About the Book
A brand new collection of state-of-the-art insights into transforming healthcare, from world-renowned experts and practitioners… now in a convenient e-format, at a great price!
Making American healthcare work: 3 new eBooks get past ideology to deliver real solutions!
Even after Obamacare, America’s healthcare system is unsustainable and headed towards disaster. These three eBooks offer real solutions, not sterile ideology. In Overhauling America's Healthcare Machine: Stop the Bleeding and Save Trillions, leading healthcare expert and entrepreneur Douglas A. Perednia identifies the breathtaking complexity and specific inefficiencies that are driving the healthcare system towards collapse, and presents a new solution that protects patient and physician freedom, covers everyone, and won’t bankrupt America. Perednia shows how to design a far simpler system: one that delivers care to everyone by drawing on the best of both market efficiency and public "universality" — and is backed with detailed logic and objective calculations. Next, in Improving Healthcare Quality and Cost with Six Sigma, four leading experts introduce Six Sigma from the standpoint of the healthcare professional, showing exactly how to implement it successfully in real-world environments. The first 100% hands-on, start-to-finish blueprint for succeeding with Six Sigma in healthcare, this book covers every facet of Six Sigma in healthcare, demonstrating its use through examples and case studies from every area of the hospital: clinical, radiology, surgery, ICU, cardiovascular, laboratories, emergency, trauma, administrative services, staffing, billing, cafeteria, even central supply. Finally, in Reengineering Healthcare: A Manifesto for Radically Rethinking Healthcare Delivery JimChampy (“Reengineering the Corporation”) and Dr. Harry Greenspun show how reengineering methodologies can deliver breakthrough performance and efficiency improvements both within individual healthcare organizations and throughout the entire system, eliminating much of the 40%+ of U.S. healthcare costs now dedicated to administration. They demonstrate how reengineering can refocus investments on aligning quality and providing accessible care for millions more people.
From world-renowned healthcare management experts Dr. Doug Perednia, Praveen Gupta, Brett E. Trusko, Carolyn Pexton, H. James Harrington, Jim Champy, and Harry Greenspun, M.D.
Table of Contents:
Overhauling America’s Healthcare Machine: Stop the Bleeding and Save Trillions
Part I: The Nature of the Beast
Chapter 1 Introduction 3
Chapter 2 Are We Getting What We’re Paying For? 9
Chapter 3 Where Does All Our Money Go? 17
Chapter 4 Into Thin Air 39
Chapter 5 The Healthcare Machine 53
Chapter 6 How and Why They Spin: Inside Key Wheels 63
Part II: Why the Machine Is Breaking Down
Chapter 7 Too Many Parts 123
Chapter 8 Sand in the Gears 135
Chapter 9 Friction 183
Part III: How to Fix It
Chapter 10 Defining the Desired Outcome 219
Chapter 11 Overhauling Payment for Healthcare Goods and Services 227
Chapter 12 Dumping Redundancy 263
Chapter 13 Blowing Sand Out of the System 271
Chapter 14 Lubricating Points of Friction 301
Chapter 15 Where Does the Money Come From? 323
Chapter 16 The End of an Era 331
Appendix A “Brief Strategy B” from the Federal Guidelines Regarding Smokers Who Report That They Are Unwilling to Quit 337
References 341
Index 359
IMPROVING HEALTHCARE QUALITY AND COST WITH SIX SIGMA
Foreword xx
Introduction xxi
PART I: THE NEED FOR CUTTING COSTS AND IMPROVING QUALITY IN HEALTHCARE 1
1 TRENDS IN THE HEALTHCARE INDUSTRY 3
2 EXCELLENCE (BENCHMARKS) AND IMPROVEMENT CHALLENGES IN HEALTHCARE SYSTEM 21
3 APPLICABILITY OF SIX SIGMA IN HEALTHCARE ORGANIZATIONS 31
PART II: METHODOLOGY, TOOLS, AND MEASUREMENTS 59
4 THE HEALTHCARE OPPORTUNITY 61
5 SIX SIGMA METHODOLOGY 77
6 UNDERSTANDING PROBLEMS: DEFINE, MEASURE, ANDANALYZE 89
7 SOLVING PROBLEMS: IMPROVE AND CONTROL 129
PART III: BENEFITING FROM SIX SIGMA 161
8 CASE STUDY INTRODUCTION AND PROFILES 163
9 CLINICAL CASE STUDIES 181
10 OPERATIONAL CASE STUDIES 203
PART IV: ROLLING OUT AND SUSTAINING SIX SIGMA 239
11 IMPLEMENTING A SIX SIGMA CULTURE 241
12 LEAN SIX SIGMA IN HEALTHCARE 373
13 THE ROAD AHEAD 401
PART V: APPENDIXES 431
A PMBOK TOOLS AND TECHNIQUES 433
B THE SIX SIGMA BODY OF KNOWLEDGE 437
C TOTAL SIX SIGMA TOOLS SELF-EVALUATION FORM 445
D Additional Resources 451
E The Man I Want To Be! 453
Index 455
REENGINEERING HEALTH CARE: A MANIFESTO FOR RADICALLY RETHINKING HEALTH CARE DELIVERY
Introduction 1
Chapter 1 Why Reengineer Health Care? 15
Chapter 2 Meet Zeev Neuwirth, Reengineer 25
Chapter 3 Harness Technology 59
Chapter 4 Focus on Processes 97
Chapter 5 Remember People 141
Chapter 6 Meet Tom Knight, Reengineer 169
Chapter 7 The Hunt for Reengineering Opportunities 187
Epilogue 209
Index 217
About the Author :
Dr. Doug Perednia has been a medical internist, dermatologist, healthcare entrepreneur, and creator of several non-profits. In the 1990s, he was principal investigator on digital imaging and telecommunications research projects for the National Cancer Institute and National Library of Medicine, and founded the Telemedicine Research Center. Later, he founded Kietra Corporation to develop versatile, low-cost technologies to improve patient care and reduce cost. Praveen Gupta, an ASQ Fellow, has 25+ years experience in process, product, and corporate performance improvement. A Quality Digest columnist, he wrote the best-seller Six Sigma Business Scorecard. Brett E. Trusko, Board Member, U.S. Health Information Technology Standards Panel, consults widely on healthcare quality. Carolyn Pexton, Director of Communications for GE Healthcare Performance Solutions, is a Six Sigma Green Belt. H. James Harrington, CEO of the Harrington Institute, is one of five Grand Master Six Sigma Black Belts worldwide, and a past leader of the International Academy for Quality and ASQC. Jim Champy, Chairman of Dell Perot Systems' consulting practice, is recognized worldwide for his work on leadership, management, and business reengineering. His book, Reengineering the Corporation, sold 3+ million copies and spent over a year on The New York Times bestseller list. Harry Greenspun, M.D. is Chief Medical Officer of the Dell Perot Systems healthcare group, America's largest provider of healthcare administrative services.
