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Shouldice Hospital Case Study: A Masterclass in Lean Manufacturing and Operational Excellence
Introduction:
Are you fascinated by operational efficiency and the pursuit of perfection in healthcare? Then buckle up, because the Shouldice Hospital case study is a compelling example of how a focused approach to lean manufacturing principles can revolutionize patient care and dramatically improve outcomes. This in-depth analysis will dissect Shouldice Hospital's unique approach, exploring its strengths, weaknesses, and the key takeaways for businesses across various sectors. We'll delve into the strategies that have made Shouldice a global benchmark for hernia repair, highlighting the lessons that can be applied to optimize your own operations. Prepare to be inspired by a hospital that prioritizes efficiency without compromising patient well-being.
Shouldice Hospital: A Unique Approach to Hernia Repair
Shouldice Hospital, located in Ontario, Canada, specializes exclusively in the surgical repair of inguinal and femoral hernias. This laser focus allows for unparalleled specialization and efficiency. Unlike general hospitals grappling with a diverse range of ailments and procedures, Shouldice operates with a streamlined, highly repeatable process. This specialization is the cornerstone of its success and a key element in understanding the case study's significance.
The Lean Manufacturing Principles in Action
Shouldice’s success isn't accidental; it's a carefully crafted system built on the principles of lean manufacturing. These principles manifest in several key areas:
Standardized Procedures: Every aspect of the surgical process, from patient intake to post-operative care, is meticulously standardized. This reduces variability, minimizes errors, and ensures consistent high-quality outcomes.
Specialized Staff: The hospital employs a team of highly trained surgeons, nurses, and support staff, each dedicated to their specific roles within the hernia repair process. This specialized expertise accelerates procedures and improves patient care.
Efficient Workflow: Shouldice utilizes a highly optimized workflow, minimizing unnecessary steps and movement. This includes efficient room turnover, optimized patient flow, and a robust supply chain management system.
Continuous Improvement (Kaizen): Shouldice embraces a culture of continuous improvement, constantly seeking ways to refine its processes and enhance efficiency. Regular reviews and feedback loops are integral to this ongoing optimization.
Focus on Patient Outcomes: While efficiency is paramount, patient well-being remains the ultimate priority. Shouldice’s commitment to patient satisfaction drives continuous improvement efforts.
Strengths of the Shouldice Hospital Model
The Shouldice Hospital case study showcases several significant strengths:
High Surgical Volume and Efficiency: The specialized focus results in a high volume of hernia repairs, allowing for economies of scale and highly skilled surgeons.
Low Complication Rates: Standardized procedures and specialized staff contribute to exceptionally low complication rates, exceeding industry benchmarks.
High Patient Satisfaction: The streamlined process and specialized care result in high patient satisfaction scores.
Cost-Effectiveness: By optimizing its processes, Shouldice provides high-quality care at a relatively lower cost compared to general hospitals performing hernia repairs.
Benchmark for Lean Management: Shouldice serves as an unparalleled case study for organizations seeking to implement lean manufacturing principles in their operations.
Weaknesses and Challenges Faced by Shouldice Hospital
Despite its resounding success, Shouldice Hospital faces some challenges:
Limited Scope of Services: Its specialization, while a strength, also limits the types of services it can offer. Patients requiring other medical services must seek treatment elsewhere.
Geographic Limitations: The hospital's location in Ontario restricts accessibility for patients from other regions.
Dependence on Standardized Procedures: While standardization is beneficial, it can become inflexible when faced with unusual or complex cases.
Potential for Resistance to Change: Maintaining a culture of continuous improvement requires consistent effort and overcoming potential resistance to change within the organization.
Lessons Learned from the Shouldice Hospital Case Study
The Shouldice Hospital case study provides valuable lessons applicable across various sectors:
The Power of Specialization: Focusing on a niche market allows for specialization and operational efficiency.
Importance of Lean Principles: Implementing lean manufacturing principles can significantly improve efficiency, reduce costs, and enhance quality.
Culture of Continuous Improvement: A commitment to continuous improvement is essential for sustained success.
Patient-Centric Approach: Prioritizing patient well-being while striving for efficiency is achievable.
Data-Driven Decision Making: Tracking key metrics and analyzing data are essential for identifying areas for improvement.
Conclusion
The Shouldice Hospital case study provides a compelling illustration of how a focused, lean approach can transform healthcare operations. Its success highlights the power of specialization, standardization, and continuous improvement. While not without its limitations, Shouldice’s model offers invaluable lessons for businesses striving for operational excellence in any industry. By studying its methods and adapting relevant principles, organizations can significantly improve their efficiency, quality, and overall performance.
FAQs
1. What makes Shouldice Hospital's approach to hernia repair unique? Shouldice focuses exclusively on hernia repair, employing lean manufacturing principles to achieve unparalleled efficiency and high patient satisfaction. This specialization allows for standardized procedures, highly trained staff, and a streamlined workflow.
2. What are the key lean manufacturing principles implemented at Shouldice Hospital? Key principles include standardized procedures, specialized staff, efficient workflow, continuous improvement (Kaizen), and a focus on patient outcomes.
3. What are the limitations of the Shouldice Hospital model? The hospital's limited scope of services, geographical constraints, dependence on standardized procedures, and potential resistance to change present challenges.
4. Can the Shouldice Hospital model be replicated in other healthcare settings? While the specific model might not be entirely replicable, its underlying principles – lean manufacturing and patient-centric care – can be adapted and implemented in other healthcare settings to enhance efficiency and quality.
5. What are the key takeaways for businesses from the Shouldice Hospital case study? Businesses can learn the importance of specialization, lean principles, continuous improvement, and a patient-centric approach (adapting "patient" to "customer"). Data-driven decision making is also crucial for sustained success.
| shouldice hospital case study: Hospital Operations Wallace J. Hopp, William S. Lovejoy, 2012-10-30 By one estimate, the U.S. wastes $480 billion annually on healthcare expenditures that don’t improve care. Worse, because of faulty systems – not personnel – up to 98,000 people die every year due to preventable medical errors – and that doesn’t count non-terminal events such as hospital-acquired infections. In Hospital Operations, two leading operations management experts and four senior physicians demonstrate how to apply new OM advances to substantially improve any hospital’s operational, clinical, and financial performance. Replete with examples, this bookshows how to diagram hospital flows, trace interconnections, and optimize flows for better performance. Readers will find specific guidance on improving emergency departments, operating rooms, hospital floors, and diagnostic units; and successfully applying metrics. Coverage includes: reducing ER overcrowding and enhancing patient safety...improving OR scheduling, enhancing organizational learning, and responding to surgeons and other stakeholders... improving bed availability, optimizing nurse schedules, and creating more seamless patient handoffs... reducing lab turnaround time, improving imaging responsiveness, and decreasing lab errors...successfully applying the right metrics for every facet of hospital performance. The authors conclude by previewing the Hospital of the Future, addressing issues ranging from prevention and self-care to the evolution of technology and evidence-based medicine. |
| shouldice hospital case study: Successful Business Model Transformations in Disruptive Times Thomas Rudolph, Markus Schweizer, 2024-06-17 The authors offer solutions for established corporations facing disruptive challenges. Based on extensive research and discussion, a unique management approach, the High 5 approach, has been developed to promote successful self-disruption in established corporations. At the center of this approach is the transformation of the core business. The book supports the idea of permanent self-disruption as the key to success for established players. Successful Business Model Transformations in Disruptive Times is aimed at the management of various industries. This book provides managers in established corporations with a theoretically sound and practical guide. |
| shouldice hospital case study: The New Science of Medicine & Management Jon A. Chilingerian, S. Abbas Shobeiri, Mark A. Talamini, 2023-07-24 This exciting, first-of-its-kind title describes the blossoming new science of medicine and management—the concepts, methodologies, techniques, and tools that create value for patients, populations, caregivers, staff, and healthcare organizations. Developed out of the innovative and powerful physician executive MBA program at the Heller School of Social Policy and Management at Brandeis University, The New Science of Medicine & Management describes what physician leaders need to know and do to fix problems that can erode value in complex healthcare environments in which they practice medicine. The book is motivated by a singular proposition—Every Physician a Leader; Every Leader a Collaborative Team Player and a new definition of high-value health care. Composed of the best 18 of approximately 200 outstanding physician-led business school projects, the book is based on the collective efforts and experiences of 33 authors and coauthors, 28 of whom are physicians and 19 of whom have an MD and an MBA degree. The work is grounded in three important assertions: First, the clinical side of complex professional medical organizations such as hospitals has traditionally been led by highly skilled, highly experienced medical practitioners trained in the underlying biomedical disciplines and applied medical sciences. Second, there is research evidence that managers with clinical backgrounds can run better healthcare organizations, and a growing number of physician-led multispecialty groups are outperforming organizations run by lay managers. Third, physicians and other caregivers should have some training in the new science of medicine and management; moreover, and very importantly, the transition from clinician to clinical manager and leader is challenging and requires training in the new science of medicine and management. State of the art, developed by expert physician leaders in the field, and replete with a wide range of management insights and lessons, this book asks important questions and offers an exciting and comprehensive resource for all physicians, health administrators, and clinicians interested in not only the science of medicine and management and in developing physician-led teams but, crucially, in ensuring value in healthcare by improving patient outcomes, safety, affordability, and employee well-being. |
| shouldice hospital case study: Case Theory in Business and Management Evert Gummesson, 2017-01-25 ′This meticulous book submits research and the research process to deep scrutiny. It debunks the unhelpful dichotomy between quantitative and qualitative research and highlights the great value of multi-method and interactive research, approaches that have greatly deepened our thinking.′ – Professor Adrian Payne, University of New South Wales, Australia / Professor Pennie Frow, University of Sydney Setting out to dispel the argument that case study research lacks the science, theory and therefore validity of other forms of research, Evert Gummesson combines many decades of experience as both a renowned scholar and a reflective practitioner to effectively bridge the divide between case theory and how it is applied in practice. Bringing the fundamental strengths of cases to the fore, Gummesson introduces the ′Case Theory′ concept as an expanded version of case study research which includes both methodology and the types of results that emerge by: Guiding the reader in the theoretical and philosophical underpinning Demonstrating how to translate theory to pertinent research practice that address the real and consequential issues in business and management today. This book will appeal to students, academics and researchers who are interested in the science and philosophy behind case study research as well as the methodology and a thought-provoking read for anyone who wants to be challenged about their belief of case study theory. |
| shouldice hospital case study: Take as Directed Rhonda Church, Neil MacKinnon, 2010-09 A detailed account of how to navigate Canada's health care system'especially in relation to medication safety'this is a firsthand description of the inner workings of the nation's doctor's offices, pharmacies, hospitals, and more. This definitive resource outlines the current situation; identifies key safety and efficacy issues; proposes a means for helping patients each step of the way; and offers information on programs, tools, and techniques available to them. |
| shouldice hospital case study: Operations Management: Text Jay Heizer, 2004 |
| shouldice hospital case study: Operations Management Jay H. Heizer, Barry Render, 2005 Now in its seventh edition, this text provides a state-of-the-art overview of operations management. It includes a new chapter on capacity planning and a 'behind the scenes' look at the integration of operation management at Hard Rock Cafe. |
| shouldice hospital case study: Operations Management Michael A. Lewis, 2019-11-26 Operations Management (OM) is a multi-faceted blend of myriad academic andpractical disciplines – from engineering and economics via mathematics and marketing, to systems and psychology. To capture the state of the art, the bookreviews contemporary and classic scholarship in one of the oldest business and management disciplines. To offer the reader a thought-provoking point of entry into the selected sources, the book curates its content as an imaginary exhibit, eachchapter a thematic OM ‘gallery’ (process; planning and control; people; strategy and measurement; technology) introduced by a description of some extraordinary artefacts, paintings, sculptures and architecture. The content has been curated around three principles intended to benefit the casual reader and both new and established OM scholars. First, it incorporates works that build on, or help to distinguish, fundamental tenets from more transitory fads. Second, the text makes significant efforts to try and balance the gravitational pull of the factory, (even though this may not offer an accurate representation of the majority of the field) and third, to try to keep managerial rather than technical/ analytical concerns to the fore. This concise book provides a useful overview of current and classic OM research. Written by a leading authority, it is intended to be a valuable and engaging resource for both students and scholars of business. |
| shouldice hospital case study: Dynamic Supply Chains ePub John Gattorna, 2013-07-25 “John Gattorna is one of the most original thinkers in the fast-changing arena of supply chain management. He has pioneered the idea of dynamic alignmentwhich is so powerfully presented in this ground-breaking book.” Martin Christopher, Professor of Marketing & Logistics, Cranfield School of Management Supply chains are at the heart of competitive advantage in business today. If supply chains are managed successfully, companies will be able to deliver their products and services to customers in a smart, cost-effective way. The key to successful supply chain management is recognising that it’s people who really drive the living supply chains that are at the heart of businesses. Supply chains are powered by the energy and expertise of employees and suppliers and by the changing wants and needs of customers. John Gattorna calls this principle of matching changing customer needs and desires with different supply chain strategies dynamic alignment. To secure space in a new market, to grow or keep existing markets companies have to get their products out there faster. They need to be the first with new products and services and the first to match them with particular customer groups. The dynamic alignment model gives a structured way of linking customer expectations to the operational side of business while maintaining the flexibility to systematically modify fulfilment processes as customers inevitably change their buying preferences. |
| shouldice hospital case study: Dynamic Supply Chains John Gattorna, 2015-03-31 ‘Dynamic Supply Chains is a masterpiece in the field of supply chain management’ Dr Rakesh Singh, Chairman, Institute of Supply Chain Management, India Dynamic supply chains are at the heart of your business. You need to get them right. Are your supply chains equipped to compete for a faster, more flexible future? Supply chains are not just part of your business: in many ways they are your business. They are made up of living, active people, and to really get supply chains right you need to capture the dynamism that people can bring to the flow of goods and services, both inside and outside your business. In this third edition of Dynamic Supply Chains, renowned international expert John Gattorna gives you a practical and effective new model for supply chains that will help you get closer to your customers and suppliers, and set your business on a new path to growth. John’s ‘outside-in’ philosophy is based on ‘Design Thinking’ principles, underpinned by business analytics, visualization, and the passion to get things done. This is indeed, supply chains by design. |
| shouldice hospital case study: Consumer-Driven Health Care Regina E. Herzlinger, 2004-03-22 Professor Herzlinger documents how the consumer-driven health caremovement is being implemented and its impact on insurers,providers, new intermediaries, and governments. With additionalcontributions by health care's leading strategists,innovators, regulators and scholars, Consumer-Driven HealthCare presents a compelling vision of a health care system builtto satisfy the people it serves. This comprehensive resource includes the most important thinkingon the topic and compelling case studies of consumer-driven healthcare (CDHC) in action, here and abroad, including newconsumer-driven intermediaries for information and support; typesof insurance plans; focused factories for delivering health care;personalized drugs and devices; and government roles. |
| shouldice hospital case study: Research Handbook on Services Management Davis, Mark M., 2022-08-05 This comprehensive Research Handbook reflects the latest research breakthroughs and practices in services management. Addressing services management from a broader strategic perspective, it delves into the key issues of analytics and service robots, and their potential impact. Edited by the late Mark M. Davis, it represents an early foray into the new frontier of services management and provides insights into the future of the field. |
| shouldice hospital case study: Service is Front Stage J. Teboul, 2006-09-29 This book contains a simple but powerful definition of services based upon a separation between back-stage and front-stage activities. Services deal with front interactions, production and manufacturing with back-stage operations. Teboul uses this distinction to systematically explore the important issues of the field. |
| shouldice hospital case study: Getting and Staying Productive Roger W. Schmenner, 2012-03-08 Demonstrates how to apply swift, even flow to practice in order to improve productivity and improve how companies run. |
| shouldice hospital case study: Services Marketing: People, Technology, Strategy (Ninth Edition) Jochen Wirtz, Christopher Lovelock, 2021-10-15 Services Marketing: People, Technology, Strategy is the ninth edition of the globally leading textbook for Services Marketing by Jochen Wirtz and Christopher Lovelock, extensively updated to feature the latest academic research, industry trends, and technology, social media, and case examples.This book takes on a strong managerial approach presented through a coherent and progressive pedagogical framework rooted in solid academic research. It features cases and examples from all over the world and is suitable for students who want to gain a wider managerial view.Supplementary Material Resources:Resources are available to instructors who adopt this textbook for their courses. These include: (1) Instructor's Manual, (2) Case Teaching Notes, (3) PowerPoint deck, and (4) Test Bank. Please contact sales@wspc.com.Key Features: |
| shouldice hospital case study: Handbook of Industrial Engineering Gavriel Salvendy, 2001-05-25 Unrivaled coverage of a broad spectrum of industrial engineering concepts and applications The Handbook of Industrial Engineering, Third Edition contains a vast array of timely and useful methodologies for achieving increased productivity, quality, and competitiveness and improving the quality of working life in manufacturing and service industries. This astoundingly comprehensive resource also provides a cohesive structure to the discipline of industrial engineering with four major classifications: technology; performance improvement management; management, planning, and design control; and decision-making methods. Completely updated and expanded to reflect nearly a decade of important developments in the field, this Third Edition features a wealth of new information on project management, supply-chain management and logistics, and systems related to service industries. Other important features of this essential reference include: * More than 1,000 helpful tables, graphs, figures, and formulas * Step-by-step descriptions of hundreds of problem-solving methodologies * Hundreds of clear, easy-to-follow application examples * Contributions from 176 accomplished international professionals with diverse training and affiliations * More than 4,000 citations for further reading The Handbook of Industrial Engineering, Third Edition is an immensely useful one-stop resource for industrial engineers and technical support personnel in corporations of any size; continuous process and discrete part manufacturing industries; and all types of service industries, from healthcare to hospitality, from retailing to finance. Of related interest . . . HANDBOOK OF HUMAN FACTORS AND ERGONOMICS, Second Edition Edited by Gavriel Salvendy (0-471-11690-4) 2,165 pages 60 chapters A comprehensive guide that contains practical knowledge and technical background on virtually all aspects of physical, cognitive, and social ergonomics. As such, it can be a valuable source of information for any individual or organization committed to providing competitive, high-quality products and safe, productive work environments.-John F. Smith Jr., Chairman of the Board, Chief Executive Officer and President, General Motors Corporation (From the Foreword) |
| shouldice hospital case study: Strategy Implementation Kurt Verweire, 2014-04-24 Strategy implementation - or strategy execution - is a hot topic today. Managers spend significant resources on consulting and training, in the hope of creating brilliant strategies, but all too often brilliant strategies do not translate into brilliant performance. This book presents new conceptual models and tools that can be used to implement different strategies. The author analyses how market leaders have benefitted from successful strategy implementation and provides the reader with a comprehensive and systematic framework to tackle strategy implementation challenges. Have clear strategic choices been made? Are actions aligned with the strategy? What’s the organizational context for the strategy? In answering these simple questions, the book provides students of strategic management, along with managers involved in designing and implementing strategies, with a valuable resource. |
| shouldice hospital case study: Services Marketing Christopher Lovelock, Paul Patterson, 2015-05-20 Services Marketing is well known for its authoritative presentation and strong instructor support. The new 6th edition continues to deliver on this promise. Contemporary Services Marketing concepts and techniques are presented in an Australian and Asia-Pacific context. In this edition, the very latest ideas in the subject are brought to life with new and updated case studies covering the competitive world of services marketing. New design features and a greater focus on Learning Objectives in each chapter make this an even better guide to Services Marketing for students. The strategic marketing framework gives instructors maximum flexibility in teaching. Suits undergraduate and graduate-level courses in Services Marketing. |
| shouldice hospital case study: Relationship Marketing Helen Peck, Martin Christopher, Moira Clark, Adrian Payne, 2013-06-17 Arranged in 6 sections, this title gives marketing practitioners and students critical examples of best practice from a variety of companies. Alongside 'Relationship Marketing: bringing quality, customer service and marketing together' and 'Relationship Marketing for Competitive Advantage: winning and keeping customers' this new title provides readers with insights into marketing in the 21st century. |
| shouldice hospital case study: Brilliant Business Models in Healthcare Jeroen Kemperman, Jeroen Geelhoed, Jennifer op ‘t Hoog, 2016-11-18 This exciting resource examines pioneering, successful business models in healthcare services, emphasizing bold and innovative entrepreneurship in creating care delivery that is accessible, affordable, and effective. Expert contributors supply fascinating case studies of visionary principles at work in hospitals, specialist care, eHealth providers, and insurers along with practical guidance on building and sustaining a vision, a brand, an organization, and a loyal base of clients, employees, and investors. Featured companies demonstrate how moving beyond conventional patient/provider, service/cost, and other relationships can translate into improvements that benefit clients’ health and stakeholders’ bottom line as well as the larger community and potentially the world. Coverage analyzes key attributes of these successful entities, detailing key challenges, funding issues, and especially breakthrough goals, including: Strengthening mutual caring and sharing. Letting prevention and self-management work. Patient-centered organization of information and everyday care. Deploying services and instruments to help customers take control. Implementing differentiation in specialized healthcare. The result is crucial takeaways for creating transformational business models in health fields. Approachably written and brimming with infographics, Brilliant Business Models in Healthcare provides inspiring role models for entrepreneurs, managers, consultants, and professionals in the healthcare sector, including providers, insurers, technology suppliers, and pharmacists. |
| shouldice hospital case study: Service Breakthroughs James L. Heskett, 1990-09-17 What Do Citicorp, UPS and Marriott have in common? They are breakthrough service providers, firms that changed the rules of the game in their respective industries by consistently meeting or exceeding customer needs and expectations. To find out how these companies do it, service management experts James Heskett, Earl Sasser, and Christopher Hart put the question to the chief executive officers of fifteen of America's leading service firms attending a workshop at the Harvard Business School. Breakthrough leaders, they discovered, think very differently about their businesses than do their competitors, in distinct and well-defined ways. Now, in Service Breakthroughs, based upon five years of exhaustive research in fourteen service industries, Heskett, Sasser, and Hart show exactly what enables one or two companies in each industry to constantly set new standards for quality and value that force competitors to adapt or fail. At the heart of breakthrough performance, the authors contend, is a sometimes intuitive but thorough understanding of the self-reinforcing service cycle that replaces traditional management of trade-offs. The cycle is a paradigm derived from the research results suggesting direct links between heightened customer satisfaction, increased customer retention, augmented sales and profit, improved quality and productivity, greater service value per unit of cost, improved satisfaction of service providers, increased employee retention, and further heightened customer satisfaction. With detailed examples and dramatic case studies of Mark Twain Bancshares, American Airlines, Florida Power & Light, Federal Express, McDonald's and many other companies, Heskett, Sasser, and Hart show how this self-reinforcing cycle of behavior differentiates breakthrough leaders from their merely good competitors. The authors describe how breakthrough managers develop counterintuitive, even contrarian, strategic service visions. These companies define their service concept in terms of results achieved for customers rather than services performed. They target market segments by focusing on psychographics -- how customers think and behave -- instead of demographics. And instead of viewing a service delivery system as a facility where the service is producted and sold, breakthrough firms see it as an opportunity to enhance the quality of the service. These profound differences in thought and action have brought spectacular results. For managers who wish to set the pace in their service industries, Service Breakthroughs will be essential reading. |
| shouldice hospital case study: Out of Darkness Ralph Nader, 2024-06-25 A collection of columns and essays that reveal Ralph Nader at his outspoken and prescient best, fighting the good fight against corporate corruption, unbalanced political power, consumer dangers, big pharma, and climate deniers. Features an introduction by Lewis Lapham. This collection is classic Nader—exhorting us to make our world and nation a better place, even when faced with unchecked political and corporate power, and perverse market and regulatory incentives. He starts with the declaration that the national Democratic Party bureaucrats are either inept or bewildered. With its record-setting campaign fundraising, he bemoans how the Party can’t seem to figure out how to go on the offensive against the overtly lying, cruel, corrupt, law-breaking, Wall Street over Main Street, Trumpian Republican Party. In another essay he praises Canada, explaining that the majority of citizens love their health care system—Medicare-for-all, free choice of doctor and hospital , everybody in, nobody out and far less expensive with better outcomes overall. Highlighting heroes like Pete Seeger, Wendell Berry, the journalist Helen Thomas, Nader also celebrates citizens like the lesser-known charismatic George S. Hawkins, general manager of the District of Columbia Water and Sewer Authority who brought immense energy, vision, and ambitious, overdue plans to the forefront for American’s public drinking water. Meanwhile, he doesn’t shy away from enemies—for example Nader slams the evils of Big Pharma’s strength and hold over Congress and infinite greed. Nader also brings American history to the present day with creative twists. “We need to remember Ben Franklin, our frugal forebear, who coined the phrase ‘a penny saved is a penny earned,’” he writes. “Today he would say ‘a trillion BTUs saved is a trillion BTUs earned.’” Ranging from hernia repair to auto safety reports and warnings about lethal super-bugs and global pandemics from 2013, Nader’s essays and newspaper columns will inform and activate his legions of fans. |
| shouldice hospital case study: Strategic Market Management David A. Aaker, Damien McLoughlin, 2010 Suitable for all business students studying strategy and marketing courses in the UK and in Europe, this text also looks at important issues such as the financial aspects of marketing. |
| shouldice hospital case study: Service Operations Management, Second Edition David W. Parker, 2018-06-29 Service Operations Management, Second Edition provides a global perspective on service operations, with expanded coverage of service operations for not-for-profit agencies, charities, NGOs and utilities, alongside commercial companies. With new, updated case studies and original research embracing big-data analytics and neurolinguistics in building customer service systems, this book will be an invaluable tool for postgraduate and MBA students of service operations and undergraduates specialising in hospitality, tourism and public sector management. |
| shouldice hospital case study: Recurrent Hernia Volker Schumpelick, Robert J. Fitzgibbons, 2007-08-09 Recurrence is a significant public health problem. So, this fourth Suvretta meeting, held in February 2006 is intended to concentrate on this problem. Technical nuances of the various operations have been discussed to pursue consensus concerning the best techniques. Methods were explored to improve surgeons' education and look into the multifactorial etiologies to understand the biology of hernia recurrence better. |
| shouldice hospital case study: Advanced Energy Storage Technologies and Their Applications (AESA) Rui Xiong, Hailong Li, Joe (Xuan) Zhou, 2018-02-21 This book is a printed edition of the Special Issue Advanced Energy Storage Technologies and Their Applications (AESA) that was published in Energies |
| shouldice hospital case study: Reforming China's Healthcare System China Development Research Foundation, 2017-10-16 Although China’s new healthcare reform, launched in 2009, has achieved remarkable results in improving China’s medical and healthcare system, it is recognised that there is still room for further improvement. This is especially important as China’s population ages, the prevalence of chronic diseases increases and environment-related health risks worsen. This book reports on a major international research project which examined health trends, modes of health promotion, health finance systems, medical and healthcare innovations and environment-related health risks in China. For each of these key areas, the book considers the current situation in China and likely future trends, explores best practice from a wide range of foreign countries and puts forward proposals for improvements. Overall, the book provides a major assessment of China’s medical and healthcare system and how it should be reformed. |
| shouldice hospital case study: Services Marketing: People, Technology, Strategy (Eighth Edition) Jochen Wirtz, Christopher Lovelock, 2016-03-29 Services Marketing: People, Technology, Strategy is the eighth edition of the globally leading textbook for Services Marketing by Jochen Wirtz and Christopher Lovelock, extensively updated to feature the latest academic research, industry trends, and technology, social media and case examples.This textbook takes on a strong managerial approach presented through a coherent and progressive pedagogical framework rooted in solid academic research. Featuring cases and examples from all over the world, Services Marketing: People, Technology, Strategy is suitable for students who want to gain a wider managerial view of Services Marketing. |
| shouldice hospital case study: The One Thing-- You Need to Know from Each of the Industry's Most Influential Coaches, Consultants and Visionaries D. Shannon, 2005 |
| shouldice hospital case study: Essentials of Services Marketing Jochen Wirtz, 2012-08-31 Make it easy for students to understand: Clear, Simple Language and Visual Learning Aids The authors use simple English and short sentences to help students grasp concepts more easily and quickly. The text consists of full-colored learning cues, graphics, and diagrams to capture student attention and help them visualize concepts. Know Your ESM presents quick review questions designed to help students consolidate their understanding of key chapter concepts. Make it easy for students to relate: Cases and Examples written with a Global Outlook The first edition global outlook is retained by having an even spread of familiar cases and examples from the world’s major regions: 40% from American, 30% from Asia and 30% from Europe. Help students see how various concepts fit into the big picture: Revised Framework An improved framework characterized by stronger chapter integration as well as tighter presentation and structure. Help instructors to prepare for lessons: Enhanced Instructor Supplements Instructor’s Manual: Contain additional individual and group class activities. It also contains chapter-by-chapter teaching suggestions. Powerpoint Slides: Slides will feature example-based teaching using many examples and step-by-step application cases to teach and illustrate chapter concepts. Test Bank: Updated Test Bank that is Test Gen compatible. Video Bank: Corporate videos and advertisements help link concept to application. Videos will also come with teaching notes and/or a list of questions for students to answer. Case Bank: Cases can be in PDF format available for download as an Instructor Resource. |
| shouldice hospital case study: A Second Opinion Arnold S. Relman, Arnold S Relman M D, 2010-09-07 Relman's 60 years as researcher, clinician, teacher, government consultant, licensing board member, and editor in chief of the New England Journal of Medicine give him enormous credibility on the subject of health-care reform. He's for national single-payer insurance but believes America's health-care system must change, too, or spiraling costs--and spiraling inequity--won't be contained. The greatest threat to U.S. health care, as he sees it, is the commercialization of medicine since the late 1960s, which, according to free-market ideology, should bring better care at lower cost but hasn't delivered (and never will, Relman believes). Doctors need to renew the sense of themselves as disinterested and compassionate healers rather than money-grubbing entrepreneurs. Relman proposes that most physicians be salaried by a national financing system, associate in self-run group practices to pool expertise and resources, and reclaim the professional self-regulation lost in a 1943 Supreme Court antitrust decision (exemption from antitrust law should be sought, Relman thinks). Everyone interested in its issues must read Relman's argument. Ray Olson |
| shouldice hospital case study: Operations Research Richard Schwindt, 1995 |
| shouldice hospital case study: Creating New Health Care Ventures Regina E. Herzlinger, 1992 Creating New Health Care Ventures focuses on evaluating and managing new health care ventures by providing health care managers with a guidebook discussing both the exciting new opportunities in health care, And The essential management skills needed to make a new health care venture succeed. This book offers help To The many able, energetic, and talented people in the health care industry who seek to transform our troubled system by starting or investing in new health care ventures. |
| shouldice hospital case study: A Second Opinion Arnold Relman, 2007-08-05 Dr. Arnold Relman, Professor Emeritus at Harvard Medical School and former editor-in-chief of The New England Journal of Medicine brings together sixty years of experience in medicine in a book that holds the keys to a new structure for healthcare based on voluntary private contracts between individuals and not-for-profit, multi-specialty groups of physicians. Timely, provocative, and newly updated, A Second Opinion is a clarion call to action. If we heed Dr. Relman's plan, Americans could at last achieve a lasting, sensible solution to national healthcare. |
| shouldice hospital case study: Customer Relationship Management Francis Buttle, Stan Maklan, 2015-02-11 Customer Relationship Management Third Edition is a much-anticipated update of a bestselling textbook, including substantial revisions to bring its coverage up to date with the very latest in CRM practice. The book introduces the concept of CRM, explains its benefits, how and why it can be used, the technologies that are deployed, and how to implement it, providing you with a guide to every aspect of CRM in your business or your studies. Both theoretically sound and managerially relevant, the book draws on academic and independent research from a wide range of disciplines including IS, HR, project management, finance, strategy and more. Buttle and Maklan, clearly and without jargon, explain how CRM can be used throughout the customer life cycle stages of customer acquisition, retention and development. The book is illustrated liberally with screenshots from CRM software applications and case illustrations of CRM in practice. NEW TO THIS EDITION: Updated instructor support materials online Full colour interior Brand new international case illustrations from many industry settings Substantial revisions throughout, including new content on: Social media and social CRM Big data and unstructured data Recent advances in analytical CRM including next best action solutions Marketing, sales and service automation Customer self-service technologies Making the business case and realising the benefits of investment in CRM Ideal as a core textbook by students on CRM or related courses such as relationship marketing, database marketing or key account management, the book is also essential to industry professionals, managers involved in CRM programs and those pursuing professional qualifications or accreditation in marketing, sales or service management. |
| shouldice hospital case study: Transparency Metrics Gary Fradin, 2013-03-26 This engaging, provocative book helps guide brokers and their clients through the medical decision making process. It can turn you from uninformed to well-informed and help you get better care, with fewer risks, at lower costs. Along the way, you'll probably also improve your health and develop a better working relationship with your doctor. |
| shouldice hospital case study: Market Leadership Strategies for Service Companies Craig Terrill, Arthur Middlebrooks, 2000 Market Leadership Strategies for Service Companies reveals the key strategies every service company needs to know in order to become a market leader and then successfully stay ahead of the competition. Service industries and companies now dominate the U.S. economy, accounting for nearly 70 percent of the GNP and over 70 percent of the workforce in recent years. In order to achieve dramatic growth in any service industry--from fast food to telecommunications--authors Craig Terrill and Arthur Middlebrooks affirm that companies must find ways to move away from industry parity battles and focus instead upon marketing the intangible aspects of the service experience and addressing new, intense, and unmet customer needs. Directed to senior marketing and management professionals, Market Leadership Strategies for Service Companies elucidates the steps to take in order to create dramatic growth in any service company, in any service industry, through reapproaching the marketing mindset. Examples drawn from a wide selection of recognizable service companies and industries including Southwest Airlines, Dominos Pizza, Pizza Hut, Taco Bell, Fed Ex, Home Depot, IBM, Marriott Hotels, and MiniMaids, illustrate how any company can achieve market dominance by moving in a different direction from competitors and by putting people back into the service equation. This book gives managers innovative practices and approaches that can lead to growth of the entire organization, higher profit margins, and increased customer loyalty. |
| shouldice hospital case study: Business India , 2006-11 |
| shouldice hospital case study: Complications Atul Gawande, 2010-07-09 The international bestseller from the author of Being Mortal In these gripping accounts of true cases, bestselling author Atul Gawande performs exploratory surgery on medicine itself, laying bare a science not in its idealised form, but as it actually is - complicated, perplexing and profoundly human. This is a stunningly well-written account of the life of a surgeon: what it is like to cut into people's bodies and the terrifying - literally life and death - decisions that have to be made: operations that go wrong; of doctors who go to the bad; why autopsies are necessary; what it feels like to insert your knife into someone. 'Written as tautly as a thriller' Observer |
| shouldice hospital case study: Uncommon Service Frances X. Frei, Frances Frei, Anne Morriss, 2012 Offers an organizational design model for service organizations, covering such topics as funding mechanisms, employee management systems, and customer management systems. |
Shouldice hospital a cut above case study answers
Shouldice hospital a cut above case study answers Shevly Hospital A cutting string above the study meets a Gestion of Operations CH 1 - 3 - A Gestion of Operations CH 1 - 3 - ebook download as a PDF file (.pdf), attributions of across paint text file (.txt) or read book online. 7th OPNS-430 Sample half-term: Questions only (answers are.
Surgical aspects and early morbidity of patients undergoing …
The study was purely chart review (electronic and physical). Study population The study population included male and female patients, aged 16 years of age and over (age limit for the institu-tion), who underwent an elective rst time open recurrent inguinal hernia repair during the years of 2013–2017 at Shouldice Hospital.
Shouldice Hospital Limited Case Study Analysis (PDF) / …
Shouldice Hospital Limited Case Study Analysis shouldice-hospital-limited-case-study-analysis 2 Downloaded from nagios.bgc.bard.edu on 2019-06-16 by guest models for improvement and compare them to the TPI model. Sections 3 through 8 presents each of the six key components of the model and draws on case studies and empirical research to explain
Shouldice Hospital is a highly successful business that …
Even Swaps - Shouldice Hospital 18 November 2007 Profit $1,837,650 27.69% Given: 6850 patients/year (1982) The Central Problem - capacity planning The Shouldice Hospital is operating close to capacity during most of the year, and often has a backlog of patients. Dr. Shouldice cited a desire to seek
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Shouldice Hospital Limited Case Study Cases in Health Care Management Sharon B. Buchbinder 2022-07-11 The new Second Edition of Cases in Health Care Management is a collection of over 100 new and cutting-edge case studies designed to help illustrate the challenges related to managing the health care services.
Shouldice Hospital Limited Case Study - occupythefarm.org
Shouldice Hospital Limited Case Study: A Deep Dive I. A Hospital Dedicated to a Single Purpose A Brief History of Shouldice Hospital The Founding Principle: Focusing on Hernia Repair The "Shouldice Method" of Repair: A Unique Approach A Patient-Centric Approach: Setting Shouldice Apart A Business Model Rooted in Efficiency and Lean Principles II.
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2 Shouldice Hospital Limited Case Study 2023-11-08 Shouldice Hospital Limited Case Study Downloaded from intra.itu.edu by guest DAPHNE ARNAV National Library of Medicine Current Catalog Jones & Bartlett Publishers This comprehensive Research Handbook reflects the latest research breakthroughs and practices in services
A comparative study of inguinal hernia repair by Shouldice …
A comparative study of inguinal hernia repair by Shouldice method vs other methods. IAIM, 2016; 3(1): 13-17. Page 14 analgesics, hot water bag and ambulation. None of them required catheterization. In the present study we encountered two cases of recurrences (2.5%). Conclusion: In Shouldice repair, double breasting ensures the strong repair. In ...
The Shouldice Repair - Springer
Although the Shouldice Hospital was established in 1945, the fi-370 nal aspect of the repair was established in 1952, thanks to the con certed efforts of E.E. Shouldice, N. Obney, and E.A. Ryan, all sur geons on staff at that time. General Principles To date, more than 250,000 operations have been carried out on
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Shouldice Hospital
Shouldice Hospital 7750 Bayview Avenue Thornhill, ON L3T 4A3 Tel: 905‐889‐1125 Fax: 905‐889‐4216 Toll Free: 1‐800‐291‐7750 MEDICAL INFORMATION ... Is this a Workers’ Compensation Case? Yes No: Shouldice Medical Information Questionnaire version20131113 Page 3 of 7 . Section B.
Implementing Lean Tools to Streamline Banking Operations: A …
The methodology used is a case study research based on a participant observation, in which we describe and analyze the implementation of VSM lean tool in a real banking environment. The main findings illustrate the great potential and capabilities of the ... Bell), medical services (Shouldice Hospital) and transport services (Southwest Airlines ...
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Analyzing the Shouldice Hospital case study requires a multi-faceted approach, including: A. Operational Excellence: 1. Step-by-Step Process Analysis: Map out the patient journey, from initial consultation to post-operative care, identifying key steps and potential bottlenecks. Analyze the efficiency of each step, looking for areas of improvement.
Shouldice Hospital Limited Case Study
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Case Study: The SMART Hospital Project - PAHO
Case Study: The SMART Hospital Project 1 Project start date Project end date March 2012 March 2014 MAR. APR MAY: JUN JUL: AUG SEP: OCT NOV: DEC JAN: FEB MAR: APR MAY: JUN JUL: AUG SEP: OCT NOV: DEC JAN: FEB MAR: No. Activity: Actions Performed Evidence of Completed Works (photos, graphics, etc.) 1. Establishment of Project Steering
Biography: Edward Earle Shouldice (1890–1965) - Springer
Edward Earle Shouldice. The institution he has left be-hind, the Shouldice Hospital, is his monument dedicated to hernia surgery. Some have called it a Mecca for hernia surgeons. The humble beginnings of the Shouldice Hospital in 1945 bear witness to the conviction and determination of a man who was not to be deterred. The obstacles were
A report from The Economist Intelligence Unit Value-based …
(VBHC) alignment in 25 countries. The study was commissioned by Medtronic, a global technology and medical devices company. As VBHC is an early-stage concept and model, this study was an effort to establish a standard of evaluation of value-based healthcare alignment and establish the core components of the enabling environment for VBHC.
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2. Heskett, James L. "Shouldice Hospital Limited." Harvard Business School Case 683-068, April 1983. (Revised June 2003.) 3. Hammond, Janice H., and Ananth Raman. "Sport Obermeyer Ltd." Harvard Business School Case ... Group Case Reports Each case study will have a set of questions to answer. For every question, always consider the pros and ...
Shouldice Hospital Limited Case Study Analysis
Shouldice Hospital Limited Case Study Analysis Roger W. Schmenner Research Handbook on Services Management Davis, Mark M.,2022-08-05 This comprehensive Research Handbook ... detailed examples and dramatic case studies of Mark Twain Bancshares, American Airlines, Florida Power & Light, Federal Express, McDonald's and many other companies ...
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Shouldice Hospital Limited ' , Case Study 9-805-002 , Harvard Business School , 14 pp . See website www.Shouldice ..... healthcare processes where it has yet to be tried. A Case Study in Standardizing Health Care Let's look at a successful example of stan- dardizing health care. Shouldice Hospital Limited is a small Canadian hospital that ...
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AHRQ Quality Indicators Case Study: Johns Hopkins Health System Key Findings • The Johns Hopkins Hospital worked diligently to improve its performance for Postoperative Respiratory Failure (PSI 11). The effort started back in 2012 when only 30 percent were able to be removed from a ventilator within the desired timeframe.
Shouldice Hospital Limited Case Study Analysis
Shouldice Hospital Limited Case Study Analysis case study on Shouldice Hospital, a specialized hospital for abdominal wall hernia repairs located in Ontario, Canada. It discusses the hospital's history, operations, unique service concept, and financial performance. Shouldice Hospital Limited Case Study Analysis Hospital Limited Case Study ...
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Shouldice Hospital Limited Case Study shouldice-hospital-limited-case-study 2 Downloaded from nagios.bgc.bard.edu on 2021-07-20 by guest nearly 70 percent of the GNP and over 70 percent of the workforce in recent years. In order to achieve dramatic growth in any service industry--from fast food to telecommunications--
Shouldice Hospital Limited Case Study Analysis
compelling case study for operational efficiency, lean management, and specialized healthcare delivery. This comprehensive guide analyzes the hospital's success, exploring its strategies, strengths, weaknesses, and offering practical insights for aspiring healthcare managers and students. I. Understanding the Shouldice Hospital Model: Shouldice ...
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Canada's Shouldice Hospital - Case Study | Medtronic Case study: Shouldice Hospital Limited. Topics: Marketing, Supply and demand, Hospital Pages: 3 (335 words) Published: February 28, 2004. While reading this case study, one problem can obviously been observed- paradox of change. Shouldice is operating at its "best
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Study Shouldice Hospital: A Limited Case Study in Surgical Excellence and Ethical Considerations Keywords: Shouldice Hospital, hernia repair, surgical specialization, single-specialty hospital, patient satisfaction, ethical considerations, healthcare trends, efficiency, cost-effectiveness. Summary: Shouldice Hospital, a Canadian institution ...
Patient Information Referring Physician Information
Shouldice Hospital Referral Form 7750 Bayview Ave. Thornhill, ON L3T 4A3 Tel: 905-889-1125 Fax: 905-889-4216 Thank you for choosing to refer your patient to Shouldice Hospital. To start the referral process, please complete and fax this form to 905-889-4216. Date: Patient Information Patient Name: Date of Birth: Address:
MGMT 660: OPERATIONS MANAGEMENT - Purdue University
Case: Shouldice Hospital (SH) OM: pp 44-50 1. Answers to SH questions WEEK 2 8/28 Queueing Theory I OM: pp 114-126, 134-137 8/30 Queueing Theory II OM: pp 198-210 9/1 Statistical Process Control Case: National Cranberry (NCC) OM: pp 144-167 2. Answers to NCC questions WEEK 3 9/4 Labor Day NO CLASS 9/6 Midterm Review Case: Mini Case (MC)
Case Study - Savvyor Hospitals - cdn.upgrad.com
1 3. EARNED MEDIA Online Reviews and Ratings: Encourage satisfied patients to leave positive reviews on platforms like Google My Business, Healthgrades etc. Respond to reviews to engage with the community. Press Releases: Share news about the hospital's achievements, partnerships or community initiatives through press releases. Content idea: “Savvyor Hospital Donates to …
Surgical aspects and early morbidity of patients undergoing …
The study was purely chart review (electronic and physical). Study population The study population included male and female patients, aged 16 years of age and over (age limit for the institu-tion), who underwent an elective rst time open recurrent inguinal hernia repair during the years of 2013–2017 at Shouldice Hospital.
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Study Shouldice Hospital: A Limited Case Study in Surgical Excellence and Ethical Considerations Keywords: Shouldice Hospital, hernia repair, surgical specialization, single-specialty hospital, patient satisfaction, ethical considerations, healthcare trends, efficiency, cost-effectiveness. Summary: Shouldice Hospital, a Canadian institution ...
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Shouldice Hospital Limited Case Study Analysis
Shouldice Hospital Limited Case Study Analysis Donald H. Caldwell, Jr. Research Handbook on Services Management Davis, Mark M.,2022-08-05 This comprehensive Research Handbook ... Case managers' roles in managed care and community-ba sed settings as well as in insurance companies are described. Getting and Staying Productive Roger W. Schmenner ...
Shouldice Hospital Limited Case Study Analysis
Oct 18, 2023 · Shouldice Hospital Limited James L. Heskett,Harvard University. Harvard Business School,1983 Describes a well-focused, well-managed medical service facility. ... to dispel the argument that case study research lacks the science, theory and therefore validity of …
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Study Shouldice Hospital: A Limited Case Study in Surgical Excellence and Ethical Considerations Keywords: Shouldice Hospital, hernia repair, surgical specialization, single-specialty hospital, patient satisfaction, ethical considerations, healthcare trends, efficiency, cost-effectiveness. Summary: Shouldice Hospital, a Canadian institution ...
Shouldice Hospital Limited Case Study Analysis (PDF)
Analyzing the Shouldice Hospital case study requires a multi-faceted approach, including: A. Operational Excellence: 1. Step-by-Step Process Analysis: Map out the patient journey, from initial consultation to post-operative care, identifying key steps and potential bottlenecks. Analyze the efficiency of each step, looking for areas of improvement.
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compelling case study for operational efficiency, lean management, and specialized healthcare delivery. This comprehensive guide analyzes the hospital's success, exploring its strategies, strengths, weaknesses, and offering practical insights for aspiring healthcare managers and students. I. Understanding the Shouldice Hospital Model: Shouldice ...
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Shouldice Hospital Limited Case Study (book) Davis, Mark M. Managing Business Process Flows Ravi Anupindi,1999 Managing Business Process Flows is a concise textbook for MBA level operations management courses. It provides a process-flows approach to studying some of the core concepts in operations with three steps: 1.
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Shouldice Hospital Limited Case Study Analysis Entrepreneurship, Innovation and Technology Oswaldo Lorenzo 2018-03-07 The combination of entrepreneurship, innovation and technology has become the source of disruptive business models that transform industries and markets. The integrative understanding of these three drivers of
Shouldice Hospital Limited Case Study Analysis [PDF]
compelling case study for operational efficiency, lean management, and specialized healthcare delivery. This comprehensive guide analyzes the hospital's success, exploring its strategies, strengths, weaknesses, and offering practical insights for aspiring healthcare managers and students. I. Understanding the Shouldice Hospital Model: Shouldice ...
