Healthcare Administration | Standards Michigan

Healthcare Administration

Many large research universities have significant healthcare delivery enterprises. The leadership of those enterprises discount the effect of standards like this at their peril. It is easy to visualize that this document will have as transformative effect upon the healthcare industry as the ISO 9000 series of management standards in the globalization of manufacturing.


Healthcare Administration

October 13, 2019
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“The Physician” | Friedrich Friedländer (1870)

The University of Texas Medical Branch (UTMB) catalyzed the creation of the first global standard for health care administration; developed by International Organization for Standardization Technical Committee 304 (Click here: ISO/TC 304).     The UTMB stewardship over the past three years will now be transferred to InGenesis with the same objective: to reduce administrative burden of healthcare delivery organizations — not the least among them the healthcare delivery enterprises in the US education industry where we place our focus.   Apart from the globalization of academic research expertise; the delivery of clinical care is globalizing and with it administrative burden in every dimension of the healthcare value chain.  

The core committee met in July 2018 at  NSF International Headquarters in Ann Arbor, Michigan and online again  on November 8th at 9 AM Eastern time.  The login credentials to join that meeting are shown below:

Toll Free: 877-853-5247

Login ID 131728905

A summary of the activity at that meeting will be posted here soon.   A selection of relevant documents are available in the workspace below:

Standards Michigan Workspace for ISO Healthcare Administration Standard *

You are encouraged to communicate with Lee S. Webster ( or Veronica Edwards ( for more current, detailed information.  ( )

This standard will be on the agenda of each of our monthly International and Healthcare standards teleconference  — shown on our CALENDAR — during which time we will walk through all of our current collaborations with the US TAG administrators on other ISO projects and also standards action under the purview of the USNA/IEC.  (Use login credentials at the top of our homepage). 

ISO TC 304 Participation Map | Click on image for more details


[Issue 14-99]

Contact:  Lee Webster (, Mike Anthony (, Richard Robben (, James Harvey (, Christine Fischer (

Category: Medical Research & Health Care, Management, Finance & Administration, International

* This is a provisional workspace set up to enable relatively easy access to relevant documents that make the project more understandable.  The official project workspace is administered by ANSI’s US TAG.



ISO Focus Special Issue on Healthcare


March 28, 2018

“The Agnew Clinic” | Thomas Eakins (1889)

We have received an update from S. Lee Webster, the global Secretariat for this emergent document:

Briefing Paper about Healthcare Organization Management Standards (030518) v1 (1)

The next meeting of the various working groups will be held in Vilnius, Lithuania, May 21-25, 2018.  Contact Lee Webster for information about how to attend (  Ahead of the May meetings, we will be scheduling a live Q&A with Lee during one of our weekly Open Door teleconferences.

Vilnius University Hospital Santaros Klinikos (Click on image)

ARCHIVE: February 27, 2018


Quoting S. Joe Bhatia, CEO of the American National Standards Institute in a May 16, 2015 press release:

“With more than $360 billion spent annually on health care administration in the U.S., reducing costs and streamlining administrative processes in health care is a critical national priority,” said S. Joe Bhatia, president and chief executive officer of ANSI, the U.S. member body to ISO. “The newly formed ISO TC 304 shows great promise in tackling inefficiencies in health care administration worldwide, and ANSI proudly supports UTMB’s leadership role as acting secretariat on behalf of the United States.”

It is rare for a US educational institution to assume leadership at this scale. As an Accredited Standards Developer the UTMB will oversee the creation of standards and technical reports that define effective, interoperable, and comparable healthcare administration practices and metrics among healthcare entities. These practices and metrics will be limited to staff and operational management of healthcare facilities.  Excerpts from the standardization project identify the rationale:  

Rationale 1: Establishing healthcare administrative standards will reduce the cost of providing healthcare through the widespread adoption of interoperable metrics and practices.

Rationale 2: Reducing the cost of healthcare will make these services more affordable and thereby provide an opportunity for greater access to society.

Rationale 3: Improving the administrative and managerial performance of healthcare entities results in better healthcare outcomes for patients.

Rationale 4: Although numerous standards exist for the laboratory protocols, clinical services and patient care functions of healthcare organizations, there are scant standards that address administrative functions or these standards are specific to a particular healthcare entity.

Rationale 5: Standardizing Healthcare administrative metrics will create apple-to-apple comparisons of organizations performance that will better educate consumers and drive process improvement activities

Rationale 6: Rural and underserved communities will have access to effective practices that offer a roadmap to improve their own quality of healthcare services they receive.

Rationale 7: Positive support have been received from other ASD and members of the healthcare technical community

Rationale 8: Standards will complement standards developing efforts of existing ANSI and ISO standards developing committees.

Rationale 9: The healthcare community and its stakeholders are highly receptive to standardization and certification and will adopt approaches from these sources readily. 

Those practices and metrics that directly affect patient care and medical research are outside the scope of this standards effort. Clinical performance and patient safety and satisfaction standards will not be pursued by this ASD body.  ISO 304 will also not address 1) the management or administration of organizations that practice dentistry, 2) the production and use of medical devices or instruments, and 3) the capture and analysis of clinical medical information or procedures.   More detailed information is available in the documents linked below:

14-99 Proposal_for_a_NFTA (Healthcare Administration 0915)v3

14-99 Summary of the Proposal for ISO TC for Healthcare Admin Stds (101915) v1

University of Texas Medical Branch

The slide deck for the December 15, 2016 teleconference is linked below:

Healthcare Administration Information (121516) v1 (Webster) 14-99

Facility managers in university-affiliated medical research and healthcare delivery enterprises who would like to participate in developing the US position are encouraged to contact Lee Webster Lee Webster (

[Issue 14-99]

Contact:  Lee Webster (, Mike Anthony (, Richard Robben (, James Harvey (, Christine Fischer (

Category: Medical Research & Health Care, Management, Finance & Administration, International

Standards Texas

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