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James R. Langabeer II - Health Care Operations Management: A Systems Perspective

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Operations management is increasingly a critical skill needed in todays health care leader. Managing your organizations complex interdisciplinary processes, labor and asset productivity, and operational performance involves quantitative and qualitative skills. Covering a range of topics from quality management to data analyses, Health Care Operations Management: A Systems Approach clearly explains the important concepts and skills necessary to lead a modern health care organization. Logically organized in four parts, Health Care Operations Management: A Systems Approach looks at operations, systems and financial management; methods for improving operations; analytical tools and technology; and health care supply chain. Thoroughly revised, the new Third Edition offers new content on health plan operations, use of information technology in operations management, and analytics topics often overlooked in most health care operational management texts. Additional noteworthy updates include: Expanded systems perspective that emphasizes the interconnection between the hospital and the health care system. 4 new chapters cover health insurance plan operations (4), Six Sigma quality improvement (7), information technology (13) and statistical analysis (12) Updated and expanded content on information technology including how to leverage existing information technology assets to improve operational performance. Thoroughly revised chapter on supply chain management New cases studies and end of chapter discussion questions and calculations challenge reader to apply concepts. Practical guidance on analyzing operational performance using everyday management tools such as MS Excel.

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Copyright 2021 by Jones & Bartlett Learning, LLC, an Ascend Learning Company

All rights reserved. No part of the material protected by this copyright may be reproduced or utilized in any form, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system, without written permission from the copyright owner.

The content, statements, views, and opinions herein are the sole expression of the respective authors and not that of Jones & Bartlett Learning, LLC. Reference herein to any specific commercial product, process, or service by trade name, trademark, manufacturer, or otherwise does not constitute or imply its endorsement or recommendation by Jones & Bartlett Learning, LLC and such reference shall not be used for advertising or product endorsement purposes. All trademarks displayed are the trademarks of the parties noted herein. Health Care Operations Management: A Systems Perspective, Third Edition is an independent publication and has not been authorized, sponsored, or otherwise approved by the owners of the trademarks or service marks referenced in this product.

There may be images in this book that feature models; these models do not necessarily endorse, represent, or participate in the activities represented in the images. Any screenshots in this product are for educational and instructive purposes only. Any individuals and scenarios featured in the case studies throughout this product may be real or fictitious, but are used for instructional purposes only.

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Cover Image (Title Page, Part Opener, Chapter Opener): maxkabakov/Getty Images; amgun/Getty Images; monsitj/Getty Images
Printing and Binding: McNaughton & Gunn

Library of Congress Cataloging-in-Publication Data

Names: Langabeer, James R., II, 1969- author. | Helton, Jeffrey, 1961-author.
Title: Health care operations management: a systems perspective / James Langabeer II, Jeffrey Helton.
Description: Third edition. | Burlington, MA : Jones & Bartlett Learning, [2021] | Includes bibliographical references
and index. | Summary: This book provides a well-rounded, comprehensive treaty on all aspects of operations
management specific to the healthcare industry. It covers everything from hospital finances to project management,
patient flows, performance management, process improvement, and supply chain management Provided by publisher.
Identifiers: LCCN 2019039957 (print) | LCCN 2019039958 (ebook) | ISBN 9781284194142 (paperback) | ISBN 9781284194173 (ebook)
Subjects: MESH: Hospital Administrationmethods | Efficiency, Organizational
Classification: LCC RA971 (print) | LCC RA971 (ebook) | NLM WX 157.1 | DDC 362.11068dc23
LC record available at https://lccn.loc.gov/2019039957
LC ebook record available at https://lccn.loc.gov/2019039958

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Printed in the United States of America
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Design Credits maxkabakovGetty Images amgunGetty Images monsitjGetty - photo 2

Design Credits: maxkabakov/Getty Images; amgun/Getty Images; monsitj/Getty Images.

Contents
Design Credits maxkabakovGetty Images amgunGetty Images monsitjGetty - photo 3

Design Credits: maxkabakov/Getty Images; amgun/Getty Images; monsitj/Getty Images.

Preface

M y interest in health care began when I was a child and found myself in and out of hospital emergency departments for a variety of mostly sports-related injuries. I was fascinated knowing that the hospital was always open and staffed with really smart people trying to solve peoples problems. I started my career in healthcare management as an administrative fellow at a large academic medical center, shadowing executives and learning from rotations through all departments. My career has been diverse: Ive been a hospital administrator, served as the chief executive officer for a health information exchange, led a successful boutique consulting and software company, and am now a professor involved in research and education. It is this diversity of experience that makes me fully appreciate all of the interworkings of a complex healthcare organization. My approach is systems-oriented and highly collaborative, both of which I feel are necessary to effect large-scale change.

I hope this text will help students and healthcare administrators address important operational and day-to-day issues in this rapidly evolving industry. We would like to thank Jones and Bartlett Learning for their leadership in publishing this third edition. We would also like to thank the thousands of readers and dozens of professors who read the prior editions and offered their opinions and insights for revisions. Finally, I dedicate this text to my loving wife, Dr. Tiffany Champagne-Langabeer, for her constant love and support.

Jim Langabeer

The business of health care has been my passion since meeting a hospital administrator (now CEO of a major healthcare corporation) while a teenager in the 1970s. Even then, there was some recognition of the business element of our industry and the need for efficient operations in delivering patient care. As our industry has evolved through implementation of PPS, risk contracting, VBP, and so many other initiatives aimed at promoting efficiency and cost containment, we have adapted so that we could preserve operating marginsnot always with better operational performance. The incentives created by those industry changes still leave us as managers asking how can we be more efficient? That became the centerpiece of my work during more than 27 years as a hospital, health plan, and health system chief financial officerimproving operational performance to improve financial results. The lessons learned from those years of experienceand now years of research in health operations with an amazing colleague and mentor, Jim Langabeernow come to you in the third edition of this work aimed at helping you successfully pursue that objective of operational excellence in your organization.

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