Understanding and Managing the Complexity of Healthcare

Title Page, Series Page, Copyright, Dedication

Understanding and Managing the Complexity of Healthcare Engineering Systems Editorial Board: Joel Moses (Chair), Richard de Neufville, Manuel Heitor, Granger Morgan, Elisabeth Paté-Cornell, William Rouse Flexibility in Engineering Design, by Richard de Neufville and Stefan Scholtes, 2011 Engineering a Safer World, by Nancy G. Leveson, 2011 Engineering Systems, by Olivier L. de Weck, Daniel Roos, and Christopher L. Magee, 2011 Design Structure Matrix Methods and Applications, by Steven D. Eppinger and Tyson R. Browning, 2012 Understanding and Managing the Complexity of Healthcare, by William B. Rouse and Nicoleta Serban, 2014 Understanding and Managing the Complexity of Healthcare William B. Rouse and Nicoleta Serban The MIT Press Cambridge, Massachusetts London, England © 2014 Massachusetts Institute of Technology All rights reserved. No part of this book may be reproduced in any form by any electronic or mechanical means (including photocopying, recording, or information storage and retrieval) without permission in writing from the publisher. MIT Press books may be purchased at special quantity discounts for business or sales promotional use. For information, please email special_sales@mitpress.mit.edu. This book was set in Stone Serif Std by Toppan Best-set Premedia Limited, Hong Kong. Printed and bound in the United States of America. Library of Congress Cataloging-in-Publication Data Rouse, William B., author. Understanding and managing the complexity of healthcare / William B. Rouse & Nicoleta Serban. p. ; cm. — (Engineering systems) Includes bibliographical references and index. ISBN 978-0-262-02751-9 (hardcover : alk. paper) I. Serban, Nicoleta, 1975- author. II. Title. III. Series: Engineering systems. [DNLM: 1. Delivery of Health Care—organization & administration—United States. 2. Health Services Accessibility—economics—United States. 3. Systems Integration—United States. W 84 AA1] RA399.A3 362.1068—dc23 2013046135 10 9 8 7 6 5 4 3 2 1 In memory of Mihaela and her strong will to live. ...