A framework to analyze hospital-wide patient flow logistics: Evidence from an Italian comparative study

Villa, S.; Prenestini, Anna; Giusepi, Isabella

doi:10.1016/j.healthpol.2013.12.010

Cited by 47 publications

(60 citation statements)

References 34 publications

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“…This turns out to be useful in order not to excessively delay elective cases because of emergency “intrusions” and to better understand patient flow variability (across the day, the week and the year) using typical variability indicators [36]. …”

Section: Resultsmentioning

confidence: 99%

“…In particular, issues related to information exchange tend to lead to rework, internal supply chain issues are more likely to lead to workarounds [42]. Moreover, the causes of distorted processes and pathways often have to do with inadequate allocation of capacity as well as a lack of coordination between different pipelines and production units [36]. Policy, it is suggested, should stimulate the provision of more coordinated services, for example, through integral cost prices for separate diseases (“case-mixed accounting”) [43].…”

Section: Resultsmentioning

confidence: 99%

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Exploring “patient-centered” hospitals: a systematic review to understand change

Gabutti

Mascia

Cicchetti

2017

BMC Health Serv Res

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BackgroundThe healthcare scenario in developed countries is changing deeply: patients, who are frequently affected by multi-pathological chronic conditions, have risen their expectations. Simultaneously, there exist dramatic financial pressures which require healthcare organizations to provide more and better services with equal (or decreasing) resources. In response to these challenges, hospitals are facing radical transformations by bridging, redesigning and engaging their organization and staff.MethodsThis study has the ambitious aim to shed light and clearly label the trends of change hospitals are enhancing in developed economies, in order to fully understand the presence of common trends and which organizational models and features are inspiring the most innovative organizations. The purpose is to make stock of what is known in the field of hospital organization about how hospitals are changing, as well as of how such change may be implemented effectively through managerial tools. To do so the methodology adopted integrates a systematic literature review to a wider engaged research approach.ResultsEvidence suggests that the three main pillars of change of the system are given by the progressive patient care model, the patient-centered approach and the lean approach. However, there emerge a number of gaps in what is known about how to exploit drivers of change and their effects.ConclusionsThis study confirms that efforts in literature are concentrated in analyzing circumscribed experiences in the implementation of new models and approaches, failing therefore to extend the analysis at the organizational and inter-organizational level in order to legitimately draw consequences to be generalized. There seem to be a number of “gaps” in what is known about how to exploit drivers of change and their effects, suggesting that the research approach privileged till now fails in providing a clear guidance to policy makers and to organizations’ management on how to concretely and effectively implement new organizational models.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-017-2306-0) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Exploring “patient-centered” hospitals: a systematic review to understand change

Gabutti

Mascia

Cicchetti

2017

BMC Health Serv Res

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“…In their study, Villa, Prenestini and Giusepi [12] provided an appraisal of healthcare supply chain management by underlining areas for improvement and determining obstacles to the application of logistics management practices for the flow of patients at three different levels: the hospital, the patient's journey within the hospital and the operating rooms, and the past and future plans of hospitals in developing their logistics management. A similar strategy is used in the proposed model to analyse organ procurement and the distribution of organs.…”

Section: Health Care Supply Chain Managementmentioning

confidence: 99%

Facility Location of Organ Procurement Organisations in Indian Health Care Supply Chain Management

Rajmohan

Theophilus

Sumalatha

et al. 2017

SAJIE

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In health care supply chain management, particularly in the area of organ transplantation, organ procurement and the transplantation network play an important role. The organ procurement organisation (OPO) should coordinate so that organs are prepared and transported to the recipients when donors become available. The scarcity of organ supply leads to life-challenging issues for the organ recipient. In this research, the importance of the location of OPOs to coordinate with the transplant centres in India is considered, and a solution is provided by facilitating the identification of locations where organs can be procured and distributed to the nearest transplant location. The location of the distribution centres of organs are identified, based on the p-median model. This model minimises the weighted distance of the organ recipients. Initially, the demand or the population density of organ recipients with respect to particular location is recognised. Then, based on the p-median model, the location of OPOs is effectively identified. Experimental analysis proves that the proposed model performs well in facilitating the location of OPOs. The robustness of the proposed work is validated using a sensitivity analysis of the differences in the selection of OPOs when the estimated demand for organs varies. OPSOMMINGOrgaanverkryging en die oorplantingsnetwerk speel ŉ belangrike rol in die voorsieningkettingbestuur van gesondheidsorg. Die orgaan verkrygingsorganisasie moet koördineer dat organe voorberei en vervoer word na ontvangers soos wat skenkers beskikbaar word. Die skaarsheid gekoppel aan orgaanverskaffing lei tot lewensgevaarlike situasies vir die orgaanontvanger. Die belangrikheid van die ligging van orgaan verkrygingsorganisasies word oorweeg en ŉ oplossing word verskaf deur die liggings waar organe verkry en versprei kan word na die naaste oorplantingsentrum te identifiseer. Die ligging van die verspreidingsentrums word deur middel van die p-mediaan model identifiseer. Die model minimeer die geweegde afstand tot by die orgaanontvangers. Eksperimentele analise bewys dat die voorgestelde model daarin slaag om die orgaan verkrygingsorganisasies se liggings te fasiliteer. Die robuustheid van die voorgestelde model is gevalideer deur middel van ŉ sensitiwiteitsanalise van die verskille in die seleksie van orgaan verkrygingsorganisasies wanneer die geskatte vraag na organe wissel.

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“…However, variability can be handled by working smarter, through strategies such as capacity management systems (Proudlove et al, 2003, Adan et al, 2009, Vissers et al, 2012, standardized patient processes for homogenous sub-groups of patients (Olsson and Aronsson, 2015) and matching capacity to demand (Walley et al, 2006). Villa et al (2014) points to the fact that the lack of coordination between different pipelines and production units is critical for understanding problems with the handling of variability in patient flows. In these efforts, middle management becomes vital when developing strategies for managing variability in patient flows.…”

Section: Introductionmentioning

confidence: 99%

Middle management involvement in handling variable patient flows

Olsson

Aronsson

Sandberg

2017

MRR

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. His research deals with integration and coordination of a supply chain, and the intersection between logistics and different strategic management issues such as dynamic capabilities, the strategy formation process and business models. Structured Abstract:Purpose To explore the involvement of middle management in forming strategies to manage variable acute patient flows at a hospital. Design/methodology/approach Empirical evidence from a university hospital was gathered via interviews, internal documents, observation and participation in meetings. The role of middle management in the development of strategies was analyzed using literature on middle management involvement. FindingsIn managing variable acute patient flows, middle management adopt a number of roles and behavioral characteristics that have been previously described in research. The role of facilitator is the most prominent, with middle managers prioritizing individual goals and strategies for the clinical departments that they manage before their collective responsibility for hospital performance. Unclear responsibilities and mandates within the organization, together with a lack of hospital-wide strategies concerning how the acute patient flow should be managed, are contributing factors to this behavior. Research limitations/implicationsThe research is based on an explorative, single case study methodology. Future research assessing the extent of different middle management roles in healthcare, in which more empirical data and quantitative analysis is conducted, is encouraged. Practical implicationsThere is a need for top management to establish long-term goals to enhance middle management roles when developing strategies for managing variable patient flows. Originality/value Middle management involvement in developing strategies for managing variable patient flows is a novel topic of research. The interface and division of tasks between top and middle management is crucial for successful strategies in managing variable patient flows. Middle management involvement in handling variable patient flows Abstract PurposeTo explore the involvement of middle management in forming strategies to manage variable acute patient flows at a hospital. Design/methodology/approach Empirical evidence from a university hospital was gathered via interviews, internal documents, observation and participation in meetings. The role of middle management in the development of strategies was analyzed using literature on middle management involvement. Findings In managing variable acute patient flows, middle management adopt a number of roles and behavioral characteristics that have been previously described in research. The role of facilitator is the most prominent, with middle managers prioritizing individual goals and strategies for the clinical departments that they manage before their collective responsibility for hospital performance. Unclear responsibilities and mandates within the organization, together with a lack of hospital-wide strategies concerning how the acute...

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A framework to analyze hospital-wide patient flow logistics: Evidence from an Italian comparative study

Cited by 47 publications

References 34 publications

Exploring “patient-centered” hospitals: a systematic review to understand change

Exploring “patient-centered” hospitals: a systematic review to understand change

Facility Location of Organ Procurement Organisations in Indian Health Care Supply Chain Management

Middle management involvement in handling variable patient flows

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