Superior Productivity: How to Get It, How to Keep It / Edition 2

by Paul Fogel

Overview

Loaded with practical, enduring solutions, this book helps hospitals and health systems achieve increased productivity in a surprisingly short time and at low cost. Paul Fogel draws on his experience with more than 70 hospitals and presents a simple, logical, and powerfully effective approach that focuses on implementing understandable labor standards, monitoring systems, and management protocols that build continuously on the organization’s accomplishments and improvements. This revised second edition not only supports current financial and workforce trends in healthcare services, but also introduces an all-new chapter on how to develop workload measures to accurately reflect both volume and patient or service mix. Dozens of incisive illustrations, tables, financial models, and case studies illuminate the text’s core concepts of measurement, accountability, simplicity, and fairness. If you are a hospital administrator, physician, corporate health system manager, financial executive, or health plan administrator, you will find here the tools to invigorate the productivity of your organization with long-lasting success.

Product Details

ISBN-13:	9781938870583
Publisher:	Health Professions Press
Publication date:	04/01/2016
Edition description:	2nd ed.
Pages:	240
Product dimensions:	5.90(w) x 8.90(h) x 0.70(d)

About the Author

Paul Fogel is the President of Executive Information Systems, Inc. The firm produces a financial reporting and forecasting system for hospitals and offers services in productivity improvement, benchmarking, operations analysis, feasibility studies, and business planning. Mr. Fogel offers a unique perspective gained from working in more than 50 hospitals. Mr. Fogel wrote the feature article for the August 2000 issue of Healthcare Financial Management magazine titled "Achieving Superior Productivity." The Healthcare Financial Management Association (HFMA) also hired him to conduct a workshop called "Benchmarking in Action." Mr. Fogel also leads training workshops for the American College of Healthcare Executives and the Healthcare Financial Management Association. After earning an MBA, Mr. Fogel began work as a financial analyst with several commercial and savings banks and later moved on to venture capital, and then to hospitals as Manager of Strategic Business Analysis, reporting to the CFO. In 1995 he joined MECON, Inc., a national benchmarking and consulting firm to the health care industry (later a division of GE Medical Systems). As senior manager, he educated, trained, and consulted with more than 40 different hospitals, including the United States Army. Becoming self-employed in 1997, Mr. Fogel engaged in extensive long-term work with a Seattle hospital as a productivity and benchmarking consultant. In 1999, he concluded an engagement with the fourteen hospitals of California's Catholic Healthcare West chain. In 2003, he completed work on a financial reporting, productivity, and budgeting system for hospitals and formed a company to bring it to market.

Table of Contents

About the Author v

Preface vii

Introduction xiii

Chapter 1 The State of the Union 1

Been There, Done That 2

Do Layoffs Really Work? 4

Skill Mix Strategy 5

Benchmarking 8

The Problem of Overtime and Registry 12

Hospital Mergers 18

Planning versus Reality 22

Summary 23

Chapter 2 How to Develop Realistic Productivity Standards 27

Learn from History 27

Assign Performance Measures 28

Do the Math 33

After the Analysis 51

Do You Need Outside Help? 54

Comparing Apples and Oranges 58

Summary 62

Chapter 3 Developing Better Units of Service 65

Workload Templates 66

Patient Accounting 86

Work That Is Usually Not Captured 88

Benchmarking Considerations 92

Summary 93

Chapter 4 Implementation 97

Fixed and Variable: Fact or Fiction? 98

The New Deal 105

Implementation Strategy 127

Summary 133

Chapter 5 Monitoring and Reporting 135

Seduced by Technology 135

Technology and Good Management 136

Complex Systems Don't Work 137

Timing of Reviews 139

The New Productivity Report 143

How to Create Your Own Report 144

Make the Master Schedule Work 148

Summary 152

Chapter 6 Incentives and Consequences 155

Laying the Foundation 156

Incentives 158

Consequences 176

Summary 186

Chapter 7 The Politics of Productivity 189

Medical Staff 190

Labor Unions 192

Executives 194

Department Managers 195

The Board 196

Productivity for the Long Term 197

Summary 198

Appendix: Case Studies 201

Emergency Room 201

Dietary 204

Obstetrics/Gynecology Unit 206

Glossary of Terms 209

Index 214

Editorial Reviews

"Hospital leaders: This book serves as support for high level strategic, intentional, mission-oriented labor management, as well as a detailed blueprint for:1. Establishing appropriate, achievable staffing standards2. Effectively monitoring and reporting progress toward those goals3. Implementing accountability for performanceAll three are the core elements of a successful Culture of Productivity. If I had a nickel for every copy of Superior Productivity in Healthcare Organizations that I've recommended or gifted to senior healthcare managers..."

Reviews - Health Solutions at FTI Consulting

"Paul Fogel's ability to capture the obvious and explain the treadmill effect many healthcare executives face in managing their largest expense is astonishing. If executives are tired of fleeting efforts on productivity management and want a pathway to effectiveness, then Superior Productivity in Healthcare Organizations is a must-read. I had looked for most of my career for a solution that tied cultural relevance to outcomes without a one size fits all approach. This methodology answers that longing to find a solution tailored to our uniqueness."

Reviews - Pullman Regional Hospital

"This is a must-read for hospital system executives--buy a copy for every manager at your hospital--you won't regret it. Paul Fogel gives you the knowledge and, most importantly, the exact plan on how to implement an effective productivity system that works, backed up by his proven experience with dozens of hospitals."

Reviews - Foster Health Consulting