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Modeling Patient Flows Through the Healthcare System

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Part of the book series: International Series in Operations Research & Management Science ((ISOR,volume 91))

Abstract

The system of health care can be evaluated from four perspectives: macro, regional, center, and department. In each case, reduction of patient delay depends on improving interfaces as patients are transferred from activity to activity or department to department. This chapter presents basic tools for resolving delays at interfaces, through mapping the processes by which patients are served, and by developing and implementing measures of system performance. These tools are demonstrated through a case study of the Los Angeles County/University of Southern California Hospital.

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6. References

  • American College of Emergency Physicians, ACEP (1999). Ambulance diversion policy statement).

    Google Scholar 

  • American College of Emergency Physicians, ACEP (2002a). Emergency medical treatment and labor act policy statement.

    Google Scholar 

  • American College of Emergency Physicians, ACEP (2002b). Responding to emergency department crowding: a guidebook for chapters.

    Google Scholar 

  • Ancker, C.J. and A.V. Gafarian (1963). Some queueing problems with balking and reneging, I and II. Operations Research, V. 11, pp. 88–100; 928–937.

    Article  Google Scholar 

  • Belson, D., R. Hall, P. Murali and M. Dessouky (2004). Collaborative to improve patient flow at Los Angeles County/University of Southern California Hospital, Final Report, Epstein Department of Industrial and Systems Engineering.

    Google Scholar 

  • Bindman, A.B., K. Grumbach, D. Keane, L. Rauch and J.M. Luce (1991). Consequences of queueing for care at a public hospital emergency department. Journal of the Americal Medical Association, V. 266, pp. 1091–1096.

    Article  CAS  Google Scholar 

  • Brewster, L.R., L. Rudell and C.S. Lesser (2001). Emergency room diversions: a symptom of hospitals under stress. Center for Studying Health System Change, Issue Brief N. 38.

    Google Scholar 

  • Buesching, D.P., A. Jablonowski and E. Vesta (1985). Inappropriate emergency department visits. Annals of Emergency Medicine. V. 14, pp. 672–676.

    Article  PubMed  CAS  Google Scholar 

  • Derlet, R.W. and D.A. Nishio. (1990). Refusing care to patients who present to an emergency department. Annals of Emergency Medicine, V. 19, pp. 262–267.

    Article  PubMed  CAS  Google Scholar 

  • Derlet, R.W. and J.R. Richards (2000). Overcrowding in the nation’s emergency departments: complex causes and disturbing effects. Annals of Emergency Medicine, V. 35, pp. 63–68.

    Article  PubMed  CAS  Google Scholar 

  • Dershewitz, R.A., W. Paichel (1986). Patients who leave a pediatric emergency department without treatment. Annals of Emergency Medicine, V. 15, pp. 717–720.

    Article  PubMed  CAS  Google Scholar 

  • Greene, J. (1995). Challenges entering the ER. Modern Healthcare, pp. 31–34.

    Google Scholar 

  • Hall, R.W. (1989). Queueing Methods for Services and Manufacturing, Prentice Hall, Englewood Cliffs, New Jersey.

    Google Scholar 

  • Institute for Healthcare Improvement (1995). Reducing Delays and Waiting Times Throughout the Healthcare System, IHI, Boston, MA.

    Google Scholar 

  • Litvak, E., M.C. Long and A.B. Cooper (2001). Emergency department diversion: causes and solutions. Academy of Emergency Medicine. V. 8, pp. 1108–1110.

    CAS  Google Scholar 

  • McCaig, L.F. and C.W. Burt (2001). National Hospital Ambulatory Medical Care Survey: 1999 Emergency Departmetn Summary. Centers for Disease Control and Prevention.

    Google Scholar 

  • Schneider, S., F. Zwemer, A. Doniger (2001). New York: a decade of emergency department overcrowding. Academy of Emergency Medicine, V. 8, pp. 1044–1050.

    Article  CAS  Google Scholar 

  • Schull, M.J., J.-P. Szalai and B. Schwartz (2001). Emergency department overcrowding following systematic hospital restructuring: trends at twenty hospitals over ten years. Academy of Emergency Medicine, V. 8, pp. 1037–1043.

    Article  CAS  Google Scholar 

  • Shaw, K.M., S.M. Selbst and F.M. Gill. (1990). Indigent children who are denied care in the emergency department. Annals of Emergency Medicine. V. 19, pp. 59–62.

    Article  PubMed  CAS  Google Scholar 

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Hall, R., Belson, D., Murali, P., Dessouky, M. (2006). Modeling Patient Flows Through the Healthcare System. In: Hall, R.W. (eds) Patient Flow: Reducing Delay in Healthcare Delivery. International Series in Operations Research & Management Science, vol 91. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-33636-7_1

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  • DOI: https://doi.org/10.1007/978-0-387-33636-7_1

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-0-387-33635-0

  • Online ISBN: 978-0-387-33636-7

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