Healthy Results from a Care Transformation

Healthy Results from a Care Transformation

OSF Medical Group has rolled out a Care Transformation initiative to 40 of its medical clinics in Illinois, with healthy results. Under the initiative, clinicians work in a multidisciplinary team to better serve patients. Every morning, the team meets to discuss the daily agenda, quality performance achievements and challenges.

This approach has proven successful in increasing the number of patients being seen, improving preventive services, ensuring treatment compliance, and providing patient-centered care.

This post is based on the Modern Healthcare article, OSF Medical Group Adopts Team-Based Approach Across Clinics, by M. Castellucci, December 16, 2017.

Discussion Questions
1. What is the composition of a typical team at OSF? Why does the nurse play a particularly important role?

Guidance: A team comprises at least one physician, a nurse, a nurse practitioner, a social worker, a care manager, and a medical assistant. Nurses help free up physicians’ time by seeing patients with common ailments and handling simple follow-up appointments. They also find ways to improve care. Job enlargement and enrichment strategies can be discussed.

2. Are the teams described in the article self-directed? What benefits can be achieved with such teams?

Guidance: The teams described in the article set their Continue reading

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Canadian Sand in LA Highrises

Canadian Sand in LA Highrises

Article Title: Why Builders of Big L.A. Projects Are Making Concrete with Gravel and Sand Shipped from Canada

Author of Article: J. R. Koren

Date of article: November 4, 2017

Source URL: http://www.latimes.com/business/la-fi-canadian-gravel-20171104-htmlstory.html

For construction projects in the Los Angeles area, it is now cheaper to import the gravel and sand – known as aggregate – from Canada than to ship it from local quarries.

The aggregate travels one mile on conveyor belts from a quarry in Vancouver Island to a floating terminal on the coast. Ships then carry the materials 1,450 miles away to the Port of Long Beach. The materials are transported to a terminal on a conveyor belt. From there, they will be loaded into trucks to reach the construction sites.

The transportation cost is $16 compared to the $22.75 it would cost to truck a ton of materials from a local quarry to downtown L.A. These lower transportation costs, better quality of materials, and local residents’ reluctance to have quarry-related work and traffic nearby have contributed to increasing imports despite an abundant domestic supply.

Discussion Questions
1. Why is it cheaper to import the aggregate from Canada?

Guidance: Discuss the lower Continue reading

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The Skinny on Airline Seats

The Skinny on Airline Seats

Article Title: Air Travelers Resisting the ‘Incredible Shrinking Airline Seat’

Author of Article: M. C. White

Date of article: November 6, 2017

Source URL: https://www.nytimes.com/2017/11/06/business/airline-seat.html

This New York Times article illustrates the clash among marketing, finance, and operations strategies in the airline industry.

On one side, marketing departments and consumer advocate groups insist on preserving existing leg room standards.  On the other, revenue management departments push for efficiency-oriented plane redesigns that squeeze more seats into an airplane.

Slimmer seat designs can offer passengers more room. However, they also provide the opportunity to add one or two extra rows without compromising existing leg room.

Discussion Questions
1. What are the advantages and disadvantages of including more seats in an airplane?

Guidance: Discussion may focus on unit costs, revenues, number of planes needed, fuel costs, flight attendants’ morale, passengers’ expectations, and/or potential litigation.

2. Do you think the House of Quality framework was used to design the slimmer seats? Can the seats be improved further?

Guidance:  There is evidence the HOQ framework partially guided the design of the seats. The slimmer seat design features conform to customers’ requests for more room, fewer hard points, and better Continue reading

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