NDLI: Relating focus to quality and cost in a healthcare setting

Please wait, while we are loading the content...

Relating focus to quality and cost in a healthcare setting

Content Provider	Springer Nature Link
Author	McDermott, Christopher M. Stock, Gregory N. Shah, Rachna
Copyright Year	2011
Abstract	Focus in healthcare has been heralded as the next frontier in improving its efficiency and efficacy (Herzlinger 2004). Focus takes several different forms, ranging from standalone specialty centers to a hospital that places a strategic emphasis on a clinical area. We adopt this latter perspective and define focus as a disproportionate emphasis on a particular clinical area in a hospital. We use secondary data from hospitals providing cardiology care in New York State to examine the relationship between focus and performance. We develop two measures of focus. Proportional focus is defined to be the proportion of cases treated in a particular clinical specialty. Expertise focus is defined to be specific evidence that a hospital has taken action to build expertise in treating diseases in that specialty. We operationalize hospital performance along cost and quality dimensions, and we use hierarchical regression to examine the impact of focus on performance. Our results indicate that proportional focus, but not expertise focus, is associated with better cost performance. Quality performance, on the other hand, was associated only with the interaction between proportional focus and expertise focus, which means that only hospitals exhibiting higher levels of both proportional and expertise focus achieve better quality performance. These findings support the notion that not only is focus important in healthcare, but also that researchers and practitioners need to recognize that relationships are contingent on the performance and focus measures used and thus, findings may not be generalizable from one metric to another.
Starting Page	127
Ending Page	137
Page Count	11
File Format	PDF
ISSN	19369735
Journal	Operations Management Research
Volume Number	4
Issue Number	3-4
e-ISSN	19369743
Language	English
Publisher	Springer US
Publisher Date	2011-05-03
Publisher Place	Boston
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Healthcare Focus Hospital Cost Quality Strategy Engineering Economics, Organization, Logistics, Marketing Operations Research/Decision Theory Production/Logistics/Supply Chain Innovation/Technology Management Industrial and Production Engineering Management/Business for Professionals
Content Type	Text
Resource Type	Article
Subject	Industrial and Manufacturing Engineering Management Science and Operations Research Strategy and Management Management of Technology and Innovation

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Supply chain quality management practices and performance: An empirical study

Value-based supply chain innovation

Supply chain integration mechanisms for alleviating supply problems in manufacturing firms

Integrative retail logistics: An exploratory study

Special Issue of Operations Management Research : National Culture and Service Operations

Operations management research—call for papers : Special issue on: “Reshoring: a supply chain innovation perspective”

Exploring the financial impact of outsourcing services strategy on manufacturing firms

Proposals for special issues welcomed

Editorial: Announcing the operations management research best paper award

Relating focus to quality and cost in a healthcare setting

Similar Documents

Supply chain quality management practices and performance: An empirical study

Value-based supply chain innovation

Supply chain integration mechanisms for alleviating supply problems in manufacturing firms

Integrative retail logistics: An exploratory study

Special Issue of Operations Management Research : National Culture and Service Operations

Operations management research—call for papers : Special issue on: “Reshoring: a supply chain innovation perspective”

Exploring the financial impact of outsourcing services strategy on manufacturing firms

Proposals for special issues welcomed

Editorial: Announcing the operations management research best paper award

Relating focus to quality and cost in a healthcare setting