Business Process Redesign in the Perioperative Process: A Case Perspective for Digital Transformation

This case study investigates business process redesign within the perioperative process as a method to achieve digital transformation. Specific perioperative sub-processes are targeted for re-design and digitalization, which yield improvement. Based on a 184-month longitudinal study of a large 1,157 registered-bed academic medical center, the observed effects are viewed through a lens of information technology (IT) impact on core capabilities and core strategy to yield a digital transformation framework that supports patient-centric improvement across perioperative sub-processes. This research identifies existing limitations, potential capabilities, and subsequent contextual understanding to minimize perioperative process complexity, target opportunity for improvement, and ultimately yield improved capabilities. Dynamic technological activities of analysis, evaluation, and synthesis applied to specific perioperative patient-centric data collected within integrated hospital information systems yield the organizational resource for process management and control. Conclusions include theoretical and practical implications as well as study limitations

Analysis of Sector Led Improvement of Children and Young People’s Services

This paper was commissioned by the Association of Directors of Children’s Services (ADCS) National Performance and Information Management Group (NPIMG) to support the work of ADCS to evaluate and assess the impact of Sector Led Improvement of Children and Young People’s Services, and to explore the possibility of designing and developing (with ADCS and other partners) an ‘Early Warning’ model. The objective is to identify when and where the performance of Children and Young People’s Services is moving in the wrong direction. We undertake pre-post testing and difference in difference analysis, the latter allows us to use control data to ensure that external factors affecting all regions are considered

Measuring performance in healthcare

Hospitals invest in process management and process optimization from an organizational and patient perspective to increase efficiency and simultaneously the quality of their operations. Consequently, the use of process-oriented performance measurement systems gains importance. This study contributes to the development of a dashboard for the process of hip surgery using a case study design. We integrate strategic goals of hospital management and different stakeholders with the analysis of Business Process Management and Hospital Information Systems’ data. Process-oriented KPIs were integrated into the dashboard using a three-step approach. Dashboards enable healthcare organizations to put process-oriented performance measurement into practice

On the Impact Assessment of ACIAR (Australian Centre for International Agricultural Research) Projects

The current ACIAR (Australian Centre for International Agricultural Research) guidelines for impact assessment of agricultural development projects see impact assessment as being useful for both accountability to stakeholders and as a learning tool to find out what works, what doesn’t work and why. The methodology involves the use of conventional economic evaluation and the estimation of a money metric based on measuring outcomes in terms of economic surplus changes attributable to directed actions and activities. On the question of accountability to stakeholders, this paper suggests that the money metric may not be the best outcomes-based measure of performance against development goals and that other performance indicators ought to be considered. The paper also suggests exploring other approaches to assess accountability including qualitative (narrative) methods as well as process-based accountability. On the question of using impact assessment as a learning tool, the paper suggests this might be quite useful for more traditional non-adaptive research, but is less useful for adaptive research projects involving participatory action research (PAR). With PAR projects, learning about what works, what doesn’t work and why already occurs as an integral part of the research process. The paper concludes with some thoughts about project evaluation of an ACIAR-funded project with which the authors are involved in northwest Cambodia focusing on upland crop production and marketing.Project evaluation, impact assessment, adaptive project management, Cambodia., Research and Development/Tech Change/Emerging Technologies,

Operations Management

Global competition has caused fundamental changes in the competitive environment of the manufacturing and service industries. Firms should develop strategic objectives that, upon achievement, result in a competitive advantage in the market place. The forces of globalization on one hand and rapidly growing marketing opportunities overseas, especially in emerging economies on the other, have led to the expansion of operations on a global scale. The book aims to cover the main topics characterizing operations management including both strategic issues and practical applications. A global environmental business including both manufacturing and services is analyzed. The book contains original research and application chapters from different perspectives. It is enriched through the analyses of case studies

A Case Study Perspective to the Digital Transformation of a Hospital’s Perioperative Process

Based on a 177-month longitudinal study of a large 1,157 registered-bed academic medical center, this research examines the observed effects associated with the digital transformation of a United States hospital’s perioperative process. The observed effects are viewed through a lens of information technology (IT) impact on core capabilities and core strategy to yield a digital transformation framework that supports patient-centric improvement across the perioperative sub-processes of pre-admissions, pre-operative, intra-operative, post-operative, and central sterile supply. This case study identifies existing perioperative sub-process limitations, potential capabilities, and subsequent sub-process contextual understanding to minimize perioperative process complexity. Specific perioperative nursing documentation as electronic medical records demonstrate the utility and value of patient-centric perioperative data collected within integrated hospital information systems as an organizational resource for process management and control. The case results are discussed, including theoretical and practical implications as well as study limitations