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The Patient Centered Value System Transforming Healthcare through Co-Design

The Patient Centered Value System Transforming Healthcare through Co-Design

Imagine: You are a hospital Chief Executive Officer Chief Financial Officer medical or nursing director patient safety specialist quality improvement professional or a doctor or nurse on the front lines of patient care. Every day you’re aware that patients and families should be more engaged in their care so they would fare better both in the hospital and after discharge; their care could be safer and more seamlessly coordinated; patients should be ready for discharge sooner and readmitted less often; your bottom line stronger; your staff more fulfilled. You enter into new payment models such as bundling with an uneasy awareness that your organization is at risk because you don’t know what the care you deliver actually costs. Like most healthcare leaders you are also still searching for a way to deliver care that will help you to achieve the Triple Aim: care that leads to improved clinical outcomes better patient and family care experiences and reduced costs. Sound familiar? If so then it’s time to read The Patient Centered Value System: Transforming Healthcare through Co-Design. This book explains how to introduce the Patient Centered Value System in your organization to go from the current state to the ideal. The Patient Centered Value System is a three-part approach to co-designing improvements in healthcare delivery—collaborating with patients families and frontline providers to design the ideal state of care after listening to their wants and needs. Central to the Patient Centered Value System is seeing every care experience through the eyes of patients and families. The Patient Centered Value System is a process and performance improvement technique that consists of 1) Shadowing 2) the Patient and Family Centered Care Methodology and 3) Time-Driven Activity-Based Costing. Shadowing is the essential tool in the Patient Centered Value System that helps you to see every care experience from the point of view of patients and families and enables you to calculate the true costs of healthcare over the full cycle of care. Fundamental to the Patient Centered Value System is the building of teams to take you from the currents state of care delivery to the ideal. Healthcare transformation depends not on individual providers working to fix broken systems but on teams of providers working together while breaking down silos. The results of using the Patient Centered Value System are patients and families who are actively engaged in their care which also improves their outcomes; providers who see the care experience from the patient’s and family’s point of view and co-design care delivery as a result; the tight integration of clinical and financial performance; and the realization of the Triple Aim. | The Patient Centered Value System Transforming Healthcare through Co-Design

GBP 31.99
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The Logics of Healthcare The Professional’s Guide to Health Systems Science

The Logics of Healthcare The Professional’s Guide to Health Systems Science

Most of the current literature on healthcare operations management is focused on importing principles and methods from manufacturing. The evidence of success is scattered and nowhere near what has been achieved in other industries. This book develops the idea that the logic of production and production systems in healthcare is significantly different. A line of thing that acknowledges the ingenious characteristics of health service production is developed. This book builds on a managerial segmentation of healthcare based on fundamental demand-supply constellations. Demand can be classified with the variables urgency severity and randomness. Supply is constrained by medical technology (accuracy of diagnostics efficacy of therapies) patient health behavior (co-creation of health) and resource availability. Out of this emerge seven demand-supply-based operational types (DSO): prevention emergencies one-visit electives cure care and projects. Each of these have distinct managerial characteristics such as time-perspective level of co-creation value proposition revenue structure productivity and other key performance indicators (KPI). The DSOs can be envisioned as platforms upon which clinical modules are attached. For example any Emergency Department (ED) must be managed to deal with prioritization time-windows agitated patients the necessity to save and stabilize and variability in demand. Specific clinical assets and skill-sets are required for say massive trauma strokes cardiac events or poisoning. While representing different specialties of clinical medicine they when applied in the emergency – context must conform to the demand-supply-based operating logic. A basic assumption in this book is that the perceived complexity of healthcare arises from the conflicting demands of the DSO and the clinical realms. The seven DSOs can neatly be juxtaposed on the much-used Business Model Canvas (BMC) which postulates the business model elements as value proposition; customer segments channels and relations; key activities resources and partners; the cost structure; and the revenue model. | The Logics of Healthcare The Professional’s Guide to Health Systems Science

GBP 39.99
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Leading Continuous Improvement Projects Lessons from Successful Less Successful and Unsuccessful Continuous Improvement Case Studies

Leading Continuous Improvement Projects Lessons from Successful Less Successful and Unsuccessful Continuous Improvement Case Studies

This book is a reference for continuous improvement project (CIP) leaders/facilitators in manufacturing and service organizations students (undergraduate and graduate) academics responsible for managing senior projects (Capstone Projects) and teaching quality courses and researchers interested in how organizations could produce more effective and efficient continuous improvement initiatives and projects. The authors collected and analyzed information and results from CIPs they facilitated or co-advised such as the improvement of the service level in a bottle manufacturing organization reduction of changeover in a brewery manufacturing organization reduction of ambulance response time and reduction of scrap in a steel transformation manufacturing organization. Many of the CIPs were previously part of award-winning white papers documenting critical improvements. Throughout this book readers will learn: different types of CIPs metrics to identify successful CIPs the 53 factors related to CIPs success how to manage CIPs behaviors to achieve outstanding results from CIPs. Three of the chapters are supplemented with three or more case studies. In addition the final chapter includes a list of behaviors expected from directors continuous improvement managers CIP leaders/facilitators and CIP team members to obtain the major benefits from CIPs. | Leading Continuous Improvement Projects Lessons from Successful Less Successful and Unsuccessful Continuous Improvement Case Studies

GBP 44.99
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The Lean Approach to Digital Transformation From Customer to Code and From Code to Customer

The Lean Approach to Digital Transformation From Customer to Code and From Code to Customer

The Lean Approach to Digital Transformation: From Customer to Code and From Code to Customer is organized into three parts that expose and develop the three capabilities that are essential for a successful digital transformation: 1. Understanding how to co-create digital services with users whether they are customers or future customers. This ability combines observation dialogue and iterative experimentation. The approach proposed in this book is based on the Lean Startup approach according to an extended vision that combines Design Thinking and Growth Hacking. Companies must become truly customer-centric from observation and listening to co-development. The revolution of the digital age of the 21st century is that customer orientation is more imperative - the era of abundance usages rate of change complexity of experiences and shift of power towards communities - are easier using digital tools and digital communities. 2. Developing an information system (IS) that is the backbone of the digital transformation – called “exponential information system” to designate an open IS (in particular on its borders) capable of interfacing and combining with external services positioned as a player in software ecosystems and built for processing scalable and dynamic data flows. The exponential information system is constantly changing and it continuously absorbs the best of information processing technology such as Artificial Intelligence and Machine Learning. 3. Building software “micro-factories” that produce service platforms which are called “Lean software factories. ” This “software factory” concept covers the integration of agile methods tooling and continuous integration and deployment practices a customer-oriented product approach and a platform approach based on modularity as well as API-based architecture and openness to external stakeholders. This software micro-factory is the foundation that continuously produces and provides constantly evolving services. These three capabilities are not unique or specific to this book they are linked to other concepts such as agile methods product development according to lean principles software production approaches such as CICD (continuous integration and deployment) or DevOps. This book weaves a common frame of reference for all these approaches to derive more value from the digital transformation and to facilitate its implementation. The title of the book refers to the “lean approach to digital transformation” because the two underlying frameworks Lean Startup and Lean Software Factory are directly inspired by Lean in the sense of the Toyota Way. The Lean approach is present from the beginning to the end of this book - it provides the framework for customer orientation and the love of a job well done which are the conditions for the success of a digital transformation. | The Lean Approach to Digital Transformation From Customer to Code and From Code to Customer

GBP 32.99
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Lean Culture for the Construction Industry Building Responsible and Committed Project Teams Second Edition

Lean Culture for the Construction Industry Building Responsible and Committed Project Teams Second Edition

Many of the struggles that we are currently experiencing when attempting to implement Lean in the construction environment are the direct result of applying Lean tools out of proper context. Understanding Lean as an overall operating system will help to avert this all too common pitfall. An in-depth exploration of the application of Lean initiatives in the construction industry Lean Culture for the Construction Industry: Building Responsible and Committed Project Teams Second Edition provides updated chapters with new insights on the relationships between owners architects general contractors and subcontractors - demonstrating how Kaizan events focused on building positive culture through vulnerability-based trust improved processes and eliminated work stoppages. Lean tools alone don't lead to successful Lean initiatives: the missing piece is culture. Written by a veteran consultant in the construction field the book draws a connection between how construction professionals act as leaders and how their attitude and behavior affect productivity and waste daily. While value stream mapping is an important tool for righting broken processes and resolving conflicts future state maps will fail if leaders continue to work in silos protect their territories and don't see that their success is directly tied to the success of their co-leaders. The author expands the notion of ethics beyond the simple litmus test of right and wrong so team leaders can adopt professional and productive attitudes and behaviors toward the implementation of Lean improvements. This book demonstrates how in an industry where waste is rampant and depends on wide range of people and personalities to successfully build a job Lean thinking can make the difference between a profitable competitive construction team and mass inefficiencies stunted profitability and lost future opportunities. | Lean Culture for the Construction Industry Building Responsible and Committed Project Teams Second Edition

GBP 48.99
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Job Shop Lean An Industrial Engineering Approach to Implementing Lean in High-Mix Low-Volume Production Systems

Job Shop Lean An Industrial Engineering Approach to Implementing Lean in High-Mix Low-Volume Production Systems

In the 1950’s the design and implementation of the Toyota Production System (TPS) within Toyota had begun. In the 1960’s Group Technology (GT) and Cellular Manufacturing (CM) were used by Serck Audco Valves a high-mix low-volume (HMLV) manufacturer in the United Kingdom to guide enterprise-wide transformation. In 1996 the publication of the book Lean Thinking introduced the entire world to Lean. Job Shop Lean integrates Lean with GT and CM by using the five Principles of Lean to guide its implementation: (1) identify value (2) map the value stream (3) create flow (4) establish pull and (5) seek perfection. Unfortunately the tools typically used to implement the Principles of Lean are incapable of solving the three Industrial Engineering problems that HMLV manufacturers face when implementing Lean: (1) finding the product families in a product mix with hundreds of different products (2) designing a flexible factory layout that fits hundreds of different product routings and (3) scheduling a multi-product multi-machine production system subject to finite capacity constraints. Based on the Author’s 20+ years of learning teaching researching and implementing Job Shop Lean since 1999 this book Describes the concepts tools software implementation methodology and barriers to successful implementation of Lean in HMLV production systems Utilizes Production Flow Analysis instead of Value Stream Mapping to eliminate waste in different levels of any HMLV manufacturing enterprise Solves the three Industrial Engineering problems that were mentioned earlier using software like PFAST (Production Flow Analysis and Simplification Toolkit) Sgetti and Schedlyzer Explains how the one-at-a-time implementation of manufacturing cells constitutes a long-term strategy for Continuous Improvement Explains how product families and manufacturing cells are the basis for implementing flexible automation machine monitoring virtual cells Manufacturing Execution Systems and other elements of Industry 4. 0 Teaches a new method Value Network Mapping to visualize large multi-product multi-machine production systems whose Value Streams share many processes Includes real success stories of Job Shop Lean implementation in a variety of production systems such as a forge shop a machine shop a fabrication facility and a shipping department Encourages any HMLV manufacturer planning to implement Job Shop Lean to leverage the co-curricular and extracurricular programs of an Industrial Engineering department | Job Shop Lean An Industrial Engineering Approach to Implementing Lean in High-Mix Low-Volume Production Systems

GBP 52.99
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Digital Health and Patient Data Empowering Patients in the Healthcare Ecosystem

Digital Health and Patient Data Empowering Patients in the Healthcare Ecosystem

Patients with unmet needs will continue to increase as no viable nor adequate treatment exists. Meanwhile healthcare systems are struggling to cope with the rise of patients with chronic diseases the ageing population and the increasing cost of drugs. What if there is a faster and less expensive way to provide better care for patients using the right digital solutions and transforming the growing volumes of health data into insights? The increase of digital health has grown exponentially in the last few years. Why is there a slow uptake of these new digital solutions in the healthcare and pharmaceutical industries? One of the key reasons is that patients are often left out of the innovation process. Their data are used without their knowledge solutions designed for them are developed without their input and healthcare professionals refuse their expertise. This book explores what it means to empower patients in a digital world and how this empowerment will bridge the gap between science technology and patients. All these components need to co-exist to bring value not only to the patients themselves but to improve the healthcare ecosystem. Patients have taken matters into their own hands. Some are equipped with the latest wearables and applications engaged in improving their health using data empowered to make informed decisions and ultimately are experts in their disease(s). They are the e-patients. The other side of the spectrum are patients with minimal digital literacy but equally willing to donate their data for the purpose of research. Finding the right balance when using digital health solutions becomes as critical as the need to develop a disease-specific solution. For the first time the authors look at healthcare and technologies through the lens of patients and physicians via surveys and interviews in order to understand their perspective on digital health analyse the benefits for them explore how they can actively engage in the innovation process and identify the threats and opportunities the large volumes of data create by digitizing healthcare. Are patients truly ready to know everything about their health? What is the value of their data? How can other stakeholders join the patient empowerment movement? This unique perspective will help us re-design the future of healthcare - an industry in desperate need for a change. | Digital Health and Patient Data Empowering Patients in the Healthcare Ecosystem

GBP 31.99
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Creating a Lean Culture Tools to Sustain Lean Conversions Third Edition

Creating a Lean Culture Tools to Sustain Lean Conversions Third Edition

Winner of a Shingo Research and Professional Publication Award The new edition of this Shingo Prize-winning bestseller provides critical insights and approaches to make any Lean transformation an ongoing success. It shows you how to implement a sustainable successful transformation by developing a culture that has your stakeholders throughout the organizational chart involved and invested in the outcome. It teaches you how to successfully navigate the politics in cross-functional process improvement projects and to engage executives in ways that are personally meaningful to them. If you are a leader at any level in an organization undergoing or considering a Lean transformation this is where you should start and finish � and start again. Read the Reviews:This book became an instant classic in the literature of professional operations. In this third edition David Mann updates and expands his teaching with five additional years of valuable experience and expertise derived from his very active multi-industry consultancy. I have benefitted greatly from his writing and wholeheartedly recommend this book to be top-of-the desk of any serious Lean practitioner or performance transformation leader. � Raymond C. Floyd two-time Shingo Prize Winner President and CEO Plasco Energy GroupDavid Mann builds substantially on his seminal work on the Lean management system. The book is full of new insight and polishes the most important ideas about Lean management. The new chapter on engaging executive leadership alone is worth the price of the book. � Peter Ward Richard M. Ross Professor and Chair Department of Management Science Fisher College of Business The Ohio State UniversityThis book has long been my �go-to� guide on Lean management practices that help create a culture of continuous improvement and excellence. I have recommended the book to countless healthcare leaders who rave about how he | Creating a Lean Culture Tools to Sustain Lean Conversions Third Edition

GBP 180.00
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Value Management in Healthcare How to Establish a Value Management Office to Support Value-Based Outcomes in Healthcare

Value Management in Healthcare How to Establish a Value Management Office to Support Value-Based Outcomes in Healthcare

Nathan Tierney’s powerful storytelling is rarely seen in today’s health care business environment. We must redesign the health care delivery system-a team sport in service of patients hold it accountable with measurement to improve outcomes and quantify the resource costs over the full cycle of care. Value-based health care is a framework through which these goals are achieved and Tierney provides a detailed playbook to get your organization there. Outlined in incredible detail and clarity he presents core concepts and dives into the key metrics needed to build maintain and scale a successful value-based health care organization. Nathan shares a realistic vision of what any CEO should expect when developing their own Value Management Office. Nothing is more important to me than improving the lives of those I love. My personal mission is to create systemic change with an impact on the global stage. This playbook needs to be on the desk of every executive clinician and patient today. -Mahek Shah MD Senior Researcher and Senior Project Leader Harvard Business SchoolOur current healthcare system’s broken. The Organization for Economic Co-Operation and Development (OECD) predicts health care costs could increase from 6% to 14% of GDP by 2060. The cause of this increase is due to (1) a global aging population (2) growing affluence (3) rise in chronic diseases and (4) better-informed patients; all of which raises the demand for healthcare. In 2006 Michael Porter and Elizabeth Teisberg authored the book ‘Redefining Health Care: Creating Value-Based Competition on Results. ’ In it they present their analysis of the root causes plaguing the health care industry and make the case for why providers suppliers consumers and employers should move towards a patient-centric approach that optimizes value for patients. According to Porter value for patients should be the overarching principle for our broken system. Since 2006 Professor Porter accompanied by his esteemed Harvard colleague Profesor Robert Kaplan have worked tirelessly to promote this new approach and pilot it with leading healthcare delivery organizations like Cleveland Clinic Mayo Clinic MD Anderson and U. S. Department of Veteran Affairs. Given the current state of global healthcare there is urgency to achieve widespread adoption of this new approach. The intent of this book is to equip all healthcare delivery organizations with a guide for putting the value-based concept into practice. This book defines the practice of value-based health care as Value Management. The book explores Profesor Porter’s Value Equation (Value = Outcomes/ Cost) which is central to Value Management and provides a step-by-step process for how to calculate the components of this equation. On the outcomes side the book presents the Value Realization Framework which translates organizational mission and strategy into a comprehensive set of performance measures and contextualizes the measures for healthcare delivery. The Value Realization Framework is based on Professor Kaplan's ground-breaking Balanced Scorecard approach but specific to healthcare organizations. On the costs side the book details the Harvard endorsed time-driven activity based costing (TDABC) methodology which has proven to be a modern catalyst for defining HDO costs. Finally this book covers the need and a plan to establish a Value Management Office to lead the delivery transformation and govern operations. This book is designed in a format where any organization can read it and acquire the fundamentals and methodologies of Value Management. It is intended for healthcare delivery organizations in need of learning the specifics of achieving the implementation of value-based healthcare. | Value Management in Healthcare How to Establish a Value Management Office to Support Value-Based Outcomes in Healthcare

GBP 31.99
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Transforming Leader Paradigms Evolve from Blanket Solutions to Problem Solving for Complexity

Transforming Leader Paradigms Evolve from Blanket Solutions to Problem Solving for Complexity

An easy read with clear examples and engaging stories this book is a treat for leaders who are interested in totally transforming the way they work. Luckman and Flory help leaders and organizations shift from a solutions mindset to a problem-solving culture that results in flow and growth where everyone in the organization can become a winner. Anand V. Tanikella Vice President R&D Abrasives Worldwide Saint-Gobain Luckman and Flory explain how to create a platform for change and a culture of meaningful continuous improvement through what they call Problem Solving for Complexity. This approach is about engaging everybody in the organization to improve every aspect of how work gets done. Read this book if you want to be a real change leader not just the person who goes around talking about the need for change. Robert Kessiakoff Coach/Consultant Partner LTGe Sweden [This book] describes how the leader through changing his or her own behaviors and practices can transform an organization that is slow to adapt into one that solves problems organically. The book is an important read for leaders and managers at all levels. Peter Ward Senior Associate Dean for Academics Richard M. Ross Chair in Management Professor of Management Sciences Director Center for Operational Excellence Ohio State University Organizational transformation is difficult and despite expensive continuous improvement programs most change efforts fail. This pattern James E. Luckman and Olga Flory argue is due to the fact that most change efforts start with senior leaders assigning an external or internal consulting group to attempt to drive change from the top down. Leaders today can no longer roll out solutions in the hopes of seeing better results. What they can do is play an active role in helping to transform their organization from blanket solutions thinking to learning how to solve complex business problems in a rapidly changing world. Drawing upon decades of leadership experience and years of research with executives across many different industries Luckman and Flory make a persuasive case that most companies have not been able to stay ahead in what is an increasingly turbulent business environment because they simply have not made the cultural changes required to do so. In discussing how to facilitate this culture change the authors share a model for leadership designed to guide an organization to extraordinary new levels of performance by focusing on three key areas: building a framework for problem-solving encouraging respectful communication and accelerating the pace at which the organization learns. The result is more energized team members who are dedicated to their daily work in an organization that is better positioned to achieve operational excellence. Readers will also find powerful stories from executives who have effectively changed their approach to leadership all of which serve to inspire more leaders to take the leap and become problem-solvers for complexity. Transforming Leader Paradigms is a book about strengthening every organization’s capacity to solve complex business problems. But more importantly it’s about what leaders must change in themselves to help their team members solve problems methodically start to look at the world differently using complexity theory and understand what it means to create real value for customers. For leaders who are willing to examine their own behaviors this book is a welcome change from the steady stream of business books on the market that emphasize charismatic and/or heroic leadership as the key to achievement and success. | Transforming Leader Paradigms Evolve from Blanket Solutions to Problem Solving for Complexity

GBP 31.99
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