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Dissertation Topics

Dissertation Topics

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Published by: Apollo Institute of Hospital Administration on Oct 16, 2009
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Measuring lean initiatives in health care services: issues and findings
Authors:
Kollberg, Beata; Dahlgaard, Jens J.; Brehmer, Per-Olaf 
Source:
Publisher: 
Abstract:
<B>Purpose</B> - The purpose of this paper is to discuss how a performancemeasurement system called "the flow model" is designed to measure changes towardslean thinking in health care services. <B>Design/methodology/approach</B> - The paper integrates literature from the health care sector and the lean production movement inorder to understand whether lean thinking is applicable in healthcare and thereby identifykey performance indicators that measure changes towards lean thinking in health care.The flow model is discussed in relation to this measurement framework.<B>Findings</B> - The paper finds that lean thinking is applicable in health caresettings, and that the flow model is a suitable tool for following up these initiatives.However, it is argued that the flow model needs to be balanced with other measurementsin order to receive a complete picture of lean performance. <B>Researchlimitations/implications</B> - The paper shows that the framework of measurementsmay be used in empirical research of assessing changes towards lean thinking in healthcare settings. <B>Practical implications</B> - The paper shows that health care practitioners may use the findings to develop measurements of the outcome of leaninitiatives on existing care processes. <B>Originality/value</B> - The paper showsanalysis and discussion of the application of an industrial concept - Lean Production - inhealth care services.
Keywords:
Document Type:
Research article
Title: Clinical governance and operations managementmethodologies
Author(s):
Carol Davies, Paul Walley
Journal:
International Journal of Health Care Quality Assurance
ISSN:
0952-6862
 Year:
Feb 2000
Volume:
13
Issue:
1
Page:
21 - 26
DOI:
10.1108/09526860010311053
Publisher:
MCB UP Ltd
Abstract:
The clinical governance mechanism, introduced since 1998 in the UK National HealthService (NHS), aims to deliver high quality care with efficient, effective and cost-effective patientservices. Scally and Donaldson recognised that new approaches are needed, and operationsmanagement techniques comprise potentially powerful methodologies in understanding theprocess of care, which can be applied both within and across professional boundaries. This paper summarises four studies in hospital Trusts which took approaches to improving process that were
 
different from and less structured than business process re-engineering (BPR). The problemswere then amenable to change at a relatively low cost and short timescale, producing significantimprovement to patient care. This less structured approach to operations management avoidedincurring overhead costs of large scale and costly change such as new information technology(IT) systems. The most successful changes were brought about by formal tools to controlquantity, content and timing of changes.
Keywords:
Article Type:
Case study
Title: Towards development of professional management in IndianhospitalsAuthor(s): Syed Amin Tabish
Journal:
Journal of Management in Medicine
ISSN:
0268-9235
 Year:
Apr 1998
Volume:
12
Issue:
2
Page:
109 - 119
DOI:
10.1108/02689239810227137
Publisher:
MCB UP Ltd
Abstract:
Hospitals consume the largest share of government health resources, yet, untilrecently, they have not been a focus of health policy and research in developing countries, wherethe resources are in negative proportion to the demands placed on services of health careinstitutions, and where the possibility of resources being increased in the short run is very remote,the only hope for the increase in the effectiveness of the health care system being the effectivemanagement of hospitals. A professional administrator with multidisciplinary training wouldensure the optimal use of resources. We live in the age of perfection at all levels. Hence,professional training is the basic requirement for the personnel to function effectively in a hospital.Professional training is required to be imparted by the institutions specialised in professionaltraining. Professional management has an immense scope and a bright future market on accountof the increasing demand for specialised and quality health care. Better management or lack of itwill determine the future of health service. This paper focuses on development of managementand the requirement for professional administrators in India.
Keywords:
Article Type:
Research paper 
Title: Integrated approach to healthcare quality management: acase study
Author(s):
Prasanta Kumar Dey, Seetharaman Hariharan
Journal:
The TQM Magazine
ISSN:
0954-478X
 Year:
2006
Volume:
18
Issue:
6
Page:
583 - 605
DOI:
10.1108/09544780610707093
Publisher:
Emerald Group Publishing Limited
Abstract:
 
Purpose
– The purpose of the paper is to develop an integrated quality managementmodel, which identifies problems, suggests solutions, develops a framework for implementationand helps evaluate performance of health care services dynamically.
Design/methodology/approach
– This paper uses logical framework analysis (LFA), a matrixapproach to project planning for managing quality. This has been applied to three acutehealthcare services (Operating room utilization, Accident and emergency, and Intensive care) inorder to demonstrate its effectiveness.
Findings
– The paper finds that LFA is an effective method of quality management of hospital-based healthcare services.
Research limitations/implications
– This paper shows LFA application in three serviceprocesses in one hospital. However, ideally this is required to be tested in several hospitals and
 
other services as well.
Practical implications
– In the paper the proposed model can be practised in hospital-basedhealthcare services for improving performance.
Originality/value
– The paper shows that quality improvement in healthcare services is acomplex and multi-dimensional task. Although various quality management tools are routinelydeployed for identifying quality issues in health care delivery and corrective measures are takenfor superior performance, there is an absence of an integrated approach, which can identify andanalyze issues, provide solutions to resolve those issues, develop a project managementframework (planning, monitoring, and evaluating) to implement those solutions in order toimprove process performance. This study introduces an integrated and uniform qualitymanagement tool. It integrates operations with organizational strategies.
Keywords:
Article Type:
Research paper 
Title: Managerial perceptions on volume flexible strategies andperformance in health care services
Author(s):
Eric P. Jack, Thomas L. Powers
Journal:
Management Research News
ISSN:
0140-9174
 Year:
2006
Volume:
29
Issue:
5
Page:
228 - 241
DOI:
10.1108/01409170610674374
Publisher:
Barmarick Publications
Abstract:
 
Purpose
– The purpose of this paper is to examine the impact of volume flexiblestrategies on organizational performance in academic medical centers (AMCs). Volume flexiblestrategies represent a variety of methods where organizations use their portfolio of resources andcapabilities to meet fluctuating customer demand while improving organizational performance.
Design/methodology/approach
– A path model is developed and tested based on a survey of AMCs in the USA as listed in the American hospital directory.
Findings
– The results indicate that desired levels of volume flexibility have a positive impact onorganizational capabilities that in turn, positively influence how internal sources of volumeflexibility are leveraged. In addition, volume flexible capability and the use of internal strategieswere found to have a positive influence on customer-related performance that in turn, positivelyimpacts financial and market share performance.
Research limitations/implications
– This research was exploratory in nature and limited to asample of AMCs. To improve the generalizability of these results, future studies should evaluatethese constructs using a larger sample of health care organizations.
Practical implications
– The deployment and use of volume flexible strategies is germane toany health care organization's strategy and performance. This study offers some guidance toadministrators who need both a clear understanding of the underlying tradeoffs involved indeploying these strategies and a prescriptive model to help guide their use.
Originality/value
– This work answers the recent calls for more empirical research in general,and specifically, for more operations strategy research on flexibility in service industries. It shouldassist future researchers who focus on flexibility in health care services and would also be of interest to practitioners interested in keeping up with academic literature.
Keywords:
Article Type:
Conceptual Paper 

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