Download or read book Planning of Ambulatory Health Care Settings Using Recursive Optimization Simulation Modeling written by Stanford University. Department of Industrial Engineering and published by . This book was released on 1977 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Recursive Modeling of Ambulatory Health Care Settings written by Dean Hobart Kropp and published by . This book was released on 1977 with total page 594 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book DHEW Publication written by and published by . This book was released on 1976 with total page 388 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Patient Flow Reducing Delay in Healthcare Delivery written by Randolph Hall and published by Springer Science & Business Media. This book was released on 2006-10-11 with total page 470 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book Survey of the Application of Simulation to Health Care written by Stephen D. Roberts and published by . This book was released on 1981 with total page 136 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Patient Flow written by Randolph Hall and published by Springer Science & Business Media. This book was released on 2013-12-11 with total page 547 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is dedicated to improving healthcare through reducing delays experienced by patients. With an interdisciplinary approach, this new edition, divided into five sections, begins by examining healthcare as an integrated system. Chapter 1 provides a hierarchical model of healthcare, rising from departments, to centers, regions and the “macro system.” A new chapter demonstrates how to use simulation to assess the interaction of system components to achieve performance goals, and Chapter 3 provides hands-on methods for developing process models to identify and remove bottlenecks, and for developing facility plans. Section 2 addresses crowding and the consequences of delay. Two new chapters (4 and 5) focus on delays in emergency departments, and Chapter 6 then examines medical outcomes that result from waits for surgeries. Section 3 concentrates on management of demand. Chapter 7 presents breakthrough strategies that use real-time monitoring systems for continuous improvement. Chapter 8 looks at the patient appointment system, particularly through the approach of advanced access. Chapter 9 concentrates on managing waiting lists for surgeries, and Chapter 10 examines triage outside of emergency departments, with a focus on allied health programs Section 4 offers analytical tools and models to support analysis of patient flows. Chapter 11 offers techniques for scheduling staff to match patterns in patient demand. Chapter 12 surveys the literature on simulation modeling, which is widely used for both healthcare design and process improvement. Chapter 13 is new and demonstrates the use of process mapping to represent a complex regional trauma system. Chapter 14 provides methods for forecasting demand for healthcare on a region-wide basis. Chapter 15 presents queueing theory as a method for modeling waits in healthcare, and Chapter 16 focuses on rapid delivery of medication in the event of a catastrophic event. Section 5 focuses on achieving change. Chapter 17 provides a diagnostic for assessing the state of a hospital and using the state assessment to select improvement strategies. Chapter 18 demonstrates the importance of optimizing care as patients transition from one care setting to the next. Chapter 19 is new and shows how to implement programs that improve patient satisfaction while also improving flow. Chapter 20 illustrates how to evaluate the overall portfolio of patient diagnostic groups to guide system changes, and Chapter 21 provides project management tools to guide the execution of patient flow projects.
Download or read book Disaggregation written by L.P. Ritzman and published by Springer Science & Business Media. This book was released on 2013-03-09 with total page 689 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume is intended to expand the dialogue and interest among both practitioners and academicians in a problem area worthy of attention by all. The concept of disaggregation admits to our current inability to solve many types of interrelated hierarchical problems simultaneously. It offers instead a sequential, iterative process as a workable and necessary procedure. The papers in this volume are selected from those presented at a Disaggregation Conference held in March, 1977 at The Ohio State University. We heartily applaud all those who participated in the conference and particularly appreci ate the cooperation of those authors whose work is published in this collection. Part A contains four papers which define the various dimensions of disaggregation. The paper by Martin Starr, which was the text of his luncheon address at the conference, provides several interesting perspectives to the problem. Although disaggregation suggests tear ing apart, as Professor Starr illustrates with his butterfly example, it also suggests a putting together or a synthesis which recognizes interrelationships and dependencies. The next paper by Lee Kra jewski and Larry Ritzman offers a general model of disaggregation for both the manufacturing and service sectors. After reading the papers in this section, as well as the papers in subsequent sections, you will identify other dimensions to hierarchical decision making which go beyond this generalized model.
Download or read book Proceedings written by American Institute for Decision Sciences. Meeting and published by . This book was released on 1977 with total page 726 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Planning Ambulatory Health Care Delivery Systems written by Peter Thomas Ittig and published by . This book was released on 1974 with total page 254 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Simulation written by Stewart V. Hoover and published by Prentice Hall. This book was released on 1989 with total page 760 pages. Available in PDF, EPUB and Kindle. Book excerpt: Simulation analysis and decision making - Elements of simulation analysis - Developing simulation models - Simulation languages for modeling - Analytic models and simulation - Data collection and analysis - Random numbers and random variate generation - Model verification and validation - Output analysis - Model experimentation and optimization - Implementation of simulation results.
Download or read book Proceedings of the Annual Meeting written by American Institute for Decision Sciences. Meeting and published by . This book was released on with total page 1380 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Hybrid Modeling Approach Using Discrete Event Simulation and Layout Optimization for Healthcare Layout Planning Problems written by Jennifer Irene Lather and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The US is experiencing a growing population of older adults, increasing the demand on the healthcare system, and the Emergency Department (ED) serves as the main gateway for inpatient admissions. With this growing demand, EDs and hospitals are expanding and building new facilities at a growing rate. ED expansion and redesign is a complex design task which takes into account many operational processes (current and proposed) as well a projected changes in the system, e.g., patient volume. The effective layout of these critical departments in addition to the workflow processes that are hospitals influence the efficiency and effectiveness of delivering healthcare services. Yet, currently workflow processes and layout are not studied together. Workflow processes are studied via discrete event simulation in a static layout. Layout optimization finds an optimal layout given a static set of flow or adjacency data. The data from both methods need to be accessible and timely in delivery for effective use in the rapid pace of facility design.Given the lack of integration of computational facility planning techniques in the design and layout of healthcare facilities, new methods are needed to leverage data in the analysis planning and design decisions in timely ways. Computational models can be used to evaluate minimal distances or cost functions. Discrete event simulations can be used to model the stochastic nature of operations to check the impact on specific performance measures. Visualization can be used to immerse decision makers in the future environment to aid model validity, communication, and understanding. In this dissertation, the three techniques are investigated: discrete event simulation, mathematical layout optimization, and virtual visualization. First, layout implications in a discrete event simulation of an ED are studied so as to understand how the healthcare processes are impacted by layout decisions. Second, a layout optimization methodology leveraging the graph theoretical approach and a placement strategy is developed and connected to common parametric building information modeling (BIM) authoring tools for generating layouts with distance weighted adjacency step-wise optimality. Next, the use of generative layouts is studied with healthcare planning and design professionals. Finally, a framework for using these techniques in an integrated hybrid simulation modeling approach in the healthcare planning process is presented. The results for the study of layout in discrete event simulation show that not all layout consideration are additive. Two of five layout conditions contributed to the most amount of improvement over the baseline condition: results waiting (15.1% improvement on all patient length of stay - LOS) and admits zone (15.7%). A combined improvement was estimated to be 1.19 hours (23.9%) for overall LOS. The addition of fast track bays reduced the improvement by an estimated 10 minutes. The best scenario included care initiation, results waiting, and admits zone, and reduced overall LOS by 1.21 hours (24.3%). Study of space allocation and space utilization found additional fast track bays were not helpful and the results waiting was underutilized (max utilization = 7.40 people, a fifth of the seats available). Modeling the stochastic system of an ED in the context of the layout changes can help identify what changes contribute the most benefit, which changes are additive or compete, and help determine the space requirements and allocations through the analysis of projected operations in that facility, but needs operational process inputs and estimated new workflows.A new method for generating layouts was developed based on the graph theoretical approach for optimizing adjacency. The method uses an adjacency weighted distance score and a generative approach to create multiple layouts for review by designers and planners by translating space content into common parametric BIM tools. The results from the study of layout optimization and healthcare planners and designers is that the scoring metric aligns relatively well with expert opinions, but that more advances are needed to make generative layout methods more accepted by professionals. On average, respondents selected the best layout marginally higher than random chance (proportion = 29.0%, expected = 16.7%). Respondents tended to choose the higher and lower scoring layouts, respectively: 65% of respondents selected either of the higher two options; 48% selected either of the lower two options, out of 6 options. Respondents found generative layouts promising for helping overcome design bias, however the current state of the technology would need additional development. Across all respondents experience, gender, and view on generative layouts, respondents wanted to understand the generative layout decision details. These layouts are based on adjacency ratings, which in an automated methodology could be updated through simulation. A hybrid modeling framework is presented which integrates simulation, optimization, and visualization modeling methods for healthcare facility layout planning activities for optimizing both process and layout. Objectives are presented to create a systems approach to the management, planning, design, construction, and operations of healthcare facilities. The main implications of this body of work are that layout and processes are paired, are in need of greater investigation, and an integrated approach is presented as a framework for healthcare professionals and researchers to guide the development of an automated decision support system for healthcare facility operations, planning, and design. These techniques, while described in a healthcare context, have implications for other domains where uncertain and latent processes are components of the layout decision making process.
Download or read book Journal of Medical Systems written by and published by . This book was released on 1978 with total page 426 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book TIMS ORSA Bulletin written by Institute of Management Sciences and published by . This book was released on 1980 with total page 502 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Proceedings written by and published by . This book was released on 1977 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Dissertation Abstracts International written by and published by . This book was released on 1985-04 with total page 436 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Operations Research written by N. K. Kwak and published by . This book was released on 1984 with total page 368 pages. Available in PDF, EPUB and Kindle. Book excerpt: This collection of articles illustrates the application of operations research to aid in health care decision making and planning. The articles provide an insight into not only the application of the techniques themselves but also to the process of actually developing and implementing the models for effective decision making. This helpful text will be of interest to hospital administrators, health care planners, consultants, and students.
