SPH Brown Bag Research Presentation: The Effects of Lean Management on Hospital Performance: Results From A National Survey

Seminar | November 1 | 12-1 p.m. | 5101 Berkeley Way West

 Stephen Shortell, Professor of the Graduate School, School of Public Health; Thomas Rundall, Emeritus Professor, School of Public Health

 Public Health, School of

The talk will focus on research examining the effects of Lean management on hospital financial performance, patient outcomes, and patient satisfaction. Data come from a 2017 national survey of Lean adoption in 4,500 acute-care U.S. hospitals, linked with data from the American Hospital Association’s (AHA) 2015 Annual Survey, 2015 Medicare Cost Report, 2015 Hospital Compare, and 2015 CMS Hospital Service Area File. Multivariable linear regression analyses were conducted to assess the effects of hospital adoption of Lean as of 2014 on ten measures of hospital performance in 2015, controlling for selected organizational and market factors. Lean adoption was significantly associated in the direction predicted with three of four measures of hospital financial performance, two of five measures of patient outcome, and the measure of patient satisfaction.

Stephen M. Shortell, Ph.D., M.P.H, MBA, Dean Emeritus, is the Blue Cross of California Distinguished Professor of Health Policy and Management and Professor of Organization Behavior at the School of Public Health and Haas School of Business at University of California-Berkeley where he also co-directs the Center for Healthcare Organizational and Innovation Research (CHOIR) and the Center for Lean Engagement and Research (CLEAR) in healthcare. A leading health care scholar, Dr. Shortell and his colleagues have received numerous awards for their research examining the performance of integrated delivery systems; the organizational factors associated with quality and outcomes of care; and the factors associated with the adoption of evidence-based processes for treating patients with chronic illness. He is currently conducting research on patient engagement and the performance of Accountable Care Organizations (ACOs). He is an elected member of the National Academy of Medicine and a recent recipient of the AHA/HRET TRUST Visionary Leadership Award.

Thomas Rundall, Ph.D. is the Henry J. Kaiser Professor of Organized Health Systems, Emeritus at the University of California, Berkeley. During his time on the Berkeley faculty, Dr. Rundall served as Chair of the Department of Health Policy and Management, Director of the Center for Health Management Research, Director of the Graduate Program in Health Management, and Executive Associate Dean of the School of Public Health.

Professor Rundall has published across a broad array of topics, including integration of health care services, hospital-physician relationships, health information technology, performance improvement, evidence-based management, and Lean management in hospitals. Rundall has been awarded the Filerman Prize from the Association of University Programs in Health Administration for his contributions to the field of health services management education and the Berkeley Citation for distinguished achievement and notable service to UC Berkeley. He currently serves on the Board of Directors, and is past Chair of the Board, for John Muir Health, an integrated health care delivery system with headquarters in Walnut Creek, California. Dr. Rundall also serves as the co-director of the Center for Lean Engagement and Research in Healthcare at UC Berkeley.