From Health Professions Press, 2016
Loaded with practical, enduring solutions, this book will help hospitals and health systems achieve increased productivity in a surprisingly short time and at low cost. This revised second edition not only supports current financial and workforce trends in healthcare services, but also introduces new measurement methods. In a supportive, conversational style, the author takes you step by step through a simple, logical, and powerfully effective approach that moves from analysis to implementation of productivity standards, and then beyond. Drawing upon his successful experience with more than 70 hospitals, Paul Fogel provides dozens of incisive illustrations, tables, financial models, and case studies to illuminate the text’s core concepts of measurement, accountability, simplicity, and fairness. Whether you want to increase current work output or reclaim lost productivity, you will learn how to:
One of the most valuable additions to this revised edition is an all-new chapter on developing workload measures to accurately reflect both volume and patient or service mix. If you are a hospital administrator, physician, corporate health system staff, financial executive, or hospital or health plan administrator, you will find here the tools to invigorate the productivity of your organization with long-lasting success.
Also available through: Chegg, Baker and Taylor, OverDrive, Gardners, and Follett.
Chapter 1: The State of the Union
Chapter 2: How to Develop Realistic Productivity Standards
Chapter 3: Developing Better Units of Service
Chapter 4: Implementation
Chapter 5: Monitoring and Reporting
Chapter 6: Incentives and Consequences
Chapter 7: The Politics of Productivity
We have live seminars hosted by ACHE and HFMA, as well as online seminars. We can also come onsite for an engaging, customized presentation. Check the Seminars page for a calendar of events.
"Paul Fogel’s ability to capture the obvious and explain the treadmill effect many healthcare executives face in managing their largest expense is astonishing. If executives are tired of fleeting efforts on productivity management and want a pathway to effectiveness, then Superior Productivity in Healthcare Organizations is a must-read. I had looked for most of my career for a solution that tied cultural relevance to outcomes without a one-size-fits-all approach. This methodology answers that longing to find a solution that is tailored to our uniqueness.”
—Steven D. Febus, MBA, CFO, Pullman Regional Hospital
"Hospital leaders: This book serves as support for high level strategic, intentional, mission-oriented labor management, and is a detailed blueprint for:
"All three are the core elements of a successful Culture of Productivity. If I had a nickel for every copy of Superior Productivity in Healthcare Organizations that I’ve recommended or gifted to senior healthcare managers…"
—Keith Gott, Senior Director, Health Solutions at FTI Consulting, author of A Productivity Practicum
"This is a must-read for hospital system executives; buy a copy for every manager at your hospital—you won’t regret it. Paul Fogel gives you the knowledge and, most importantly, the exact plan on how to implement an effective productivity system that works, backed up by his proven experience with dozens of hospitals.”
—Megan Foster, CEO of Foster Health Consulting, creator of Fostering the Journey: Empowering Programs for Dementia Caregivers
"This book is exceptional.
"Productivity in healthcare is a true challenge; if you really want to do it. Sure, maybe your organization uses some kind of system that compares everyone to some kind of industry standard benchmark - or maybe you're looking at some software that will save the day. Most approaches tend to pit the clinical department leaders against the financial/analyst/operations teams. The clinicians state that they need "X" to provide quality care and the administrators cite "Y" standard and demand they try and meet it. And the back and forth continues - the clinicians feeling like the standards don't reflect reality and the administrators frustrated that their departments need so many caregivers to provide quality care. Is this type of approach working for you? It sure didn't work for me...and it hasn't worked for the industry in general.
"Paul takes this reality and crafts a clear, concise, and effective user guide to building a labor productivity system that works for everyone in a healthcare organization. Paul takes a true reality-based approach to this challenging topic and provides step-by-step guidance on building and optimizing a labor/productivity system in your organization.
"He tackles the myth that software or complex labor algorithms will solve the labor productivity challenge. There is no need to invest thousands of dollars in those types of solutions. Start with this book - start with simple collaborative dialogues and develop collective agreements and then hold each other accountable to those agreements using basic and simple tools. And then evolve that approach over time to include better measures of productivity such as including acuity factors.
"Paul also recommends a strong policy and reward system to motivate appropriate management. I found that to be really refreshing. In healthcare, it's odd that many department leaders are unable to truly "own" their departments - have both the responsibility and accountability for its performance. If department leaders truly owned their departments there would be no need for centralized positional approval committees. These archaic assemblies could move into a comfortable retirement as department leaders step into managing their departments, their staff, and their productivity based on collaboratively developed expectations. Paul also discusses the power of good old fashioned management and the power of holding people accountable to standards - a critical component of any successful productivity system.
"Paul teaches an online course through the American College of Healthcare Executives. I was able to attend it and would recommend it as enthusiastically as his book. As an instructor he is incredibly engaged, providing insight, analysis, pointers and guidance on every assignment. I've taken my fair share of online courses - and the instructor is typically phoning it in - giving the same feedback to every student - providing canned responses, etc. But Paul is clearly treating each attendee as an individual! It's a true functional course that applies everything in the book. It's a course that will make you work and learn and grow - and frankly there aren't a lot of courses like that. And if you've read the book and would like expert guidance in the actual HOW of doing it - this is the course for you. You will leave the course with a complete draft of quarterly reports, monthly reports, policies, procedures, and most everything you would need to begin the journey of establishing a truly superior productivity system in your organization.
"If you're a healthcare leader you should buy this book.
"If you really want to implement the tools - you should take Paul's course."
—Jed Rudd, Chief Operating Officer, Gila Regional Medical Center