A Balanced Perspective to Perioperative Process Management Aligned to Hospital Strategy

Dynamic technological activities of analysis, evaluation, and synthesis can highlight complex relationships within integrated processes to target improvement and ultimately yield improved processes. Likewise, the identification of existing process limitations, potential capabilities, and subsequent contextual understanding are contributing factors that yield measured improvement. Based on a 120-month longitudinal study of an academic medical center, this study investigates how integrated information systems and business analytics can improve perioperative efficiency and effectiveness across patient quality of care, stakeholder satisfaction, clinical operations, and financial cost effectiveness. This case study examines process management practices of balanced scorecard and dashboards to monitor and improve the perioperative process, aligned to overall hospital goals at strategic, tactical, and operational levels. The conclusion includes discussion of study implications and limitations.

[1]  Jeffry A Peters,et al.  Enhancing hospital performance through perioperative services. , 2004, Physician executive.

[2]  Michael H. F. Wilkinson,et al.  Non-Compactness Attribute Filtering to Extract Retinal Blood Vessels in Fundus Images , 2010, Int. J. E Health Medical Commun..

[3]  Sabah S. Al-Fedaghi Scrutinizing the Rule: Privacy Realization in HIPAA , 2008, Int. J. Heal. Inf. Syst. Informatics.

[4]  Stavros T. Ponis,et al.  Applying Discrete Event Simulation (DES) in Healthcare: The Case for Outpatient Facility Capacity Planning , 2013, Int. J. Heal. Inf. Syst. Informatics.

[5]  R. Weber Editor's comments: the rhetoric of positivism versus interpretivism: a personal view , 2004 .

[6]  Catharine B Fairbanks Using Six Sigma and Lean methodologies to improve OR throughput. , 2007, AORN journal.

[7]  Nandini Dendukuri,et al.  Assessment of the work environment of multidisciplinary hospital staff. , 2005, International journal of health care quality assurance incorporating Leadership in health services.

[8]  Kurt R. Herzer,et al.  Designing and Implementing a Comprehensive Quality and Patient Safety Management Model: A Paradigm for Perioperative Improvement , 2008 .

[9]  Yulin Song,et al.  3D and 4D Medical Image Registration Combined with Image Segmentation and Visualization , 2008 .

[10]  Elena Karahanna,et al.  An Exploratory Study of Patient Acceptance of Walk-In Telemedicine Services for Minor Conditions , 2009, Int. J. Heal. Inf. Syst. Informatics.

[11]  Russell L. Ackoff,et al.  Management misinformation systems , 1967 .

[12]  Joel J. P. C. Rodrigues,et al.  Health Information Systems: Concepts, Methodologies, Tools, and Applications , 2009 .

[13]  Joseph A. Cazier,et al.  An Empirical Investigation: Health Care Employee Passwords and Their Crack Times in Relationship to HIPAA Security Standards , 2007, Int. J. Heal. Inf. Syst. Informatics.

[14]  E. Ziegel,et al.  The Balanced Scorecard , 1998 .

[15]  Omotunde Adeyemo The Nationwide Health Information Network: A Biometric Approach to Prevent Medical Identity Theft , 2011 .

[16]  Jerry N. Luftman,et al.  Key Issues for IT Executives 2009: Difficult Economy’s Impact on IT , 2010, MIS Q. Executive.

[17]  Sheila Roman,et al.  Public reporting and pay for performance in hospital quality improvement. , 2007, The New England journal of medicine.

[18]  A. Vakkuri,et al.  Operating room management: why, how and by whom? , 2008, Acta anaesthesiologica Scandinavica.

[19]  Rosemary C. Polomano,et al.  Engaging Clinical Nurses in Quality and Performance Improvement Activities , 2010, Nursing administration quarterly.

[20]  Angelo Rossi Mori,et al.  Telehealth Networks for Hospital Services: New Methodologies , 2013 .

[21]  A. Zbinden,et al.  Introducing a Balanced Scorecard Management System in a University Anesthesiology Department , 2002, Anesthesia and analgesia.

[22]  Kathleen Catalano,et al.  Emerging technologies in the OR and their effect on perioperative professionals. , 2007, AORN journal.

[23]  Mohammed Shahadat Uddin,et al.  A Social Network Framework to Explore Healthcare Collaboration , 2015, ArXiv.

[24]  Jaakko Kujala,et al.  Time-based management of patient processes. , 2006, Journal of health organization and management.

[25]  J. Rockart Chief executives define their own data needs. , 1979, Harvard business review.

[26]  A. Macario,et al.  Where Are the Costs in Perioperative Care?: Analysis of Hospital Costs and Charges for Inpatient Surgical Care , 1995 .

[27]  Ann Marie Mazzella-Ebstein,et al.  Web‐based Nurse Executive Dashboard , 2004, Journal of nursing care quality.

[28]  Akira Hirose,et al.  Blood Vessel Segmentation in Complex-Valued Magnetic Resonance Images with Snake Active Contour Model , 2010, Int. J. E Health Medical Commun..

[29]  K. Eisenhardt Building theories from case study research , 1989, STUDI ORGANIZZATIVI.

[30]  R. Wears,et al.  Computer technology and clinical work: still waiting for Godot. , 2005, JAMA.

[31]  Sylwia Męcfal Recenzja książki. Robert K. yin, Case Study Research. Design and Methods (fourth Edition), thousand Oaks, CA: Sage Publications, 2009 , 2012 .

[32]  Adebusoye A. Anifalaje,et al.  Decentralisation and Health Systems Performance in Developing Countries: Impact of “Decision Space” on Primary Health Care Delivery in Nigeria , 2009 .

[33]  M. Walton The Deming management method , 1986 .

[34]  Stavros Archondakis,et al.  Laboratory Management Information Systems: Current Requirements and Future Perspectives , 2014 .

[35]  Gabriele Mascherini,et al.  Life Style Evaluation by Accelerometer , 2013 .

[36]  Jonathan B Kruskal,et al.  Quality initiatives: lean approach to improving performance and efficiency in a radiology department. , 2012, Radiographics : a review publication of the Radiological Society of North America, Inc.

[37]  N. Wickramasinghe Encyclopedia of Healthcare Information Systems , 2008 .

[38]  Madjid Tavana,et al.  Healthcare Informatics and Analytics: Emerging Issues and Trends , 2014 .

[39]  Mohammad Javad Kargar,et al.  Wireless Body Area Network: From Electronic Health Security Perspective , 2013 .

[40]  Malcolm Munro,et al.  Planning, Critical Success Factors, and Management's Information Requirements , 1980, MIS Q..

[41]  Stephen R. Gulliver,et al.  Patient safety and quality care through health informatics , 2014 .

[42]  Xun Li,et al.  The alignment of information systems with organizational objectives and strategies in health care , 2009, Int. J. Medical Informatics.