Increasing throughput in health services organizations
Download
1 / 6

Increasing Throughput in Health Services Organizations - PowerPoint PPT Presentation


  • 89 Views
  • Updated On :

Increasing Throughput in Health Services Organizations. by Bruce L. Golden Decision & Information Technologies Research Day, Sept. 7, 2007. Associated Press News Item – 8/24/07. Man Dies After Surgeon Operates on Wrong Side of Head Rhode Island Hospital in Providence

Related searches for Increasing Throughput in Health Services Organizations

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Increasing Throughput in Health Services Organizations' - dolf


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
Increasing throughput in health services organizations
Increasing Throughput in Health ServicesOrganizations

by

Bruce L. Golden

Decision & Information Technologies

Research Day, Sept. 7, 2007


Associated press news item 8 24 07
Associated Press News Item – 8/24/07

  • Man Dies After Surgeon Operates on Wrong Side of Head

    • Rhode Island Hospital in Providence

    • 86-year-old man dies three weeks after surgery

    • This was 3rd wrong-side surgery error in the hospital’s neurosurgery unit in 6 years

  • The hospital's public reaction

    • In the surgical team’s haste to treat the patient, it didn’t follow proper procedures

  • Hospitals need help!


Areas of Research Interest

  • Cardiac surgery line throughput

    • Carter Price (Ph.D. student), Ed Wasil

    • ICU vs. IMC beds

    • We used simulation

    • Increased throughput by 17%

    • Increased profit by $2.67 million/year

  • A simplified view

Home, local hospital or other location

Cardiac Surgery

ICU

IMC


Areas of research continued
Areas of Research -- continued

  • Hospital bed management

    • The ultimate goal

    • Impacts the utilization of operating rooms, surgical scheduling, admissions, referrals, the emergency department, diversions, etc.

    • Gemstone Project, 13 students, 3-year effort

    • E.g., the OR, random demand, and non-random demand

  • Reducing PACU backlog and boarding

    • Carter Price (Ph.D. student), Ed Wasil

    • Part of hospital bed management

    • Short-term goal

    • E.g., discharge by noon rather than 4 pm


Reducing PACU Backlog and Boarding

  • Patients flow from the PACU to intensive care beds

  • Surgeries are scheduled with surgeons in mind, without taking patient flow into account

  • Boarding occurs when a patient is forced to remain in the PACU overnight

  • Backlog and boarding increase the likelihood that surgeries will be put on hold, since patients have to remain in the OR

  • On 7/17/07, 13 patients spent the night in the PACU due to a lack of intensive care beds


Current Status of the PACU Project

  • An IP was formulated to balance the in-flow of scheduled surgeries with the out-flow of patients being discharged

  • Based on 6 months of recent data, the IP reduced the number of boarders by 26%

  • We are in the process of refining the model and expect to implement it within a year


ad