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Product line management in hospitals: an exploratory study of managing change.

Hospitals often have looked to industry as a source of solutions to business problems. In recent years, they have begun to adopt a concept that has been used by manufacturers for more than 50 years--product line management (PLM). One characteristic of PLM is the designation of a product champion whose responsibility it is to promote the product both inside and outside the organization as well as to view for organizational resources to support the product. This article presents the findings of an exploratory study that indicates that although many hospitals are successfully utilizing PLM, a number of barriers to the implementation of this concept remain.

Attitude of Health Personnel↗

Product-line management outside the hospital.

The example of California-based CliniShare shows how a continuum of care can be maintained by applying product-line management to services provided on an outpatient basis. CliniShare's Focus Programs helped the company solve the problem of fragmented post-hospital care for diabetics and led it to acquire SugarFree Centers.

Aftercare↗

Case six. Introducing product line management in a multi-institutional healthcare organization.

This case reports a major shift in growth orientation pursued by a multi-institutional system--systemwide product line management. Competitive response to one environmental disruption led to the initiation of a year-long study to re-evaluate the corporation's mission, goals, strategies, growth and action orientations and organizational structure in light of the dramatic changes occurring in healthcare delivery. Of particular interest in this case is the connectedness between growth and action orientations, organizational culture, management style and organizational structure.

Decision Making, Organizational↗

Oncology and product line management: pitfalls in practice.

Oncology services are anticipated to grow to meet demands set in motion by the Baby Boom. There are documented examples of the application of product line management to oncology services as well as data for establishing "winners and losers" and the factors behind the differences in per case costs. Several factors, however, impact the successful use of product management in oncology. This article examines the steps in using the approach and potential pitfalls.

Cancer Care Facilities↗

How to avoid chaos in the transition to product line management.

As hospitals throughout the country move from their current management structures into a product line mode, they must take precautions to ensure that the changes don't create chaos. The first step to a successful transition is to understand the benefits--and the hazards--of a product line structure.

Economic Competition↗

The implementation and advantages of product-line management in cancer programs.

During the next decade, hospitals will continue to experience changes in case mix, technology, and reimbursement. The incidence of cancer will increase, and cancer patients are projected to become a larger portion of the overall treatment population served by hospitals. Because the term "cancer" refers to a complex group of diseases treated by many specialties, it is imperative that hospital administrators familiarize themselves with this product-line and address the clinical, financial, and programmatic issues inherent in this large, difficult-to-manage patient population. In contrast to traditional departmental organizations where a number of services, such as nursing and respiratory therapy, are used independently to treat a specific patient, product-line management examines the appropriateness and utilization of all services used to treat a specific group of patients. This organizational approach to cancer treatment has been successful in improving the quality of care, promoting physician bonding, increasing market share, and maximizing resource utilization. This special report focuses on the implementation and advantages of product-line management in cancer care, and will discuss the organizational issues, the process of developing a product-line, and major problems.

Cancer Care Facilities↗