Academic journal article Journal of Healthcare Management

Editorial

Academic journal article Journal of Healthcare Management

Editorial

Article excerpt

Healthcare quality and cost-effectiveness are two sides of the same coin. Better clinical quality, greater patient satisfaction, and increased and sustainable cost-effectiveness all add value to that coin. The authors in this issue address both sides of the value coin and provide evidence-based insights relevant to an emerging high-value healthcare system.

Major General David A. Rubenstein, FACHE, the recipient of the 2012 ACHE Gold Medal Award in the category of nondelivery healthcare organizations, is this issue's interview subject. General Rubenstein addresses the changes he envisions as military involvement in Iraq and Afghanistan winds down, provides lessons that civilian healthcare personnel can learn from the military, and details his interest in developing the careers of young healthcare leaders.

Patient-Centered Care columnist Barbara Cliff, RN, PhD, FACHE, describes the impending launch of value-based purchasing, in which payments are based partially on patient satisfaction. She also explores the Planetree Designation Program and its positive relationship to HCAHPS scores. Efficiencies columnist Gary Kaplan, MD, FACP, FACMPE, FACPE, describes the seven wastes identified by Taiichi Ohno and explores the Toyota Production System as a tool for eliminating those wastes. Kaplan also details the results of adapting that system for his organization, creating the Virginia Mason Production System.

The creation and implementation of the Emergency Department Dashboard and Reporting Application is described by Suzanne Stone-Griffith, RN, MSN, CNAA, and colleagues. …

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