Handbook of Healthcare Delivery Systems

With rapidly rising healthcare costs directly impacting the economy and quality of life, resolving improvement challenges in areas such as safety, effectiveness, patient-centeredness, timeliness, efficiency, and equity has become paramount. Using a system engineering perspective, Handbook of Healthcare Delivery Systems offers theoretical foundations, methodologies, and case studies in each main sector of the system. It explores how system engineering methodologies and their applications in designing, evaluating, and optimizing the operations of the healthcare system could improve patient outcomes and cost effectiveness.
The book presents an overview of current challenges in the healthcare system and the potential impact of system engineering. It describes an integrated framework for the delivery system and the tools and methodologies used for performance assessment and process improvement with examples of lean concept, evidence-based practice and risk assessment. The book then reviews system engineering methodologies and technologies and their applications in healthcare. Moving on to coverage of the design, planning, control and management of healthcare systems, the book contains chapters on 12 services sectors: preventive care, telemedicine, transplant, pharmacy, ED/ICU, OR, decontamination, laboratory, emergency response, mental health, food and supplies, and information technology. It presents the state-of-the-art operations and examines the challenges in each service unit.
While system engineering concepts have been broadly applied in healthcare systems, most improvements have focused on a specific segment or unit of the delivery system. Each unit has strong interactions with others and any significant improvement is more likely to be sustained over time by integrating the process and re-evaluating the system design from a holistic viewpoint. By providing an overview of individual operational sectors in the extremely complex healthcare system and introducing a wide array of engineering methods and tools, this handbook establishes the foundation to facilitate integrated system thinking to redesign the next generation healthcare system.

Yuehwern Yih is a Professor of Industrial Engineering at Purdue University, Indiana.

Healthcare Delivery System OverviewHealth Care: How Did We Get Here and Where Are We Going? David M. LawrenceEngineering and the Healthcare Delivery System, Proctor P. Reid and W. Dale ComptonThe VA Healthcare Delivery System, Elizabeth M. YanoOutpatient Clinics: Primary and Specialty Care, Deanna R. WillisDesigning a Nurse-Managed Healthcare Delivery System, Julie Cowan NovakLong-Term Care, Kathleen Abrahamson and Karis PresslerHealthcare Insurance: An Introduction, Vinod K. Sahney and Ann TousignantAn Integrated Model of Healthcare Delivery, Steven M. Witz and Kenneth J. MusselmanPerformance Assessment and Process Improvement ManagementPerformance Assessment for Healthcare Organizations, Peter Arthur Woodbridge and George Oscar AllenManaging Physician Panels in Primary Care, Hari Balasubramanian, Brian T. Denton, and Qi Ming LinLean in Health Care, Philip C. Jones and Barrett W. ThomasPatient Safety and Proactive Risk Assessment, Pascale Carayon, Hélène Faye, Ann Schoofs Hundt, Ben-Tzion Karsh, and Tosha B. WetterneckToward More Effective Implementation of Evidence-Based Practice: Relational and Contextual Considerations, Priscilla A. Arling, Rebekah L. Fox, and Bradley N. DoebbelingSystem Engineering: Technologies and MethodologiesComputer Simulation in Health Care, Sean Carr and Stephen D. RobertsAn Introduction to Optimization Models and Applications in Healthcare Delivery Systems, Wenhua Cao and Gino J. LimQueueing Theory and Modeling, Linda V. GreenMarkov Decision Processes and Their Applications in Health Care, Jonathan Patrick and Mehmet A. BegenStatistical-Based Analysis and Modeling, Min Zhang and Mark E. CowenAnalyzing Decisions Using Datasets with Multiple Attributes: A Machine Learning Approach, Janusz Wojtusiak and Farrokh AlemiThe Shaping of Inventory Systems in Health Services, Jan de Vries and Karen SpensFacility Planning and Design, Richard L. MillerWork Design, Task Analysis, and Value Stream Mapping, Cindy JimmersonScheduling and Sequencing, Edmund K. Burke, Timothy Curtois, Tomas Eric Nordlander, and Atle RiiseData Mining, Niels PeekApplications to HIV Prevention Strategies, Paul G. Farnham and Arielle LasryCausal Risk Analysis: Revisiting the Vioxx Study, Farrokh Alemi and Manaf ZargoushDesign, Planning, Control, and Management of Healthcare SystemsPreventive CareVaccine Production, Karen M. Polizzi and Cleo KontoravdiEconomic Implications of Preventive Care, George H. Avery, Kara E. Leonard, and Steve P. McKenzieTelemedicineInteractive Medicine, Pamela Whitten, Samantha A. Nazione, and Jennifer CornacchioneTransplant ServicesThe U.S. Organ Transplant Network: History, Structure, and Functions, Timothy L. Pruett and Joel D. NewmanPharmacy OperationPharmacoeconomics and the Drug Development Process, Stephanie R. Earnshaw, Thomas N. Taylor, and Cheryl McDadeED/ICU OperationEmergency Department Crowding, Joshua A. Hilton and Jesse M. PinesEmergency Department Throughput from a Healthcare Leader’s Perspective, Airica SteedOR ManagementCapacity Planning in Operating Rooms, John T. BlakeManaging Critical Resources through an Improved Surgery Scheduling Process, Erik Demeulemeester, Jeroen Beliën, and Brecht CardoenAnesthesia Group Management and Strategies, William H. Hass, Alex Macario, and Randal G. GarnerDecontamination ServiceTurnovers and Turnarounds in the Healthcare System, June M. Worley and Toni L. DoolenDecontamination Service, Peter F. HooperLaboratoriesQuality Control in Hospital Clinical Laboratories: A System Approach, George G. KleeEmergency Response and Pandemics PlanningEmergency Planning Model for Pandemics, J. Eric Dietz, David R. Black, Julia E. Drifmeyer, and Jennifer A. SmockPublic Health and Medical Preparedness, Eva K. Lee, Anna Yang Yang, Ferdinand Pietz, and Bernard BeneckeMental HealthMental Health Allocation and Planning Simulation Model, H. Stephen Leff, David R. Hughes, Clifton M. Chow, Steven Noyes, and Laysha OstrowCorrelation with Social and Medical Factors, Kathleen Abrahamson, Karis Pressler, and Melissa Grabner-HagenFood and SuppliesHealthcare Foodservice, L. Charnette NortonHealthcare-Product Supply Chains: Medical-Surgical Supplies, Pharmaceuticals, and Orthopedic Devices: The Flows of Product, Information, and Dollars, Leroy B. SchwarzTracking and Information SystemsWireless Sensor Network, James A.C. Patterson, Raza Ali, and Guang-Zhong YangBar Coding in Medication Administration, Ben-Tzion Karsh, Tosha B. Wetterneck, Richard J. Holden, A. Joy Rivera-Rodriguez, Hélène Faye, Matthew C. Scanlon, Pascale Carayon, and Samuel J. AlperClinical Decision Support Systems, Sze-jung Sandra Wu, Mark Lehto, and Yuehwern YihHealth Informatics: Systems and Design Considerations, Jose Antonio Valdez and Rupa Sheth ValdezPrivacy/Security/Personal Health Record Service, Jeff DonnellIndex