1st Edition

Handbook of Healthcare Delivery Systems

Edited By Yuehwern Yih Copyright 2011
    812 Pages 142 B/W Illustrations
    by CRC Press

    With rapidly rising healthcare costs directly impacting the economy and quality of life, resolving improvement challenges in areas such as safety, effectiveness, patient-centeredness, timeliness, efficiency, and equity has become paramount. Using a system engineering perspective, Handbook of Healthcare Delivery Systems offers theoretical foundations, methodologies, and case studies in each main sector of the system. It explores how system engineering methodologies and their applications in designing, evaluating, and optimizing the operations of the healthcare system could improve patient outcomes and cost effectiveness.

    The book presents an overview of current challenges in the healthcare system and the potential impact of system engineering. It describes an integrated framework for the delivery system and the tools and methodologies used for performance assessment and process improvement with examples of lean concept, evidence-based practice and risk assessment. The book then reviews system engineering methodologies and technologies and their applications in healthcare. Moving on to coverage of the design, planning, control and management of healthcare systems, the book contains chapters on 12 services sectors: preventive care, telemedicine, transplant, pharmacy, ED/ICU, OR, decontamination, laboratory, emergency response, mental health, food and supplies, and information technology. It presents the state-of-the-art operations and examines the challenges in each service unit.

    While system engineering concepts have been broadly applied in healthcare systems, most improvements have focused on a specific segment or unit of the delivery system. Each unit has strong interactions with others and any significant improvement is more likely to be sustained over time by integrating the process and re-evaluating the system design from a holistic viewpoint. By providing an overview of individual operational sectors in the extremely complex healthcare system and introducing a wide array of engineering methods and tools, this handbook establishes the foundation to facilitate integrated system thinking to redesign the next generation healthcare system.

    Healthcare Delivery System Overview
    Health Care: How Did We Get Here and Where Are We Going? David M. Lawrence
    Engineering and the Healthcare Delivery System, Proctor P. Reid and W. Dale Compton
    The VA Healthcare Delivery System, Elizabeth M. Yano
    Outpatient Clinics: Primary and Specialty Care, Deanna R. Willis
    Designing a Nurse-Managed Healthcare Delivery System, Julie Cowan Novak
    Long-Term Care, Kathleen Abrahamson and Karis Pressler
    Healthcare Insurance: An Introduction, Vinod K. Sahney and Ann Tousignant
    An Integrated Model of Healthcare Delivery, Steven M. Witz and Kenneth J. Musselman

    Performance Assessment and Process Improvement Management
    Performance Assessment for Healthcare Organizations, Peter Arthur Woodbridge and George Oscar Allen
    Managing Physician Panels in Primary Care, Hari Balasubramanian, Brian T. Denton, and Qi Ming Lin
    Lean in Health Care, Philip C. Jones and Barrett W. Thomas
    Patient Safety and Proactive Risk Assessment, Pascale Carayon, Hélène Faye, Ann Schoofs Hundt, Ben-Tzion Karsh, and Tosha B. Wetterneck
    Toward More Effective Implementation of Evidence-Based Practice: Relational and Contextual Considerations, Priscilla A. Arling, Rebekah L. Fox, and Bradley N. Doebbeling

    System Engineering: Technologies and Methodologies
    Computer Simulation in Health Care, Sean Carr and Stephen D. Roberts
    An Introduction to Optimization Models and Applications in Healthcare Delivery Systems, Wenhua Cao and Gino J. Lim
    Queueing Theory and Modeling, Linda V. Green
    Markov Decision Processes and Their Applications in Health Care, Jonathan Patrick and Mehmet A. Begen
    Statistical-Based Analysis and Modeling, Min Zhang and Mark E. Cowen
    Analyzing Decisions Using Datasets with Multiple Attributes: A Machine Learning Approach, Janusz Wojtusiak and Farrokh Alemi
    The Shaping of Inventory Systems in Health Services, Jan de Vries and Karen Spens
    Facility Planning and Design, Richard L. Miller
    Work Design, Task Analysis, and Value Stream Mapping, Cindy Jimmerson
    Scheduling and Sequencing, Edmund K. Burke, Timothy Curtois, Tomas Eric Nordlander, and Atle Riise
    Data Mining, Niels Peek
    Applications to HIV Prevention Strategies, Paul G. Farnham and Arielle Lasry
    Causal Risk Analysis: Revisiting the Vioxx Study, Farrokh Alemi and Manaf Zargoush

    Design, Planning, Control, and Management of Healthcare Systems
    Preventive Care
    Vaccine Production, Karen M. Polizzi and Cleo Kontoravdi
    Economic Implications of Preventive Care, George H. Avery, Kara E. Leonard, and Steve P. McKenzie

    Interactive Medicine, Pamela Whitten, Samantha A. Nazione, and Jennifer Cornacchione

    Transplant Services
    The U.S. Organ Transplant Network: History, Structure, and Functions, Timothy L. Pruett and Joel D. Newman

    Pharmacy Operation
    Pharmacoeconomics and the Drug Development Process, Stephanie R. Earnshaw, Thomas N. Taylor, and Cheryl McDade

    ED/ICU Operation
    Emergency Department Crowding, Joshua A. Hilton and Jesse M. Pines
    Emergency Department Throughput from a Healthcare Leader’s Perspective, Airica Steed

    OR Management
    Capacity Planning in Operating Rooms, John T. Blake
    Managing Critical Resources through an Improved Surgery Scheduling Process, Erik Demeulemeester, Jeroen Beliën, and Brecht Cardoen
    Anesthesia Group Management and Strategies, William H. Hass, Alex Macario, and Randal G. Garner

    Decontamination Service
    Turnovers and Turnarounds in the Healthcare System, June M. Worley and Toni L. Doolen
    Decontamination Service, Peter F. Hooper

    Quality Control in Hospital Clinical Laboratories: A System Approach, George G. Klee

    Emergency Response and Pandemics Planning
    Emergency Planning Model for Pandemics, J. Eric Dietz, David R. Black, Julia E. Drifmeyer, and Jennifer A. Smock
    Public Health and Medical Preparedness, Eva K. Lee, Anna Yang Yang, Ferdinand Pietz, and Bernard Benecke

    Mental Health
    Mental Health Allocation and Planning Simulation Model, H. Stephen Leff, David R. Hughes, Clifton M. Chow, Steven Noyes, and Laysha Ostrow
    Correlation with Social and Medical Factors, Kathleen Abrahamson, Karis Pressler, and Melissa Grabner-Hagen

    Food and Supplies
    Healthcare Foodservice, L. Charnette Norton
    Healthcare-Product Supply Chains: Medical-Surgical Supplies, Pharmaceuticals, and Orthopedic Devices: The Flows of Product, Information, and Dollars, Leroy B. Schwarz

    Tracking and Information Systems
    Wireless Sensor Network, James A.C. Patterson, Raza Ali, and Guang-Zhong Yang
    Bar Coding in Medication Administration, Ben-Tzion Karsh, Tosha B. Wetterneck, Richard J. Holden, A. Joy Rivera-Rodriguez, Hélène Faye, Matthew C. Scanlon, Pascale Carayon, and Samuel J. Alper
    Clinical Decision Support Systems, Sze-jung Sandra Wu, Mark Lehto, and Yuehwern Yih
    Health Informatics: Systems and Design Considerations, Jose Antonio Valdez and Rupa Sheth Valdez
    Privacy/Security/Personal Health Record Service, Jeff Donnell


    Yuehwern Yih is a Professor of Industrial Engineering at Purdue University, Indiana.