Improving on-time performance in health care organizations: a case study
Source: Health Care Management Science, Volume 2, Number 1, 1999 , pp. 27-34(8)
Abstract:In this paper, we propose a strategy to build a measurement system that helps improve on-time performance in health care organizations. We analyze the measurement system for monitoring the performance of daily start times of first surgeries in a U.S. hospital. Although surgeons appear to be the main cause of delay, efforts to improve their on-time performance alone are not sufficient to improve on-time performance for first surgeries. Therefore, working on the main source of delay to improve performance, as the Pareto principle suggests, does not always work in the health care context. Rather, we found that ameliorating the hospital’s overall on-time performance achieves the desired result of improving surgeons’ performance through a snowball effect (a self-reinforcing effect) and, consequently, the on-time performance for first surgeries also improves.
Document Type: Regular Paper
Affiliations: 1: CRT & Department of Mathematics and Industrial Engineering, Ecole Polytechnique, C.P. 6079 succ. centre-ville, Montreal, QC, Canada H2V 1N2 E-mail: firstname.lastname@example.org 2: Independent Project Analysis Inc., 11150 Sunset Hills Road, Reston, VA 20910, USA 3: BellSouth Telecommunications, 675 West Peachtree Street, Room 41L80, Atlanta, GA 30375, USA E-mail: email@example.com
Publication date: January 1, 1999