Evidence-based Management in Healthcare

by Kovner, Anthony R.; Fine, David J.; D'aquila, Richard

• ISBN13: 9781567933062
• ISBN10: 1567933068
• Edition: 1st
• Format: Paperback
• Copyright: 2009-04-30
• Publisher: Health Administration Pr

Author Biography

Anthony R. Kovner, PhD, is a professor at The Wagner School of Public Service at New York University, and is director of the Master of Science in Management concentration for Nurse Leaders. Dr. Kovner has been a senior manager in two hospitals, a nursing home, a group practice, and a neighborhood health center, as well as a senior healthcare consultant for a large industrial union. He has written 11 books and 91 peer-reviewed articles. David J. Fine, PhD, Fache, is the president and chief executive officer of St. Luke's Episcopal Health System. Dr. Fine has 35 years of experience as a healthcare executive and holds professorial appointments at Rice University, Texas AM University, Baylor College of Medicine, and the University of Texas Health Science Center-Houston. He is the author or coauthor of 4 books and 29 peer-reviewed articles. Richard D'Aquila, Fache, is the executive vice president and chief operating officer at Yale-New Haven Hospital and executive vice president of Yale New Haven Health System. Mr. D'Aquila is a member of the lecturing faculty at the Wagner School of Public Service at New York University and the Yale University School of Epidemiology and Public Health.

Table of Contents

Foreword	p. xv
Acknowledgments	p. xix
Introduction	p. xxi
The Transformation to Evidence-Based Management
Using Research Evidence When Making Decisions: Views of Health Services Managers and Policymakers	p. 3
How the Research Was Conducted	p. 3
What We Learned	p. 6
Implications of the Findings	p. 13
Application of Evidence-Based Management at an Academic Medical Center: The Yale-New Haven Hospital Experience	p. 17
About Yale-New Haven Hospital	p. 18
Evidence-Based Management: Application of Principles at Yale-New Haven Hospital	p. 18
Achieving the Corporate Objectives	p. 26
Evidence-Based Management as a Transformational Lever at St. Luke's Episcopal Health System	p. 29
Initial Assessment	p. 29
Introduction of Evidence-Based Management Philosophy	p. 30
Evidence-Based Management in Action	p. 31
Evidence-Based Management at Two New York City Medical Centers	p. 45
Montefiore Medical Center	p. 45
The Other Hospital	p. 48
Theories and Definitions of Evidence-Based Management
Evidence-Based Management Reconsidered	p. 53
What Is Evidence-Based Management?	p. 56
To What Types of Management Questions Can EB Management Be Applied?	p. 58
A Study of the Use of Evidence in Decision Making by Health Services Managers in the United States	p. 65
Strategies to Increase the Use of EB Management	p. 67
Evidence-Based Management Reconsidered: 18 Months Later	p. 79
Methods for Developing Actionable Evidence for Consumers of Health Services Research	p. 83
Six Steps for Managers to Consider When Making a Well-Informed Decision	p. 83
Four A's of Useful Evidence	p. 90
Look it Up	p. 97
Case Studies of Management Interventions Using an Evidence-Based Management Approach
Introduction to the Case Studies	p. 109
Leadership Development at the Saint Boniface Healthcare System	p. 110
Forming a Corporate University; More of the Same or Something New?	p. 111
Transforming CEO Evaluation in a Multi-Unit Organization	p. 112
Improving Pain Management in Long-Term Care	p. 113
The Business Case for Continued Existence of a Hospital Palliative Care Unit	p. 113
Using Evidence in Integrated Chronic Care Management	p. 114
Data-Driven Inpatient Bed Planning	p. 115
Using EB Management to Improve Operating Room Scheduling	p. 116
Evidence-Based Criteria for Hospital Evacuation: The Case of Hurricane Katrina	p. 117
Improving the Health Status of Underserved Children in Houston's East End	p. 118
Leadership Development at the Saint Boniface Healthcare System	p. 121
The SBHCS Leadership Institute	p. 123
Forming a Corporate University: More of the Same or Something New?	p. 137
Applying Evidence-Based Management	p. 138
Transforming CEO Evaluation in a Multi-Unit Healthcare Organization	p. 153
Designing and Implementing Evidence-Based CEO Evaluation	p. 154
Improving Pain Management in Long-Term Care	p. 161
Applying Evidence-Based Management	p. 162
The Business Case for a Hospital Palliative Care Unit: Justifying Its Continued Existence	p. 171
What Is Palliative Care?	p. 171
Palliative Care in Our Medical Center	p. 172
Broader Applicability of Our Methods	p. 179
Using Evidence in Integrated Chronic Care Management	p. 181
Applying Evidence-Based Management	p. 181
Data-Driven Inpatient Bed Planning	p. 189
Applying Evidence-Based Management	p. 189
Using Evidence-Based Management to Improve Operating Room Scheduling	p. 207
Environmental Considerations	p. 208
The Case: Block Scheduling at Memorial Hospital	p. 209
Additional Questions and Considerations	p. 216
Evidence-Based Criteria for Hospital Evacuation: The Case of Hurricane Katrina	p. 219
Applying Evidence-Based Management	p. 221
Improving the Health Status of Underserved Children in Houston's East End	p. 233
Applying Evidence-Based Management	p. 235
Lessons Learned, and Where Do We Go from Here?
Summing Up and Lessons Learned: Interviews with Richard D'Aquila and David J. Fine	p. 249
What Is the Message of This Book?	p. 249
Why Don't More Managers Adopt an Evidence-Based Approach?	p. 250
What Did We Learn While Writing This Book?	p. 251
What Are Our Plans for Further Developing EB Management in Our Organization and Professional Career?	p. 252
Supplementary Materials
Appendix: Selected Sources of Information of the Evidence-based Approach and Related Topics	p. 259
Index	p. 281
About the Authors	p. 295
About the Contributors	p. 297
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