Academic journal article Journal of Healthcare Management

Editorial

Academic journal article Journal of Healthcare Management

Editorial

Article excerpt

The late management guru Peter Drucker considered hospitals to be "the most complex human organization ever devised" (2002, 74). The people responsible for managing these institutions would surely agree with this characterization. Complexity science - the study of complex systems - provides a means for addressing the multifaceted and difficult problems faced daily in healthcare organizations. Yet because of the intensity of the work and perpetually looming deadlines, it seems many of us choose to resist complexity in favor of simplicity and control.

This issue's interview subject, James W. Begun, PhD, suggests that most healthcare leaders, in fact, practice complexity science on a regular basis. He offers a brief explanation of complexity science and how it can inform and improve healthcare management practice. In addition, he discusses the value of accreditation for healthcare management education and his career-long work with the profession of nursing.

In this issue we introduce new columns, Patient-Centered Care and Efficiencies. Barbara Cliff, RN, PhD, FACHE, explores the concept of patient-centered care and why it has seen a resurgence of interest in US healthcare organizations. Michelle Johnson and Vin Capasso describe how increasing patient throughput can lead to improved hospital efficiencies, potentially averting the need for cosdy facility expansion.

Profitable California hospitals in markets with a challenging payer mix - high numbers of uninsured and Medi-Cal patients and low numbers of commercially insured patients - are the focus of a study by Thomas Rundall, PhD, and colleagues. …

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