Society for Health Systems Newsletter
March 2013 Society for Health Systems website

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Institute of Industrial Engineers

The leaving without treatment reduction plan success story: Advocate Trinity

By Julian Magdaleno, M.S., Jacquelyn Whitten, RN, MSN, DNP and Kimberly McIntyre, RN, MSN

An improvement team at Advocate Trinity Hospital in Chicago addressed the issue of a high rate of "left without being seen". This presentation at the 2012 Healthcare Systems Improvement Conference describes how an improvement team used information systems and analytical approaches to gather information on the root causes for problems and potential solutions in the ED. Leadership rounding throughout the ED, establishing effective treatment protocols and finally, front loading medical orders to help expedite patient treatment and prompt patient disposition. After implementation of the above planned measures, the LWOT percentage reduced from the highest rate of 12.4 percent in July 2009 to 1.1 percent in June 2011.


Thank you to all who attended the Healthcare Systems Process Improvement Conference on March 1-4 in New Orleans. The event was a big success, providing over 350 attendees a wealth of ways to improve quality and efficiency in healthcare settings and to network with fellow professionals and students who are striving to achieve those goals. Various attendees praised the quality and quantity of research and noted that they were excited to apply what they learned in their own work settings.

The keynote speakers - Roger Gerard of ThedaCare and Dr. Joseph Guarisco of the Ochsner Health System - were impressive, sharing insights about how engineering work is the only way to save healthcare and how to put patients first while reducing waste in healthcare facilities.

Other highlights included panel discussions, exhibitor demonstrations, and, of course, the special ceremony celebrating the Society for Health Systems' 25th anniversary. Take a look at the SHS Twitter feed to see some of the comments at

Thanks again to all who attended and participated, and we'll see you in 2014!

Allocating limited inpatient bed capacity

By Tom Best, M.S., Don Eisenstein, Ph.D., and Burhan Sandikci, Ph.D., The University of Chicago Booth School of Business, David Meltzer, M.D., Ph.D., The University of Chicago Pritzker School of Medicine

Many academic hospitals struggle to maintain a mix of patients that satisfies their teaching, research, and financial needs. One such hospital received dispensation from the government to partition its inpatient beds into wings. Each wing is allocated a fixed number of beds and can admit only a fixed set of clinical specialties. This presentation
 delivered at the 2012 Healthcare Systems Improvement Conference describes how a model was developed to investigate how best to form wings so as to optimize patient mix.

Kaiser Permanente's healthcare IT journey

By George C. Halvorson, Chairman and Chief Executive Officer, Kaiser Permanente


This presentation (large download) at the 2012 World of Health IT Conference describes how Kaiser Permanente is successfully leveraging IT resources to improve patient care.

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Patient experience and physician productivity: Debunking the mythical divide at HealthPartners Clinics   
By  Troy J Boffeli, DPM, FACFAS; Kerri L Thongvanh, MBA; Sarah J Horst Evans, M.A.; Clay R Ahrens, MHA

It is a common presumption that patients satisfaction and physician productivity are somewhat exclusive. This
study in the Permanente Journal helps dispel commonly held myths about the exclusivity of productivity and patient satisfaction, suggesting that 1) there are many physicians who excel in both areas simultaneously, and 2) there are different characteristics associated with varying levels of performance.

Achieving small batch work flow in anatomic pathology to achieve faster TAT and better quality results

By Richard J. Zarbo, M.D., Henry Ford Health System


This presentation at the 2012 Lab Quality Confab describes how a centralized anatomic pathology lab can be as efficient as a small local lab through applying Lean and industrial engineering principles.

Upcoming webinar

Presented by SEMS and SHS

Reducing Length of Stay and Improving Bed Allocation with Dynamic Simulation
April 2 | 2 p.m. Eastern time
Presenter: Hosni Adra, CreateASoft Inc.

Summary: This presentation discusses the effect of dynamic simulation on reducing length of stay and its impact on bed allocation and hospital capacity. Using real data for analysis, a step-by-step implementation path is presented that takes real-time data, provides analytics for practitioners, and helps in improving communication and overall capacity of different departments in the hospital. Since bed allocation is directly impacted by the length of stay reduction, an overview on how to tie in predictive bed allocation will be presented. Implementation feedback and success from an actual implementation is also presented.

If you are a "SHS Only Member," contact to register.


More information and registration
Thanks! SHS Newsletter Team
Swati Verma | Amanda Baty
Bart Sellers, interim editor


Now recruiting SHS Newsletter volunteers!
The SHS Newsletter team is looking for volunteers to increase the quality, breadth, and depth of the monthly SHS Newsletter. Volunteers can fill many roles including identifying content, coordinating announcements from the other SHS committees, soliciting submissions, and generating original content. To find out more about volunteer opportunities, contact Bart Sellers, SHS Newsletter editor. 

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