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Developing a cardiovascular service line team: a process for humanizing clinicians and administrators
... The provision of a range of services by hospitals relates to the 'service line model' that came into effect in the 1980s (Nackel and Kues, 1986;Gee, 2003). According to Stupak and Greisler (1997;p. 14), "The theoretical foundation of a service line is that it results in continuum development across specific disease states to improve operational performance and enhance market penetration." ...
... 14), "The theoretical foundation of a service line is that it results in continuum development across specific disease states to improve operational performance and enhance market penetration." The service line model or management focuses on aligning and coordinating healthcare services for a specific patient population to improve efficiencies, outcomes, and costs (Stupak and Greisler, 1997;Longshore, 1998;Coile, 1999;Gombeski et al., 2001). ...
In this study we examine the association of clinical quality and clinical flexibility capabilities on cardiology unit length of stay and cost performance. These relate to the operational performance of cardiology units and capture the timeliness and cost efficiency of cardiac care. We also investigate the complementary role played by the experiential quality in enhancing the impact of clinical quality and clinical flexibility on operational performance measure. Experiential quality relates to patient-centered delivery of care by a hospital. We collect and combine data for 876 U.S. hospitals from four distinct sources and undertake multi-level analyses that consider a hierarchical structure in which the hospital is nested within county and state. To disentangle the effects at the levels of states, counties, and hospitals, we use the mixed-effects modeling approach. The results obtained from econometric analyses indicate that clinical quality and clinical flexibility reduce cardiology unit average length of stay. Clinical flexibility also helps in reducing the average cost of cardiology units. Experiential quality moderates the impact of clinical quality on length of stay and plays a complementary role in the relationship between clinical flexibility and cost. The paper discusses the implications of the findings and presents directions for future research.
... This Act has created poor bottom lines for hospitals because there was decreased reimbursement to hospitals from Medicare in an effort balance the United States' budget (Anonymous, 2000, p. 18). The service line model with its the new focus on financial performance and improved clinical outcomes, allowed the services to be more financially solvent through more interactive decision making with the key players (Longshore, 1998, p. 74; Stupak and Greisler, 1997, p. 14). Another reason for resurgence of SLM was to establish a Center of Excellence. ...
Paper (M.H.A.)--Penn State Harrisburg.
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