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INFORMS Nashville – 2016

129

MA23

108-MCC

Human Resource Analytics in Anesthesia

Sponsored: Health Applications

Sponsored Session

Chair: Franklin Dexter, University of Iowa, 200 Hawkins Drive, 6-JCP,

Iowa City, IA, 52242, United States,

franklin-dexter@uiowa.edu

1 - Comparing Providers Based On An “obvious” Short-term Clinical

Outcome: Pain Scores

Jonathan Porter Wanderer, Vanderbilt University, Nashville, TN,

37204, United States,

jon.wanderer@Vanderbilt.Edu

In this presentation, we will review a “obvious” metric for comparing supervising

anesthesiologists: their patients’ pain scores on admission to the recovery room.

Using modeling, we will evaluate the appropriateness of this metric and analyze

the degree to which these scores are useful in evaluating the performance of

supervising anesthesiologists. Spoiler alert: this is not as useful a metric as it may

first appear.

2 - Comparing Anesthesia Providers Based On Discrepancies In

Their Controlled Substance Reconciliation Logs

Richard H. Epstein, University of Miami,

repstein@med.miami.edu

Accurate accounting of controlled drugs is required in the US under the

Controlled Substances Act. However, discrepancy rates of 15% between

automated drug cart transactions and administration records in the anesthesia

information management systems (AIMS) have been reported. We describe how

we reduced our discrepancy rate from 15% to 3.5% through a sequential process

involving daily, individualized email reports, a near real-time tool publicly

showing the transaction balance compared to the AIMS, and involvement of the

pharmacy to contact individuals with discrepancies. Although there were a few

extreme outliers, discrepancies were widely distributed, requiring a system based

approach.

3 - Comparing Faculty Anesthesiologists Based On Daily Evaluations

Of Quality Of Supervision By The Resident Physicians

Franklin Dexter, University of Iowa,

franklin-dexter@uiowa.edu

Since July 2013, resident physicians (and nurse practitioners) evaluate daily the

anesthesiologists in our department based on quality of supervision. The uni-

dimensional 9-item scale is valid and psychometrically dependable. Graduate

students evaluate the faculty daily. In 9 papers, we have learned: what is being

measured, achievable response rates, lack of important covariates, appropriate

Bernoulli CUSUM analysis, role of feedback, minimum perceived acceptable

scores, lack of correlation with individual productivity, lack of advantage to

faculty specialization, and improvement over time. Textual analysis of resident

comments showed behaviors associated with better scores.

4 - Privacy Policies For Protecting Human Resources

Liam O’Neill, University of North Texas,

liam.oneill@unthsc.edu

The dominant paradigm of information privacy is based on de-identification. We

calculated the percent uniqueness for hospital surgical patients from a database of

2.8 million hospital records. Only three attributes were considered: hospital

name, fiscal quarter, and surgical procedures. For patients undergoing two or

more procedures, 64.4% of records were found to be unique. For a patient

selected at random, the probability of matching this record to state database was

42.8% (SE < 0.1%). Data sharing plans, as required by some journals and funding

agencies, may place patient and clinician privacy at risk. Compliance with HIPAA

alone is insufficient to protect health data from re-identification.

MA24

109-MCC

Organizational Structures and Innovation

Invited: Strategy Science

Invited Session

Chair: Todd Zenger, University of Utah, Eccles School of Business,

Salt Lake CIty, UT, 9, United States,

todd.zenger@eccles.utah.edu

1 - Organizational Structure, Attention Allocation Andinnovation In

The Multidivisional Firm

John Joseph, University of California, Irvine, CA, 9, United States,

john2@uci.edu

, Alex Wilson

We propose that in order to understand how organizations develop inventions

with greater impact, we must not only consider the formal divisionalization of the

firm, but also its attention structure. We find that unit attention which is either

highly specialized (distinct from other units) or highly integrated (similar to other

units) yields higher quality inventions. We suggest that this U-shape relationship

reflects the need for attentional coherence to product quality inventions. We test

our theory using novel organizational structure and topic modeling of patent data

from Motorola. Our findings have implications for theories of organizational

design and innovation.

2 - Stage-gate Processes And Selection In Innovation

Ronald Klingebiel, Frankfurt School of Finance and Management,

1, Frankfurt, Germany,

r.klingebiel@fs.de

, Peter Esser

We examine resource allocation at stage gates of the innovation process at former

handset manufacturer Sony Ericsson, illuminating project discontinuation

behavior. We find that with financials unavailable early on, escalation can be

unknowable as well as a bias. Further, the propensity to search and update

financials declines as projects near completion, accompanying known self-

justification and goal-substitution effects. Finally, projects, for which negative

information does get translated into business case updates, are more likely to be

continued than projects with stable or improving financials. This strong form of

escalation suggests a counter-intuitive effect of attention.

3 - Intra-firm Collaboration Boundaries And The Efficacy

Of Innovation

Andy Wu, Harvard Business School, Soldiers Field, Boston, MA,

02163, United States,

awu@hbs.edu,

David Hsu, Vikas Aggarwal

What are the implications of alternate approaches to organizing the inventive

human capital of a knowledge-intensive firm? We empirically examine how the

locus of technical experience diversity within a firm influences firm-level

innovation output. Using a sample of biotechnology start-ups we find that

organizing human capital so that there is greater indirect diversity (i.e., where

technical experience diversity lies outside the locus of production) yields greater

firm-level innovation benefits compared to organizing human capital so that there

is greater direct diversity (i.e., where technical experience diversity lies inside

production units themselves).

4 - How Do Pilots Work? Examining Pilot Use In New

Practice Transfer?

Megan Lawrence, Vanderbilt University, Owen Graduate School of

Management, Nashville, TN, 3, United States,

megan.lawrence@vanderbilt.edu

This paper examines how the use of pilots influences new practice

implementation. Using data from a Fortune 100 retail chain that implemented a

new restocking process, I compare implementation performance in 280 stores. I

propose and test that pilots enable learning from outside experiences. I find that

stores only learn from the pilot store in their own district, even when closer to

another district’s pilot. Stores’ prior performances relative to their pilot influence

the extent to which they learn from their own experiences. Lastly, I provide

evidence that the most likely alternative mechanism - peer effects - may also be

present but that these effects do not eliminate the learning findings.

MA25

110A-MCC

Modern Project Management

Invited: Project Management and Scheduling

Invited Session

Chair: Nicholas G Hall, Ohio State University, Columbus, OH,

United States,

hall.33@osu.edu

1 - Opportunities For Behavioral Research In Project Management

Enno Siemsen, University of Wisconsin,

esiemsen@wisc.edu

Behavioral research in operations management is on the rise. The field of Project

Management seems ripe for more applications of behavioral research. How do

team members react to deadlines and reminders? How are projects selected and

abandoned? What is the impact of multi-tasking, and how does assigning new

resources change team dynamics? These are all important research topics, and I

will both highlight past and current work in these areas, as well as opportunities

for future research.

2 - Information Protection In New Product Development Projects

Xiaoqin Wen, Shanghai University,

wenxq_8@163.com,

Nicholas G Hall

Motivated by the threat of industrial espionage during new product development,

a project company minimizes information leakage by using decoy work. The

competitor validates the information it observes in a cost-effective way, based on

three alternative prior assumptions about its validity. We model this problem as a

two stage Stackelberg game, identify an equilibrium solution, and obtain

managerial insights. Coordinated setting of the project deadline and budget is

needed to protect the project. Counterintuitively, it benefits the project company

to announce that it uses decoy work.

3 - Research Challenges In Project Management

Ted Klastorin, University of Washington,

tedk@u.washington.edu

A great deal of previous project management research has focused on scheduling

problems. But the research issues faced by project managers are far more complex

and just as challenging as those faced by supply chain managers. In this talk, I will

explore many of these issues and directions for future research studies, with an

emphasis on problems associated with decentralized projects.

MA25