Spring 2013 Courses

ISE 468    ETM 568

Healthcare Process Improvement

Instructor, Dr. Joan A. Burtner, Certified Quality Engineer

Associate Professor of Industrial Engineering

Updated April 29, 2013  12 noon

SyllabusforISE468Spring2013withISBN revised Jan82013

SyllabusforISE568Spring2013withISBN revised Jan82013

Class Day
Class Activity/Topics
Homework Assignment

W

Jan 9, 2013

 ISE468S13 Ozcan Chapter_1 JMB part1 Jan9 Study for acronym quiz based on Wednesday's lecture  

M

Jan 14, 2013

ISE468S13 Ozcan Chapter_1 JMB part2 Jan13

Institute of Medicine Report

To Err is Human

Study for quiz on pages 1-5 of To Err is Human  

W

Jan 16, 2013

Institute of Medicine Report

Crossing the Quality Chasm: A New Health System for the 21st Century

   

M

Jan 21, 2013

Holiday

   

W

Jan 23, 2013

ISE 468 Data Set 1

1. Conduct a two-sample t-test on one of the responses in Data Set 1 (avg pt falls, case mix index, etc). 

2. Conduct a Mood's Median Test on one of the responses in Data Set 1.

3. Bring a printout of your Minitab results to class on Monday.

4. Annotate your Minitab results with a decision and a conclusion for each hypothesis test.

5. Be sure to write your name on each page you submit.

 

M

Jan 28, 2013

ISE468S13 The Institute of Medicine Jan28

 

 
W Jan 30 Spring2013 NonparametricLecture1 Jan302013 Complete worksheet on terms and acronyms in "Real-time forecasting of pediatric intensive care unit length of stay using computerized provider orders" article.  
M Feb 4

designing parametric and non-parametric experiments (one factor and two factor)

ISE468 ETM 568 Hypothesis Testing Template for One Factor Experiment DISTRIBUTE

ISE468 ETM 568 Hypothesis Testing Template for TwoWay ANOVA DISTRIBUTE

Conduct the two experiments you designed.

Report the results of the Kruskal-Wallis using the one factor experiment hypothesis test template. Report the results of the twoway ANOVA using the TwoWay ANOVA hypothesis testing template. Each team should submit one two-way ANOVA template and one one-factor experiment template.

 
W Feb 6 ISE468S13 Nursing Interruptions Feb 6 Read "Characteristics of Work Interruptions During Medication Adminstration". Be prepared to discuss results and conclusions in class on Monday.  
       
M Feb 11

reviewed Exam 1 topics

(Ozcan will not be covered on Exam 1)

 

  • To Err is Human
  • Crossing the Quality Chasm
  • "Characteristics of Work Interruptions During Medication Adminstration".
  • "Real-time forecasting of pediatric intensive care unit length of stay using computerized provider orders"
  • Designing and Interpreting Parametric and Non-Parametric Experiments
 
W Feb 13 Exam 1

Read the Evidence-based Pediatric Fall Prevention Program article. Write down the answers to the following questions.

1 What was the study design?

2 What is the name of the form used to collect data for the pilot study?

3 What did the researchers conclude about the sample size used in the pilot study?

4 What was the hospital-wide logo for the fall preventin program?

5 The prevention program reduced falls by what percentage?

 
M Feb 18 ISE491S13F09 Ozcan Chapter_9 Lecture 1 JMB    
W Feb 20 ISE491S13F09 Ozcan Chapter_9 Lecture 2 JMB Read Chapter 9 in Ozcan. Do problems 9.1 and 9.2 on page 232.  
 M Feb 25 Using Minitab to build variables and attributes control charts. Read "Applications of Statistical Quality Control to Cardiac Surgery".  Be prepared for a brief quiz on the SQC aspects of the article.  
W Feb 27 SQC Quiz   Discussion of objective/subjective and human subjects research protocols. Re-read Chapter 9 in Ozcan. Do problems 9.4 and 9.5.  
M Mar 4

Problem 9.5 b and c The Measurements section should have included the fact that there were 3222 discharges.

Problem 9.5 d Use the equation on page 221 to calculate Hours of Direct Patient Care -- Note that the direct nursing care hours are included in parentheses in the Patient Classification section.

Use the March 4 data set to develop a valid 2x3 ANOVA.  
W Mar 6 ISE 468 data March 4 2013    
M Mar 18 ISE468ETM568S13 Ozcan Chapter_6 JMB v4 slides 1thru21 Problem 6.1 Problem 6.4 a and b  
W Mar 20 Lean Healthcare - The Identification of Waste JMB    
  Lean Healthcare - Value Stream Maps JMB    
  ISE 468 Overview of the Balanced Scorecard in Healthcare JMB    
M Mar 25

Guest Speaker - Ms. Susan Barkley

Director, HCA

Be prepared for a quiz on the following terms from the Lean Six-Sigma for Healthcare Glossary distributed in class on Monday.

Black Belt, Champion, Cost of Quality, DPMO, KPIV, sigma quality levels, SIPOC, SMART, voice of the customer and voice of the process

 
W Mar 27 Quiz on Lean Six Sigma for Healthcare terms.    
M Apr 1 ISE 468 April 1 2013 class data Write a one-page 12 pt Times New Roman single-spaced summary of the things we discussed in class (ICD-9, the statistical properties of the data set, potential inferential statistical methods, etc.). Include your name and the date at the top of the page. Name your file  yourname_initial data analysis.  Email it to me by 2:45 on Wednesday, April 3.  
W Apr 3 Review of Chi-Square Methods in Minitab

a) Using the April 1 class data, develop a data column that labels patient weight according to the low, medium, and high categories we established in class.  Conduct a Chi-Square Goodness of Fit Test for the following proportions: low=20%, medium=50%, and high= 30%.

b)Conduct a Chi-Square Test for Independence between Gender and Patient Weight using the categories we established in class.

Write a brief memo describing your methods and your conclusions. Submit one memo per team. Email it to me by 2:45 on Monday, April 8.

 
M Apr 8 Data Analysis and Manipulation: Procedure Codes and Diagnosis Codes Using the assigned teams, design and conduct an ANOVA using procedure codes as the factor and total charge as the response. You do not need to use all of the procedure code data in your design. Your experiment must include at least 21 observations (patient id's) and at least 3 levels of the factor. Put the data for your experiment an Excel file.  Include ISE 468 and your first names in the title of the Excel file. Write a brief memo describing 1) your choice of levels of the factor 2) the analysis technique, and 3) your conclusions.  Each team should email a single memo and the Excel data set to me by noon on Saturday.  
W Apr 10 No class attendance - Submit team data analysis project by noon on Saturday. Read Chapter 1 of Pursuing the Triple Aim.  Be prepared for a quiz on Table 1.1 " Simple Rules for the Twenty-First-Century Health Care System".  
M Apr 15

Pursuing the Triple Aim Quiz

ISE468ETM568S13 Ozcan Chapter_12 JMB Guidelines

   
W Apr 17

MCCG Guest Speaker

Drew Elrod, MBA, CHFM 

| Innovation Engineer  

 ISE468S13 Pursuing the Triple Aim Chapter 1 slides 1-4

 ISE468 ETM 568 Pursuing the Triple Aim Chapter 1 Part 2

 
M Apr 22

Exam 2 Topics:

1. Ozcan Ch 1, 6 and 9 (concepts, definitions, acronyms)

2. Computation problems Ozcan 6.1 6.4 9.1 9.2

3. Design of experiments (parametric, non-parametric) - choice of experiment, interpretation of output provided

NOTE: You will not be allowed to use computer programs (Minitab or Excel) for this exam.

4. Never events

5. Statistical Quality Control - types of charts, special cause vs. common cause

   
 

Read the Preface and Chapter 1 of Pursuing the Triple Aim. We will have a quiz on that material on Wednesday.

ISE468S13 Pursuing the Triple Aim Chapter 1 slides 1-4

 ISE468 ETM 568 Pursuing the Triple Aim Chapter 1 Part 2

Read the Preface and Chapter 1 of Pursuing the Triple Aim. We will have a quiz on that material on Wednesday.

ISE468S13 Pursuing the Triple Aim Chapter 1 slides 1-4

 ISE468 ETM 568 Pursuing the Triple Aim Chapter 1 Part 2

 
       
W Apr 24 Ch3    Ch5   Ch 7   Measuring Healthcare 4  Measuring Healthcare 6  Measuring Healthcare 8    
M Apr 29 Final Exam Distributed ISE 468 ETM 568 Fianl Exam publish  
R May 2 Final Exam Due    
 

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  Reference materials:    
  IDM404Spring2012_hypothesis testing review Part1 DISTRIBUTE    
  IDM404S12 HowtoBuildandAnalyze a TWO-WAY ANOVA using Minitab15    
 

IDM404March202012 data

Spring2011 NonparametricLecture1 March292011

Burtner Nonparametric examples 1 2 3 4 without solutions for Tuesday March 20 2012 publish  
  IDM404S12 How to Conduct Two Way ANOVA in Excel    
  IDM404April102012data