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Through the Lens of the Toyota Production System: Recommendation for the Implementation of a Regional Anesthesia and Surgical Network in Michigan's Upper Peninsula Critical Access Hospitals Owned by Aspirus, Inc
Başlık:
Through the Lens of the Toyota Production System: Recommendation for the Implementation of a Regional Anesthesia and Surgical Network in Michigan's Upper Peninsula Critical Access Hospitals Owned by Aspirus, Inc
Yazar:
Klyder, Christa, author.
ISBN:
9780438035539
Yazar Ek Girişi:
Fiziksel Tanımlama:
1 electronic resource (113 pages)
Genel Not:
Source: Dissertation Abstracts International, Volume: 79-10(E), Section: B.
Advisors: Gregory Lawrence Committee members: Jane Motz.
Özet:
Purpose: This Capstone project sought to determine if a Regional Anesthesia and Surgical Network (RASN) was an appropriate program for Aspirus to implement in Michigan's Upper Peninsula (UP) Critical Access Hospitals (CAHs) using lean methodology learned from the Toyota Production System (TPS). RASN's areas of influence include anesthesia and surgical personnel management, standardization, workflow optimization, fiscal management and monitoring, supply chain management, quality improvement, brand imaging, and efficiency. RASN would merge the anesthesia and surgical departments into one lean practice, utilizing data and evidence-based literature to guide operational, financial, and clinical services and decisions.
Methods: Data was gathered from key contacts at three out of four UP hospitals owned by Aspirus, Inc. Items examined included anesthesia staffing models, surgical department statistics, and available Enuff Budget and Variance reports. An exhaustive literature review was completed.
Results: As identified in literature, numerous hospital systems have experienced positive outcomes with system level management, standardization, and lean implementation. Combining evidence-based literature with the author's personal experience at Aspirus CAHs, the author drew a professional recommendation in favor of implementing RASN using lean methodology throughout the CAHs. RASN provides Executive-level leadership and department managers with the necessary infrastructure to operate high performing surgical and anesthesia departments, offering a clear competitive advantage in the UP. A Regional Director of Anesthesia and Surgical Service Lines must lead RASN, developing the vision across the Aspirus system. With RASN, Aspirus may experience over $4 million in savings throughout the four UP hospitals.
Conclusion: The author's expert opinion encourages Aspirus to pursue RASN, applying TPS to the anesthesia and surgical departments. RASN provides an opportunity to maximize value for the organization, while decreasing waste and increasing customer and staff satisfaction. Most importantly, the Aspirus surgical experience would become branded throughout the UP, providing the same experience for patients at each Aspirus surgical department. Final recommendations were compiled into a booklet for dissemination to Executive-level leadership.
Notlar:
School code: 1873
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Yer Numarası | Demirbaş Numarası | Shelf Location | Lokasyon / Statüsü / İade Tarihi |
---|---|---|---|
XX(681559.1) | 681559-1001 | Proquest E-Tez Koleksiyonu | Arıyor... |
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