Navigation Links
Toyota's management practices may improve the quality of hospital care
Date:3/19/2013

PORTLAND, Ore. Researchers have long surmised that management techniques successful in manufacturing and technology sectors may improve health care quality. However, there has been very little evidence about how these practices are disseminated in hospitals and whether they are associated with better performance.

A new study led by Oregon Health & Science University (OHSU) health economist K. John McConnell, Ph.D., reveals manufacturing management practices, including Toyota's "Lean" methodologies, may be beneficial in helping hospitals achieve "high-quality health care outcomes." The findings are published online in JAMA-Internal Medicine.

"Although a lot of effort has been focused on the use of evidence-based medicine to improve the quality of clinical practice with some important successes, our study results suggest implementing organizational strategies and management practices that enable and incentivize high-quality health care may also be beneficial," said McConnell, an Associate Professor of Emergency Medicine at OHSU, and Director of OHSU's Center for Health Systems Effectiveness.

To conduct this research, McConnell and colleagues focused on cardiac units across the country. They adapted an approach used to measure management practices in manufacturing to collect similar data on 597 cardiac units with interventional cardiac catheterization laboratories and a minimum of 25 annual heart attack discharges annually -- making it one of the largest studies ever conducted on management in health care

The units' nurse managers were surveyed via phone in 2010 and performance scores were calculated based on open-ended questions about whether the unit is a poor, average or high performer in 18 hospital practices. The practices were broken down into four categories: standardizing care/Lean operations, tracking key performance indicators, setting targets and incentivizing employees. The nurse managers' responses were scored on a scale from 1 to 5, with 5 being the highest.

The researchers then assessed the relationship of management practices with "process of care measures," such as staff communication, patient handoffs and discharges, as well as 30-day readmission and 30-day mortality rates for heart attack patients.

The scientists found wide differences in management practices across hospitals. Fewer than 20 percent of hospitals scored a "4" or "5" (best practice) on more than nine of the 18 practice measures. Higher management practice scores were associated with lower 30-day mortality rates and better performance on heart attack process of care measures. Higher scores were not associated with lower 30-day readmission rates.

"Many of these manufacturing practices are relatively moderate in scope and do not require substantial capital investment. Our results suggest future directions for hospital management practices and quality of care," said McConnell.


'/>"/>

Contact: Tamara Hargens-Bradley
hargenst@ohsu.edu
503-494-8231
Oregon Health & Science University
Source:Eurekalert

Related medicine news :

1. SouthPark Hypnosis and Charlotte Meditation Offer Group Mediation Session - Session to Offer Anxiety Management and Stress Relief
2. Oxblue Construction Cameras Help Two Universities Embarked on Major Building Projects Boost Stakeholder Confidence and Improve Project Management
3. Registration for the Radiology Business Management Association 2013 Radiology Summit Is Now Open
4. FileHold Systems Announces: Spanish Language Pack for FileHold Document Management software is now a Standard Feature
5. Dental Plus Management LLC, Welcomes Dr. Mark Laska to DentalDeal.com
6. ICM Trading/iTrade Capital Markets Introduces Asset Management Program for Professional Traders
7. Professional Healthcare at Home Offering Geriatric Care Management Services in the San Francisco Bay Area
8. Private Real Estate Investment Firm, Cohen Asset Management, Inc., Appoints Senior Vice President of Asset Management for East Coast
9. Securityhunter Hires DigitalFury Technologies to Furnish Program Management Support for Federal Electronic Security System Programs
10. NetPlus Launches NetPlus SMBE (Small Medium Business Edition) for Telecom Management at a Lower Price Point
11. The Precision Metalforming Association Strengthens Partnership with Succeed Management Solutions, LLC to Help Members Improve Industry Safety and Compliance
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... ... ... PurhealthRX , a leading Health and Nutrition Company, is announcing the ... spectrum CBD oil will revolutionize the rapidly growing CBD market by reducing the amount ... into liquid products, while reducing costs to end users. , The team of researchers ...
(Date:10/13/2017)... , ... October 13, 2017 , ... Many families have ... many long-term care insurance companies have a waiver for care if the client has ... period, when the family pays for care, is often waived, so the benefits from ...
(Date:10/13/2017)... ... ... Yisrayl Hawkins, Pastor and Overseer at The House of Yahweh, has released ... understood books in the Holy Scriptures, Revelation. The Book of Revelation paints a picture ... Many have tossed it off as mere rubbish, but Yisrayl Hawkins says that is ...
(Date:10/13/2017)... ... 2017 , ... “America On The Brink”: the Christian history of the United ... the creation of published author, William Nowers. Captain Nowers and his wife, Millie, ... spent thirty years in the Navy. Following his career as a naval aviator ...
(Date:10/12/2017)... (PRWEB) , ... October 12, 2017 , ... ... products to meet the demand of today’s consumer and regulatory authorities worldwide. From ... probiotic experts and tested to meet the highest standard. , These products ...
Breaking Medicine News(10 mins):
(Date:10/10/2017)...   West Pharmaceutical Services, Inc. (NYSE: WST), ... administration, today shared the results of a study highlighting ... intradermal administration of polio vaccines. The study results were ... 2017 by Dr. Ondrej Mach , Clinical Trials ... (WHO), and recently published in the journal Vaccine. ...
(Date:10/5/2017)... 5, 2017  In response to the nationwide ... Maxillofacial Surgeons (AAOMS) released prescribing recommendations that urge ... used as a first-line therapy to manage a ... Recognizing the value and importance ... "Opioid Prescribing: Acute and Postoperative Pain Management" stresses ...
(Date:10/4/2017)... 2017  According to the Centers for Disease Control and Prevention (CDC), ... PhysicianOne Urgent Care is helping communities across Massachusetts , ... by offering no-cost* flu shots through the end of the month. ... insurance regulations. ... get a flu shot is by the end of October, according to ...
Breaking Medicine Technology: