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Søren Bisgaard was an extremely productive and insightful scholar of modern industrial statistics and quality engineering. He was amazing for both his breadth of interests and the depth of his scholarship. Søren was one of the very few people making substantial contributions in so many basic areas in statistics and quality engineering. This compilation collects 31 of his works and is divided into four broad areas: Design and Analysis of ExperimentsTime Series AnalysisThe Quality ProfessionHealthcare Engineering This book provides a comprehensive coverage of essential statistical methods for the 2k-p factorial system and shows the basic principles of time series analysis through examples. Furthermore, this book presents the connection between the application of the scientific method and quality improvement, and it points out the importance of quality improvement to tangible financial results. Finally, this book explains the seemingly paradoxical idea that we can enhance quality while reducing cost of healthcare.
Healthcare around the world is in crisis as a result of complex structural and strategic problems that will require solutions at a very high level. This book demonstrates that effective solutions based on modern quality management principles can be applied to alleviate many problems locally within healthcare institutions. It is designed to support doctors, nurses, technicians, and administrators who are interested in applying quality management principles and the tools of Lean Six Sigma to improve healthcare within their own institutions. The book should also be of interest to politicians, policy makers and government officials wrestling with healthcare issues. The book presents a wide selection of examples of the applications of Lean Six Sigma originally published in two of ASQ’s journals, Quality Progress and Six Sigma Forum Magazine over the past few years. Each case illustrates some aspect of how to improve quality and reduce waste in healthcare institutions, whether in the direct delivery of healthcare or on the equally important administrative side. Some of the cases are from large metropolitan hospitals and others are from smaller institutions. Most of the cases show what has worked, while a few show pitfalls or obstacles to be avoided. Chapter 1 presents some of the basic notions of Lean Six Sigma quality management, explains key concepts and terminology, and makes the reading of the cases easier. The introduction is followed by Chapter 2 presenting six articles of a general nature written by healthcare professionals from a variety of healthcare institutions engaged in quality improvement: how they achieved their results and what they learned. Chapter 3 provides eight detailed cases that describe specific applications of Lean Six Sigma to healthcare. Finally, Chapter 4 provides a discussion of lessons learned and where we go from here. This book is specifically intended for healthcare professionals with no previous background, knowledge, or experience with Lean Six Sigma. More broadly, it should be of interest to anyone interested in healthcare quality: doctors, nurses, pharmacists, technicians, healthcare administrators, consultants, concerned citizens, politicians, policy analysts, government officials, etc. These cases from American and European healthcare organizations of the use of Lean Six Sigma are documented by pioneering front line healthcare professionals ─ doctors, nurses and healthcare administrators ─ willing to take personal responsibility and show leadership to improve quality and reduce the escalating costs of healthcare. This book is not about theory. It is a book for doers, showing healthcare providers how to do it. It shows how they can take their destiny in their hands and do something about healthcare quality and costs.
There have been long-term fiscal simulations of what might happen to fed. deficits and debt levels under varying policy assumptions. These simulations were updated with Jan. 2008 budget and economic projections and continue to indicate that the long-term fed. fiscal outlook remains unstable. The fiscal challenges facing all levels of gov¿t. are linked and should be considered in a strategic and integrated manner. The fed. gov¿t. faces large and growing structural deficits driven primarily by rising health care costs and known demographic trends. Nearly 80 million Americans will become eligible for Social Security retirement benefits in the next 20 yrs. Medicare and Medicaid are both large and projected to continue growing rapidly in the future.
Long-term fiscal simulations of what might happen to fed. deficits and debt levels under varying policy assumptions continue to illustrate that the long-term fiscal outlook is unsustainable. Despite some improvement in the long-term outlook for fed. health and retirement spending, the fed. gov¿t. still faces large and growing structural deficits driven primarily by rising health care costs and known demographic trends. Nearly 80 million Americans will become eligible for Social Security retirement benefits over the next two decades. Yet the real drive of the long-term fiscal outlook is health care spending. Medicare and Medicaid are both large and projected to continue growing rapidly in the future. Charts and tables.
Medicare, the world's single largest health insurance program, covers more than 47 million Americans. Although it is a national program, it adjusts payments to hospitals and health care practitioners according to the geographic location in which they provide service, acknowledging that the cost of doing business varies around the country. Under the adjustment systems, payments in high-cost areas are increased relative to the national average, and payments in low-cost areas are reduced. In July 2010, the Department of Health and Human Services, which oversees Medicare, commissioned the IOM to conduct a two-part study to recommend corrections of inaccuracies and inequities in geographic adjustments to Medicare payments. The first report examined the data sources and methods used to adjust payments, and recommended a number of changes. Geographic Adjustment in Medicare Payment - Phase II:Implications for Access, Quality, and Efficiency applies the first report's recommendations in order to determine their potential effect on Medicare payments to hospitals and clinical practitioners. This report also offers recommendations to improve access to efficient and appropriate levels of care. Geographic Adjustment in Medicare Payment - Phase II:Implications for Access, Quality, and Efficiency expresses the importance of ensuring the availability of a sufficient health care workforce to serve all beneficiaries, regardless of where they live.
"[W]e must tell the story of how social insurance programs have assured basic economic and health security for millions of AmericansÖ.This book is a must-read for anyone who cares about these goals." -From the Foreword by Barbara Kennelly President and CEO, National Committee to Preserve Social Security and Medicare This politically charged, provocative text serves as an introduction to social insurance programs, examining all aspects of these hotly debated policies. The editors cover cutting-edge topics, including Social Security and privatization, universal health insurance, and how America's changing demographics will impact social security in the years to come. Five key sections cover the critical topics: Social Insurance: History, Politics, and Prospects examines the foundational social insurance principles upon which Social Security, Medicare, and other programs are based What's at Stake identifies the risks posed to women, minorities, and the elderly if they could no longer depend on social insurance programs The Ongoing Debates on Social Insurance discusses public opinions of social insurance programs, and responds to arguments supporting privatization Critical Perspectives on Social Insurance Reform presents international experiences and policy trends, and analyzes reform movements from a social justice perspective Teaching Social Insurance: Critical Pedagogy and Social Justice presents pedagogical strategies to help students understand, influence, and engage in an informed debate about social policy