Loaded with practical, enduring solutions, this book will help hospitals and health systems achieve increased productivity in a surprisingly short time and at low cost. This revised second edition not only supports current financial and workforce trends in healthcare services, but also introduces new measurement methods.
In a supportive, conversational style, the author takes you step by step through a simple, logical, and powerfully effective approach that moves from analysis to implementation of productivity standards, and then beyond. Drawing upon his successful experience with more than 70 hospitals, Paul Fogel provides dozens of incisive illustrations, tables, financial models, and case studies to illuminate the text’s core concepts of measurement, accountability, simplicity, and fairness.
Whether you want to increase current work output or reclaim lost productivity, you will learn how to:
- Develop and implement realistic and understandable labor standards
- Resolve core productivity concepts and management problems
- Avoid falling back on stopgap measures, such as layoffs
- Institute effective, customized monitoring systems and management protocols
- Formulate new procedures to capture and build on what has been accomplished
- and so much more!
One of the most valuable additions to this revised edition is an all-new chapter on developing workload measures to accurately reflect both volume and patient or service mix.
If you are a hospital administrator, physician, corporate health system staff, financial executive, or hospital or health plan administrator, you will find here the tools to invigorate the productivity of your organization with long-lasting success.
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Also available through: Chegg, Baker and Taylor, OverDrive, Gardners, and Follett
About the Author
Chapter 1: The State of the Union
- Been There, Done That
- Do Layoffs Really Work?
- Skill Mix Strategy
- The Problem of Overtime and Registry
- Hospital Mergers
- Planning versus Reality
Chapter 2: How to Develop Realistic Productivity Standards
- Learn from History
- Assign Performance Measures
- Do the Math
- After the Analysis
- Do You Need Outside Help
- Comparing Apples and Oranges
Chapter 3: Developing Better Units of Service
- Workload Templates
- Patient Accounting
- Work That Is Usually Not Captured
- Benchmarking Considerations
Chapter 4: Implementation
- Fixed and Variable: Fact or Fiction?
- The New Deal
- Implementation Strategy
Chapter 5: Monitoring and Reporting
- Seduced by Technology
- Technology and Good Management
- Complex Systems Don’t Work
- Timing of Reviews
- The New Productivity Report
- How to Create Your Own Report
- Make the Master Schedule Work
Chapter 6: Incentives and Consequences
- Laying the Foundation
Chapter 7: The Politics of Productivity
- Medical Staff
- Labor Unions
- Department Managers
- The Board
- Productivity for the Long Term
Appendix: Case Studies
- Emergency Room
- Obstetrics/Gynecology Unit
Glossary of Terms
Paul Fogel, M.B.A., is the President of Executive Information Systems, Inc., an independent firm producing a financial reporting and forecasting system for hospitals that also 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 70 hospitals.
Starting as a financial analyst in the banking and investment field, Mr. Fogel moved to the healthcare industry as a strategic business analyst. Working as a senior manager for MECON, Inc. (now known as Truven, Inc.), a national benchmarking and consulting firm to the healthcare industry, he consulted with more than 40 hospitals, including the United States Army, before starting his own consulting business in 1997. He has published articles on healthcare productivity and benchmarking in professional journals and speaks on related topics for the Healthcare Financial Management Association and the American College of Healthcare Executives.
“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 that is tailored to our uniqueness.”
—Steven D. Febus, MBA, CFO, Pullman Regional Hospital
“Hospital leaders: This book serves as support for high level strategic, intentional, mission-oriented labor management, and is a detailed blueprint for:
All 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…”
—Keith Gott, Senior Director, Health Solutions at FTI Consulting, author of A Productivity Practicum
“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.”
—Megan Foster, CEO of Foster Health Consulting, creator of Fostering the Journey: Empowering Programs for Dementia Caregivers