journal...

2
Hospital Cost Containment and Length of Stay: An Econometric Analysis
Journal article by Kathleen Carey; Southern Economic Journal, Vol. 67, 2000
Subjects:
Health care industry--Management, Hospital utilization--Length of stay, Medical care, Cost of--
Analysis
...discounted prices and establishing utilization management protocols with hospitals and by
performing reviews of the appropriateness...Changing reimbursement systems have altered the
financial incentives facing hospitals. Historically, on...

3.
Financing Constraints and Investment: New Evidence from Hospital Industry Data
Journal article by Paul S. Calem, John A. Rizzo; Journal of Money, Credit & Banking, Vol. 27,
1995
Subjects:
Capital investments--Research, Hospitals--Finance, Liquidity (Finance)--Research, Public
finance--Management
...high-quality management, affiliated hospitals tend to be viewed...In addition, financial
performance...less in larger hospitals, ameliorating...earlier, chain hospitals typically have...their
greater financial strength. Overall...

4.
Linking Corporate Entrepreneurship to Financial Theory through Additional Value Creation
Journal article by George S. Vozikis, Garry D. Bruton, Dev Prasad, A. A. Merikas;
Entrepreneurship: Theory and Practice, Vol. 24, 1999
Subjects:
Accounting--Management, Corporations, Entrepreneurship--Management, Stocks--Management
...A. (1995). Corporate entrepreneurship and financial performance: The case of management
leveraged buyouts. Journal of Business Venturing...in Goes (1990) hospital industry of how...

5.
Entrepreneurs Use a Balanced Scorecard to Translate Strategy into Performance Measures
Journal article by Andra Gumbus, Robert N. Lussier; Journal of Small Business Management,
Vol. 44, 2006
Subjects:
Business performance management--Methods, Small business--Management, Small business--
Planning, Small business--United States
...addressing management practices...concluded that financial measures...unit of a hospital
(Oliveira...Organizational and Financial Health Using...Health System Hospital,"
Journal...Strategic Management System For...Healthcare Financial Management 55(5), 42-53...

E-Governance of Health Services and Infrastructure in Rural India

A Model for Discharge Coordination in a Hospital

Copyright: 2006, Shogo Kato, Satoko Tsuru, Yoshinori Iizuka, and Mafuyu Takahashi
Author: Kato, Shogo; Tsuru, Satoko; Iizuka, Yoshinori; Takahashi, Mafuyu
Organization: The University of Tokyo; Ohme Municipal General Hospital
Subject: Healthcare industry,International case study,Japan,Social Service Agency;
Series: Annual Quality Congress Proceedings, Vol. 60, No. 0, May 2006, pp. 1-11

Online full text for this article is not available at this time.

Abstract: [This abstract is based on the authors' abstract.]In a effort to coordinate conditions
related to patient discharge, Japanese hospitals have found it necessary to determine the next
facility to which the patient will be transferred, based on the patient's needs and those of his or
her family. A model is proposed that enables social workers to conduct discharge coordination
efficiently and correctly. The model is presented as three outputs: a list of canvas items to be
considered during discharge, a flowchart of the discharge coordination process, and concrete
components of the flowchart. The efficiency of the model is demonstrated in application to actual
cases.

Title: Hospital Reduces Medication Errors Using DMAIC and QFD

Copyright: 2007, ASQ


Author: Benitez, Yani; Forrester, Leslie; Hurst, Carolyn; Turpin, Debra
Organization: BJC Healthcare, St. Louis, MO; Alton Memorial Hospital, Alton, IL
Subject: Case study,Design for six sigma (DFSS),Healthcare industry,Process
improvement,Process improvement team,Quality function deployment (QFD),Six Sigma,Voice of
the customer (VOC);
Series: Quality Progress, Vol. 40, No. 1, January 2007, pp. 38-45

This ARTICLE This is available for FREE to ASQ members with the appropriate membership type
and/or magazine subscriptions. If you are signed-in you should be able to download articles you
are entitled to receive. If you have questions about your membership please contact Customer
Care at 800-248-1946 or help@asq.org

Abstract: The medication error rate at Illinois' Alton Memorial Hospital was low when compared to
national statistics, but the hospital knew cost savings would be significant if this statistic was
lowered even further. A multidisciplinary team sought the help of a Black Belt to help the team
use the Six Sigma define, measure, analyze, improve, and control (DMAIC) methodology to
reduce the defect rate of the current process and to develop a standardized process. While
changes improved the medication order entry process, the issue of the multiple ways the staff
process medication orders remained. The team then decided to use a design for Six Sigma
methodology, quality function deployment, to link the needs of the customers to the development
of the process functions. Audits revealed the percentage of order entry errors improved by 90
percent. Additionally, the new process is simpler, works on all units, and is more accurate.

Title: The Lean Journey of ProMedica Laboratories

Copyright: 2006, ASQ


Author: Sattler, Mark; Awada, Randa
Organization: ProMedica Health System, Toledo, OH
Subject: Case study,Continuous improvement process (CIP),Core
competencies,Healthcare,Healthcare industry,Lean manufacturing,Project teams,Waste;
Series: Annual Quality Congress Proceedings, Vol. 60, No. 0, May 2006, pp. 1-3

This ARTICLE This is available for FREE to ASQ members with the appropriate membership type
and/or magazine subscriptions. If you are signed-in you should be able to download articles you
are entitled to receive. If you have questions about your membership please contact Customer
Care at 800-248-1946 or help@asq.org

Abstract: [This abstract is based on the authors' abstract.]In 2004 ProMedica Health System's
ProMedica Laboratories at the Toledo Hospital introduced lean manufacturing techniques as part
of its continuous performance improvement efforts. The focus of these efforts was on identifying,
labeling, and eliminating waste. A quality expert was retained to train core team members from
multiple laboratory departments about lean concepts. This grassroots approach ensures early
staff by-in, transfers knowledge to a broader base of in-house staff, and minimizes cost to the
organization. ProMedica Labs has not added any additional staff for Lean, but is reinvesting
productivity gains in additional release time for staff to engage in training and projects. Upon
completion of three projects, individual team members are qualified to facilitate teams and train
others to apply the methods to their work areas.

Clinical Transformation: Changing Processes, Utilizing Clinical Content

Copyright: 2006, ASQ


Author: Chaiken, Barry
Organization: BearingPoint, Inc., Boston, MA
Subject: Innovation,Body of Knowledge (BOK),Critical thinking,Healthcare industry,Information
technology;
Series: Annual Quality Congress Proceedings, Vol. 60, No. 0, May 2006, pp. 1-3
Abstract: [This abstract is based on the author's abstract.]Path innovation uses existing
approaches and considers a new way of thinking and addressing problems. Subject matter
experts are involved early in process design and are responsible for transferring domain
knowledge to team members. Organizations using path innovation make better use of their
investment in information technology systems to achieve breakthroughs in quality, patient safety,
and resource utilization

The Use of Control Charts in Health-Care and Public-Health Surveillance (With Discussion and
Rejoinder)

Copyright: 2006, ASQ


Author: Woodall, William H.; Mohammed, Mohammed A.; Lucas, James M.; Watkins, Rochelle;
Steiner, Stefan H.; Benneyan, James C.; Grigg, Olivia A.; Spiegelhalter, Avid J.; Burkom, Howard
Organization: Virginia Tech; Univ. of Birmingham ; J.M. Lucas and Assoc., DE; Curtin Univ. of
Technology, Perth Australia; Univ. of Waterloo, ON, Canada; Northeastern Univ., MA; MRC
Biostatistics Unit, UK; Johns Hopkins Applied Physics Laboratory, MD
Subject: Exponentially weighted moving average (EWMA),Healthcare industry,Probability
charts,Risk analysis,Statistical process control (SPC),Cluster analysis,Cumulative sum control
chart (CUSUM);
Series: Journal of Quality Technology, Vol. 38, No. 2, April 2006, pp. 89-134

This ARTICLE This is available FREE to all readers.

Abstract: [This abstract is based on the author's abstract.]Applications of control charts in


healthcare monitoring and public health surveillance are introduced to industrial practitioners.
Ideas that originate in this venue that may be applicable in industrial monitoring are discussed.
Relevant contributions in the industrial statistical process control literature are considered.

Risk Models to Improve Long Term Care Medication Safety

Copyright: 2004, Agency for Healthcare Research and Quality


Author: Carley, Margaret Murphy; Comden, Sharon Conrow
Organization: Oregon Health Care Association; Health Systems Planning
Subject: Healthcare industry,Modeling,Nursing,Risk analysis,Sociotechnical systems (STS),Error;
Series: Annual Quality Congress Proceedings, Vol. 59, No. 0, May 2005, pp. 459-478

Online full text for this article is not available at this time.

Abstract: [This abstract is based on the authors' abstract.]A study was undertaken by the Oregon
Department of Human Services to determine if sociotechnical probabilistic risk assessment (ST-
PRA) can create risk models identifying combinations of medical delivery system and behavioral
elements resulting in medical error in long term care facilities. Multidisciplinary teams created the
models with input from pharmacists, community physicians, and state surveyors. Results showed
that prescribing and administration errors are the dominant risks. In addition, multiple single
failure path errors were identified. State agencies, long term care providers, pharmacies, and
medical providers are collaborating on strategies to address the risks identified in these models.

Faster Turnaround Time

Copyright: 2006, ASQ


Author: Pellicone, Angelo; Martocci, Maude
Organization: North Shore - Long Island Jewish Health System, Lake Success, NY; North Shore
University Hospital, Manhasset, NY
Subject: Customer focus,DMAIC,Healthcare industry, Quality improvement process (QIP),Six
Sigma;
Series: Quality Progress, Vol. 39, No. 3, March 2006, pp. 31-36

Abstract: In 2004, North Shore University Hospital (NSUH) used Six Sigma to reduce bed
assignment delay turnaround time that made it difficult to balance capacity needs. A capstone
project revealed incorrect use of the hospital's bed tracking system. The goal was to shift the
mean turnaround time and reduce the standard deviation. The team discovered both a
communication and technical failure in two key steps in the process that caused great delay.
Once the project was turned over to the nursing management team, the process went from a
turnaround time of 226 minutes to 90 minutes, and the Six Sigma score went from 1 sigma to 2.3
sigma at the end of the six-month project. The project has served as a pilot for the rest of the
hospital. A sidebar article explains Capstone projects and Six Sigma.

Engaging Physicians in Lean Six Sigma

Copyright: 2005, ASQ


Author: Caldwell, Chip; Brexler, Jim; Gillem, Tom
Organization: Chip Caldwell Associates, Saint Augustine, FL; Erlanger Health Systems,
Chattanooga, TN; m21partners, Nashville, TN
Subject: Six Sigma, Strategic planning, Employee involvement (EI),Healthcare
industry,Leadership,Professionals;
Series: Quality Progress, Vol. 38, No. 11, November 2005, pp. 42-46
Abstract: Healthcare is one of the most difficult industries in which to install a quality system
because of the confusing role of physicians, yet few process changes can be fully optimized
without engaging physicians. One reason physicians resist change is that change often places
additional burden on their processes. Healthcare leaders can gain more effective collaboration
and engagement from physicians by seeking to understand physician needs, building trust, and
finding projects that will please physicians by improving the efficiency of physician/hospital
interfacing processes.

Make Healthcare Lean

Copyright: 2006, ASQ


Author: Manos, Anthony; Sattler, Mark; Alukal, George
Organization: Profero Inc., Chicago, IL; Toledo Hospital, ProMedica Health System, Toledo, OH;
CMC, Chicago, IL
Subject: 5 S (visual workplace),Change management, Health care, HealthCare industry, Lean
manufacturing, Teamwork;
Series: Quality Progress, Vol. 39, No. 7, July 2006, pp. 24-30

This ARTICLE This is available for FREE to ASQ members with the appropriate membership type
and/or magazine subscriptions. If you are signed-in you should be able to download articles you
are entitled to receive. If you have questions about your membership please contact Customer
Care at 800-248-1946 or help@asq.org
Abstract: The principles of lean manufacturing are as applicable to healthcare as they are to the
automobile industry. However, unlike manufacturing, healthcare management structures are not
usually hierarchical, and hospitals generally are not-for-profit. Value adding for patients is
different than for customers in manufacturing because the goal of healthcare is prevention and
cure. The 18 building blocks of lean healthcare can eliminate waste and prevent the propagation
of errors. Two 5S projects show how staff members were benefited and lean efforts were
encouraged throughout the organization when results were achieved quickly.

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