A Review on Design of Integrated Healthcare Model through Performance Excellence Methodologies

  • Srideepti Ramayanam Research Scholar, SMS/JNTUH, India
  • G.V.R.K Acharayulu Professor of Management Sciences, SCM, Hyderabad Central University, India
  • V.M. Prasad Professor of Management, Al Yamamah University, Riyadh, KSA
Keywords: Unaffordable Healthcare Services, Interoperability, Technology in Healthcare Services, Data Visualization Dashboards.


Cost based care is evolving as a resolution to address increasing Healthcare costs, and to address the problem of clinical inefficiencies. ‘Cost based care’ therefore is designed to be patient centric. While ‘Cost based care’ helps in addressing the challenge of rising costs and making the care more affordable, it  comes with its own set of challenges for providers as they are paid for better patient outcomes in an evidence based way.  In the regimen of ‘Cost based care’ providers are grappling with reduced reimbursements. Providers are also required to track wide variety of measures to make the care more evidence based. Operations transformation for a healthcare systems means that it makes the processes, efficient, flexible and innovative to suit patient centric treatment models. To achieve this transformation by excluding wastes out of system, make the processes much more efficient, implementation of digital systems across the value chain of the hospital have become the area of focus. Shared Services alteration is a subclass of administrational transformation. It is has a lot of potential to smoke out costs, making operational processes much more efficient by rationalizing functions, like Human Resources, Pathology, Radiology, IT and Supply chain services at Hospitals. Administrational transformation aims to flush out costs, bring transformation in revenue cycle, and focus on Patient centric treatment modules. By implementing data visualization dashboards across the services would enable transparency and trust for patients.


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Brett E. Trusko, Carolyn Pexton, Jim Harrington, Praveen Gupta. Improving Healthcare Quality and Cost with 6σ. Publisher: Financial Times Press.
Robert Barry, PhD, Amy C. Murcko, APRN, Clifford E. Brubaker, PhD Co. The 6σ Book for Healthcare:Improving Outcomes by Reducing ErrorsPublisher: American Society for Quality.
Donald W. Benbow & T. M. Kubiak (2 edition (January 7, 2009)). The certified 6σ Black Belt Handbook. Publisher: ASQ Quality Press;
Viswadeep Katri (2009). Benchmark 6σ Green Belt Handbook. Publisher Benchmark
Thomas M. Cappels (1999). Financially Focused Quality. Publisher CRC Press LLC
Sai Kumar (2011). QAI 6σ Black Belt Handbook. Publisher QAI
Michael L. George (Author), David Rowlands (Author), Bill Kastle (Author) (November 17, 2003). What is Lean Six Sigma. Publisher: McGraw-Hill Education;
Woodard TD. Addressing variation in hospital quality: is Six Sigma the answer? J Healthc Manag. 2005;50(4):226–36.
Jabnooun, N. and Chaker, M. (2003), Comparing the quality of private and public hospitals, Managing Service Quality, Vol. 13, No. 2, pp. 290-9.
Sewell, N. (1997), Continuous quality improvement in acute health-care: creating a holistic and integrated approach, International Journal of Health Care Quality Assurance, Vol. 10, No. 1, pp. 20-6.
Reidenbach, E. and Sandifer-Smallwood, B. (1990), Exploring perceptions of hospital operations by a modified SERVQUAL approach, Journal of Health Care Marketing, Vol. 10, No. 4, pp. 47-55.
Falter, Elizabeth (Betty)Apr-Jun (2008). Lean-6σ for Healthcare … A Senior Leader Guide to Improving Cost and Throughput.Nursing Administration Quarterly,Vol. 32 Issue 2, p168-170, 3p
Bowers, M. R., J. E. Swan, and W. F. Koehler. (1994). “What Attributes Determine Quality and Satisfaction with Health Care Delivery?” Health Care Management Review 19 (4): 49–55.
Chong, Y., N. Unklesbay, and R. Dowdy. (2000). “Clinical Nutrition and Foodservice Personnel in Teaching Hospitals Have Different Perceptions of Total Quality Management Performance.” Journal of American Dietetic Association 100 (9): 1044.
Cole, D. A. (1999). “Creating Outcomes with Redesign Efforts.” AORN Journal 70 (3): 406.
Dowd, S. B., and E. Tilson. (1996). “The Benefits of Using CQI/TQM Data (Continuous Quality Improvement/Total Quality Management).” Radiologic Technology 67 (6): 533–37.
Johnstone, P. A. S., J. A. W. Hendrickson, A. J. Dernbach, A. R. Secord, J. C. Parker, M. A. Favata, and M. L. Puckett. (2003). “Ancillary Services in Health Care Industry: Is 6σ Reasonable?” Quality Management in Health Care 12 (1): 53– 63.
Institute of Medicine. (2001). Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academies Press.
Locock, L. (2003). “Healthcare Redesign: Meaning, Origins and Application.” Quality and Safety in Health Care 12 (1): 53–57.
Longest, B. B, J. S. Rakich, and K. Darr (eds.). (2000). Managing Health Services Organizations and Systems, the 4th Edition. Baltimore, MD: Health Professions Press.
Luck, J., and J. W. Peabody. (2000). “Improving the Public Sector: Can Reengineering Identify How to Boost Efficiency and Effectiveness at a VA Medical Center?” Health Care Management Review 25 (2):
Luke, R. D., J. C. Krueger, and R. E. Modrow. (1983). Organization and Change in Health Care Quality Assurance. Rockville, MD: Aspen Systems Corporation.
McConnell, P., and V. G. Ciotti. (1995). “Applyin TQM/CQI Principles to Information Systems Selection."Healthcare Financial Management 49 (5): 48–52.
McLaughlin, C. P., and A. D. Kaluzny. (1994). Continuous Quality Improvement in Health Care. Gaithersburg, MD: Aspen Systems Corporation.
Pyzdek, T. (2001). “6σ and Beyond.” Quality Digest. [Online article; retrieved 11/29/04.] http://www.qualitydigest.com /feb01/html/sixsigma.html.
Revere, L., and K. Black. (2003). “Integrating 6σ with Total Quality Management: A Case Example for Measuring Medication Errors.” Journal of Healthcare Management 48 (6): 377–91.
Rowell, P. (2004). “Appropriateness of Care: The Case for Changing the Focus of ‘Quality’ Measurement.” Quality Management in Health Care 13 (3): 178–82.
Samuels, D. I., and F. L. Adomitis. (2003). “6σ Can Meet Your Revenue-Cycle Needs: 6σ Is Far from Being the Latest Quality Improvement Fad; It Is a Proven Technique Grounded in Principles that will Endure As Long As There Are Processes that Require Improvement.” Healthcare Financial Management 57 (11): 70–75.
Walston, S. L., and R. J. Bogue. (1999). “The Effects of Reengineering: Fad or Competitive Factor?” Journal of Healthcare Management 44 (6): 456
WHO Regional Office for Europe. Health 2020: a European policy framework is supporting action across government and society for health and well-being. Copenhagen: WHO Regional Office for Europe; 2013
Singh D, Ham C (2006). Improving Care for People with Long-term Conditions: A Review of UK and International Frameworks. Health Services Management Centre: Birmingham and NHS Institute for Innovation and Improvement;
Agency for Healthcare Research and Quality. Defining the PCMH | PCMH Resource Center [website] (https://pcmh.ahrq.gov/page/defining-pcmh)
Shaw S, Rosen R, Rumbold B (2011). What is integrated care? An overview of integrated care in NHS. Nuffield Trust;
Hébert R, Durand PJ, Dubuc N, Tourigny A (2003). PRISMA: a new model of integrated service delivery for the frail older people in Canada. Int J Integr Care.; 3(1)
Kodner DL, Spreeuwenberg C (2002). Integrated care: meaning, logic, applications, and implications – a discussion paper. Int J Integr Care. Nov 14; 2 (4)
How to Cite
Ramayanam, S., Acharayulu, G., & Prasad, V. (2018). A Review on Design of Integrated Healthcare Model through Performance Excellence Methodologies. American International Journal of Multidisciplinary Scientific Research, 3(1), 1-5. Retrieved from https://www.cribfb.com/journal/index.php/aijmsr/article/view/191