Hall Patient Flow: Reducing Delay in Healthcare Delivery

1. Auflage 2006
ISBN: 978-0-387-33636-7
Verlag: Springer US
Format: PDF
Kopierschutz: 1 - PDF Watermark

E-Book, Englisch, Band 91, 466 Seiten

Reihe: International Series in Operations Research & Management Science

This book is dedicated to improving healthcare through reducing the delays experienced by patients. It is the first book treatment to have reduction in patient delay as its sole focus, and therefore, provides the foundation by which hospitals can implement change. In short, the book provides 'hands-on' discussion and methods for solving a variety of problems, and is a guide to motivate change in Health Care Systems around the world.

Autoren/Hrsg.

Hall, Randolph

Inhaltsverzeichnis

1;Contents;6
2;Contributing Authors;8
3;Preface;11
4;Acknowledgments;13
5;Chapter 1 MODELING PATIENT FLOWS THROUGH THE HEALTHCARE SYSTEM;14
5.1;1. INTRODUCTION;14
5.2;2. CASE STUDY: LOS ANGELES COUNTY HOSPITAL;26
5.3;3. EVALUATION AND IMPROVEMENT STRATEGIES;43
5.4;4. CONCLUSIONS AND EXTENSIONS;56
5.5;5. ACKNOWLEDGMENT;56
5.6;6. REFERENCES;56
6;Chapter 2 HOSPITALS AND CLINICAL FACILITIES, PROCESSES AND DESIGN FOR PATIENT FLOW;58
6.1;1. THE CHALLENGE;58
6.2;2. KEY DRIVERS;61
6.3;3. KEY MYTHS OF HEALTHCARE DELIVERY;62
6.4;4. PHYSICAL PLANT CONSIDERATIONS;65
6.5;5. KEY CONTEMPORARY SOLUTIONS FOR CAPACITY AND FLOW MANAGMENT;69
6.6;6. RESOLVING CAPACITY AND FLOW PROBLEMS DRIVERS;79
6.7;7. CONCLUSIONS AND EXTENSIONS;89
6.8;8. REFERENCES;89
7;Chapter 3 ACCESS TO SURGERY AND MEDICAL CONSEQUENCES OF DELAYS;91
7.1;1. The Canadian health care system;92
7.2;2. Access to elective surgery;93
7.3;3. Access to coronary artery surgery;95
7.4;4. Two studies on adverse events while waiting for surgery;96
7.5;5. Discussion;104
7.6;6. References;110
8;Chapter 4 BREAKTHROUGH DEMAND-CAPACITY MANAGEMENT STRATEGIES TO IMPROVE HOSPITAL FLOW, SAFETY, AND SATISFACTION;113
8.1;1. INTRODUCTION;113
8.2;2. BACKGROUND;114
8.3;3. DEMAND TO CAPACITY MANAGEMENT SYSTEM ( DCMS);123
8.4;4. WHAT YOU DON'T MEASURE IS HARD TO IMPROVE!;128
8.5;5. DISCUSSION;132
8.6;6. CONCLUSIONS;132
8.7;7. REFERENCES;133
9;Chapter 5 MANAGING PATIENT APPOINTMENTS IN PRIMARY CARE;135
9.1;1. INTRODUCTION: DELAYS IN ACCESS TO PRIMARY CARE;136
9.2;2. APPOINTMENT BACKLOGS IN PRIMARY CARE: HOW ARE THEY CREATED;138
9.3;3. ELIMINIATING APPOINTMENT DELAYS THROUGH ADVANCED ACCESS;144
9.4;4. CONCLUSIONS;160
9.5;5. REFERENCES;161
10;Chapter 6 WAITING LISTS FOR SURGERY;163
10.1;1. INTRODUCTION;163
10.2;2. NATIONAL HEALTH SYSTEMS AND SURGERY WAITING LISTS IN EUROPEAN COUNTRIES ;164
10.3;3. THE MAJOR POLICIES USED TO REDUCE WAITING TIME;170
10.4;4. WAITING TIME AND THE PUBLIC AND PRIVATE SECTOR;173
10.5;5. SETTING PRIORITIES FOR WAITING LISTS;175
10.6;6. A MODEL OF OPTIMAL MANAGEMENT ;177
10.7;7. CONCLUSIONS AND FUTURE DIRECTIONS;192
10.8;8. REFERENCES;194
10.9;APPENDIX: ADDITIONAL DATA;196
11;Chapter 7 PERSONNEL STAFFING AND SCHEDULING;200
11.1;1. INTRODUCTION;201
11.2;2. DEFINITIONS;201
11.3;3. THE STAGES LEADING TO STAFF SCHEDULING;202
11.4;4. MODELLING THE SCHEDULING AND STAFFING DECISIONS;204
11.5;5. HISTORY OF AUTOMATED SCHEDULING AND STAFFING;207
11.6;6. MOVING SHIFT STAFFING INTO THE NEAR FUTURE;208
11.7;7. FORECASTING DEMAND: PROJECTION AND PREDICTION;208
11.8;8. PREDICTING NO- SHOWS;215
11.9;9. PROACTIVE PROTOCOLS;215
11.10;10. THE STAFFING SYSTEM;216
11.11;11. CONCLUSIONS AND FUTURE EXTENSIONS;218
11.12;12. REFERENCES;220
12;Chapter 8 DISCRETE- EVENT SIMULATION OF HEALTH CARE SYSTEMS;221
12.1;1. INTRODUCTION;222
12.2;2. FUNDAMENTALS OF DISCRETE-EVENT SIMULATION IN HEALTH CARE;223
12.3;3. RECENT INNOVATIONS AND FUTURE DIRECTIONS;244
12.4;4. SUMMARY AND CONCLUSIONS;250
12.5;5. REFERENCES;251
13;Chapter 9 FORECASTING DEMAND FOR REGIONAL HEALTHCARE;263
13.1;1. INTRODUCTION;263
13.2;2. MODELLING ISSUES;265
13.3;3. PROJECTING REFERRAL PATTERNS BY AGE AND SPECIALTY;268
13.4;4. PROJECTING NATIONAL SPECIALTY REFERRAL RATES;270
13.5;5. COMPARISON WITH THE UK NATIONAL BEDS INQUIRY;275
13.6;6. PROJECTIONS OF TOTAL REGION WIDE ACUTE ACTIVITY;277
13.7;7. MODELLING THE DISTRIBUTION OF TOTAL ACTIVITY TO ALTERNATIVE SITES; EXTENDED GRAVITY MODEL FOR PATIENT FLOWS;278
13.8;8. INCORPORATING SUPPLY CHANGE;280
13.9;9. FORECASTS AND THEIR SENSITIVITY;284
13.10;10. IMPLICATIONS FOR CAPACITY PLANNING;286
13.11;11. AVENUES FOR FURTHER RESEARCH;287
13.12;12. REFERENCES;289
14;Chapter 10 QUEUEING ANALYSIS IN HEALTHCARE;291
14.1;1. INTRODUCTION ;291
14.2;2. BASIC QUEUEING PRINCIPLES AND MODELS;294
14.3;3. ANALYSES OF FIXED CAPACITY: HOW MANY HOSPITAL BEDS?;302
14.4;4. ANALYSES OF FLEXIBLE CAPACITY: DETERMINING STAFFING LEVELS TO MEET TIME- VARYING DEMANDS;311
14.5;5. USING QUEUEING MODELS TO IMPROVE HEALTHCARE DELIVERY: OPPORTUNITIES AND CHALLENGES;314
14.6;6. REFERENCES;316
15;Chapter 11 RAPID DISTRIBUTION OF MEDICAL SUPPLIES;318
15.1;1. INTRODUCTION;318
15.2;2. LITERATURE REVIEW;321
15.3;3. A LARGE-SCALE EMERNGECY -- AN ANTHRAX ATTACK;328
15.4;4. MATHEMATICAL MODEL FORMULATIONS;333
15.5;5. PROBLEM SOLUTION AND ANALYSES;339
15.6;6. CONCLUSIONS AND FUTURE DIRECTIONS;343
15.7;7. ACKNOWLEDGEMENT:;344
15.8;8. REFERENCES;344
16;Chapter 12 USING A DIAGNOSTIC TO FOCUS HOSPITAL FLOW IMPROVEMENT STRATEGIES;348
17;Chapter 13 CONTINUUM OF CARE PROGRAM;365
17.1;1. INTRODUCTION;365
17.2;2. CONTINUUM OF CARE PROGRAM;368
17.3;3. THE VIRTUAL BED TOWER WITHOUT BRICKS AND MORTAR;369
17.4;4. HOSPITAL PUSH;369
17.5;5. INTENSIVE CARE UNIT REDESIGN;371
17.6;6. ACUTE CARE REDESIGN;374
17.7;7. PATIENT CARE TEAM REDESIGN;376
17.8;8. OUT OF HOSPITAL PULL;377
17.9;9. NURSING HOME REDESIGN;383
17.10;10. HOME SETTING;384
17.11;11. CASES TO DEMONSTRATE TO DEMONSTRATE THE STRENGTH OF THE CONTINUUM OF CARE PROGRAM. ;392
17.12;12. CONCLUSIONS;396
17.13;13. REFERENCES;397
18;Chapter 14 A LOGISTICS APPROACH FOR HOSPITAL PROCESS IMPROVEMENTS;400
18.1;1. INTRODUCTION;401
18.2;2. AN OPERATIONS MANAGEMENT CONTEXT FOR HOSPITAL PROCESS IMPROVEMENT;402
18.3;3. STEPS IN AN OM APPROACH TO HOSPITAL PROCESS IMPROVEMENT;412
18.4;4. CONCLUSIONS AND FUTURE WORK;431
19;Chapter 15 MANAGING A PATIENT FLOW IMPROVEMENT PROJECT;435
19.1;1. INTRODUCTION;435
19.2;2. PROJECT MANAGEMENT METHODS IN HEALTH CARE;436
19.3;3. PATIENT FLOW PROJECTS;447
19.4;4. CASE STUDY: IDENTIFYING PATIENT FLOW BOTTLENECKS;448
19.5;5. SUMMARY AND CONCLUSIONS;456
19.6;6. REFERENCES;457
20;Biographies;459
21;Index;463