Patient Flow: Reducing Delay in Healthcare Delivery

Contents

Contributing Authors

Preface

Acknowledgments

Chapter 1 MODELING PATIENT FLOWS THROUGH THE HEALTHCARE SYSTEM

1. INTRODUCTION

2. CASE STUDY: LOS ANGELES COUNTY HOSPITAL

3. EVALUATION AND IMPROVEMENT STRATEGIES

4. CONCLUSIONS AND EXTENSIONS

5. ACKNOWLEDGMENT

6. REFERENCES

Chapter 2 HOSPITALS AND CLINICAL FACILITIES, PROCESSES AND DESIGN FOR PATIENT FLOW

1. THE CHALLENGE

2. KEY DRIVERS

3. KEY MYTHS OF HEALTHCARE DELIVERY

4. PHYSICAL PLANT CONSIDERATIONS

5. KEY CONTEMPORARY SOLUTIONS FOR CAPACITY AND FLOW MANAGMENT

6. RESOLVING CAPACITY AND FLOW PROBLEMS DRIVERS

7. CONCLUSIONS AND EXTENSIONS

8. REFERENCES

Chapter 3 ACCESS TO SURGERY AND MEDICAL CONSEQUENCES OF DELAYS

1. The Canadian health care system

2. Access to elective surgery

3. Access to coronary artery surgery

4. Two studies on adverse events while waiting for surgery

5. Discussion

6. References

Chapter 4 BREAKTHROUGH DEMAND-CAPACITY MANAGEMENT STRATEGIES TO IMPROVE HOSPITAL FLOW, SAFETY, AND SATISFACTION

1. INTRODUCTION

2. BACKGROUND

3. DEMAND TO CAPACITY MANAGEMENT SYSTEM ( DCMS)

4. WHAT YOU DON'T MEASURE IS HARD TO IMPROVE!

5. DISCUSSION

6. CONCLUSIONS

7. REFERENCES

Chapter 5 MANAGING PATIENT APPOINTMENTS IN PRIMARY CARE

1. INTRODUCTION: DELAYS IN ACCESS TO PRIMARY CARE

2. APPOINTMENT BACKLOGS IN PRIMARY CARE: HOW ARE THEY CREATED

3. ELIMINIATING APPOINTMENT DELAYS THROUGH ADVANCED ACCESS

4. CONCLUSIONS

5. REFERENCES

Chapter 6 WAITING LISTS FOR SURGERY

1. INTRODUCTION

2. NATIONAL HEALTH SYSTEMS AND SURGERY WAITING LISTS IN EUROPEAN COUNTRIES

3. THE MAJOR POLICIES USED TO REDUCE WAITING TIME

4. WAITING TIME AND THE PUBLIC AND PRIVATE SECTOR

5. SETTING PRIORITIES FOR WAITING LISTS

6. A MODEL OF OPTIMAL MANAGEMENT

7. CONCLUSIONS AND FUTURE DIRECTIONS

8. REFERENCES

APPENDIX: ADDITIONAL DATA

Chapter 7 PERSONNEL STAFFING AND SCHEDULING

1. INTRODUCTION

2. DEFINITIONS

3. THE STAGES LEADING TO STAFF SCHEDULING

4. MODELLING THE SCHEDULING AND STAFFING DECISIONS

5. HISTORY OF AUTOMATED SCHEDULING AND STAFFING

6. MOVING SHIFT STAFFING INTO THE NEAR FUTURE

7. FORECASTING DEMAND: PROJECTION AND PREDICTION

8. PREDICTING NO- SHOWS

9. PROACTIVE PROTOCOLS

10. THE STAFFING SYSTEM

11. CONCLUSIONS AND FUTURE EXTENSIONS

12. REFERENCES

Chapter 8 DISCRETE- EVENT SIMULATION OF HEALTH CARE SYSTEMS

1. INTRODUCTION

2. FUNDAMENTALS OF DISCRETE-EVENT SIMULATION IN HEALTH CARE

3. RECENT INNOVATIONS AND FUTURE DIRECTIONS

4. SUMMARY AND CONCLUSIONS

5. REFERENCES

Chapter 9 FORECASTING DEMAND FOR REGIONAL HEALTHCARE

1. INTRODUCTION

2. MODELLING ISSUES

3. PROJECTING REFERRAL PATTERNS BY AGE AND SPECIALTY

4. PROJECTING NATIONAL SPECIALTY REFERRAL RATES

5. COMPARISON WITH THE UK NATIONAL BEDS INQUIRY

6. PROJECTIONS OF TOTAL REGION WIDE ACUTE ACTIVITY

7. MODELLING THE DISTRIBUTION OF TOTAL ACTIVITY TO ALTERNATIVE SITES; EXTENDED GRAVITY MODEL FOR PATIENT FLOWS

8. INCORPORATING SUPPLY CHANGE

9. FORECASTS AND THEIR SENSITIVITY

10. IMPLICATIONS FOR CAPACITY PLANNING

11. AVENUES FOR FURTHER RESEARCH

12. REFERENCES

Chapter 10 QUEUEING ANALYSIS IN HEALTHCARE

1. INTRODUCTION

2. BASIC QUEUEING PRINCIPLES AND MODELS

3. ANALYSES OF FIXED CAPACITY: HOW MANY HOSPITAL BEDS?

4. ANALYSES OF FLEXIBLE CAPACITY: DETERMINING STAFFING LEVELS TO MEET TIME- VARYING DEMANDS

5. USING QUEUEING MODELS TO IMPROVE HEALTHCARE DELIVERY: OPPORTUNITIES AND CHALLENGES

6. REFERENCES

Chapter 11 RAPID DISTRIBUTION OF MEDICAL SUPPLIES

1. INTRODUCTION

2. LITERATURE REVIEW

3. A LARGE-SCALE EMERNGECY -- AN ANTHRAX ATTACK

4. MATHEMATICAL MODEL FORMULATIONS

5. PROBLEM SOLUTION AND ANALYSES

6. CONCLUSIONS AND FUTURE DIRECTIONS

7. ACKNOWLEDGEMENT:

8. REFERENCES

Chapter 12 USING A DIAGNOSTIC TO FOCUS HOSPITAL FLOW IMPROVEMENT STRATEGIES

Chapter 13 CONTINUUM OF CARE PROGRAM

1. INTRODUCTION

2. CONTINUUM OF CARE PROGRAM

3. THE VIRTUAL BED TOWER WITHOUT BRICKS AND MORTAR

4. HOSPITAL PUSH

5. INTENSIVE CARE UNIT REDESIGN

6. ACUTE CARE REDESIGN

7. PATIENT CARE TEAM REDESIGN

8. OUT OF HOSPITAL PULL

9. NURSING HOME REDESIGN

10. HOME SETTING

11. CASES TO DEMONSTRATE TO DEMONSTRATE THE STRENGTH OF THE CONTINUUM OF CARE PROGRAM.

12. CONCLUSIONS

13. REFERENCES

Chapter 14 A LOGISTICS APPROACH FOR HOSPITAL PROCESS IMPROVEMENTS

1. INTRODUCTION

2. AN OPERATIONS MANAGEMENT CONTEXT FOR HOSPITAL PROCESS IMPROVEMENT

3. STEPS IN AN OM APPROACH TO HOSPITAL PROCESS IMPROVEMENT

4. CONCLUSIONS AND FUTURE WORK

Chapter 15 MANAGING A PATIENT FLOW IMPROVEMENT PROJECT

1. INTRODUCTION

2. PROJECT MANAGEMENT METHODS IN HEALTH CARE

3. PATIENT FLOW PROJECTS

4. CASE STUDY: IDENTIFYING PATIENT FLOW BOTTLENECKS

5. SUMMARY AND CONCLUSIONS

6. REFERENCES

Biographies

Index