Download or read book Scheduling Strategies for Ambulatory Surgery Centers written by Dawn Q. McLane-Kinzie and published by Hcpro Incorporated. This book was released on 2005 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Performance Analysis and Scheduling Strategies for Ambulatory Surgical Facilities written by Xuanqi Zhang and published by . This book was released on 2014 with total page 356 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ambulatory surgery is a procedure that does not require an overnight hospital stay and is cost effective and efficient. The goal of this research is to develop an ASF operational model which allows management to make key decisions. This research develops and utilizes the simulation software ARENA based model to accommodate: (a) Time related uncertainties - Three system uncertainties characterize the problem (ii) Surgery time variance (ii) Physician arrival delay and (iii) Patient arrival delay; (b) Resource Capture Complexities - Patient flows vary significantly and capture/utilize both staffing and/or physical resources at different points and varying levels; and (c) Processing Time Differences - Patient care activities and surgical operation times vary by type and have a high level of variance between patient acuity within the same surgery type. A multi-dimensional ASF non-clinical performance objective is formulated and includes: (i) Fixed Labor Costs - regular time staffing costs for two nurse groups and medical/tech assistants, (ii) Overtime Labor Costs - staffing costs beyond the regular schedule, (iii) Patient Delay Penalty - Imputed costs of waiting time experienced patients, and (iv) Physician Delay Penalty - Imputed costs of physicians having to delay surgical procedures due to ASF causes (limited staffing, patient delays, blocked OR, etc.). Three ASF decision problems are studied: (i) Optimize Staffing Resources Levels - Variations in staffing levels though are inversely related to patient waiting times and physician delays. The decision variable is the number of staff for three resource groups, for a given physician assignment and surgery profile. The results show that the decision space is convex, but decision robustness varies by problem type. For the problems studied the optimal levels provided 9% to 28% improvements relative to the baseline staffing level. The convergence rate is highest for less than optimal levels of Nurse-A. The problem is thus amenable to a gradient based search. (ii) Physician Block Assignment - The decision variables are the block assignments and the patient arrivals by type in each block. Five block assignment heuristics are developed and evaluated. Heuristic #4 which utilizes robust activity estimates (75% likelihood) and generates an asymmetrical resource utilization schedule, is found to be statistically better or equivalent to all other heuristics for 9 out of the 10 problems and (iii) Patient Arrival Schedule - Three decision variables in the patient arrival control (a) Arrival time of first patient in a block (b) The distribution and sequence of patients for each surgery type within the assigned windows and (c) The inter arrival time between patients, which could be constant or varying. Seven scheduling heuristics were developed and tested. Two heuristics one based on Palmers Rule and the other based on the SPT (Shortest Processing Time) Rule gave very strong results.

Download or read book Transforming Health Care Scheduling and Access written by Institute of Medicine and published by National Academies Press. This book was released on 2015-08-24 with total page 226 pages. Available in PDF, EPUB and Kindle. Book excerpt: According to Transforming Health Care Scheduling and Access, long waits for treatment are a function of the disjointed manner in which most health systems have evolved to accommodate the needs and the desires of doctors and administrators, rather than those of patients. The result is a health care system that deploys its most valuable resource-highly trained personnel-inefficiently, leading to an unnecessary imbalance between the demand for appointments and the supply of open appointments. This study makes the case that by using the techniques of systems engineering, new approaches to management, and increased patient and family involvement, the current health care system can move forward to one with greater focus on the preferences of patients to provide convenient, efficient, and excellent health care without the need for costly investment. Transforming Health Care Scheduling and Access identifies best practices for making significant improvements in access and system-level change. This report makes recommendations for principles and practices to improve access by promoting efficient scheduling. This study will be a valuable resource for practitioners to progress toward a more patient-focused "How can we help you today?" culture.

Download or read book JACM on Ambulatory Surgery written by Seth B. Goldsmith and published by Jones & Bartlett Learning. This book was released on 1994-12 with total page 260 pages. Available in PDF, EPUB and Kindle. Book excerpt: This collection of articles features information on planning & development issues, financial issues, & managerial issues surrounding ambulatory surgery. Case studies provide an inside look at the actual experiences of four ambulatory surgery programs. Ambulatory care professionals, administrators, & students will find this resource invaluable. This book is attractively priced in soft cover.

Download or read book Developing and Managing an Ambulatory Surgery Center written by Jeanne Barkheimer and published by Medical Group Management Assn. This book was released on 2000 with total page 144 pages. Available in PDF, EPUB and Kindle. Book excerpt: Glean proven strategies to spot and avoid common pitfalls; sail through regulatory, licensure and accreditation issues; and formulate sound budgets and effective financial plans.

Download or read book Manual of Practice Management for Ambulatory Surgery Centers written by Niraja Rajan and published by Springer Nature. This book was released on 2019-08-21 with total page 326 pages. Available in PDF, EPUB and Kindle. Book excerpt: This key resource provides insight and guidance to managing ambulatory surgery centers (ACSs) from a broad spectrum of expertise. Intended for a wide audience of healthcare professionals, this book covers topics such as regulatory issues, outpatient pediatric anesthesia, inventory management, personnel training, the culture of safety, and sedation standards. The format found in each chapter is designed intentionally to function as an educational manual. Many chapters are supplemented by high quality figures and tables to aid in visual learning. This text brings together authors from diverse professions including lawyers, administrators, surgeons, anesthesiologists and architects – all of whom have contributed their expertise to address the multitude of subjects that pertain to ASCs. Manual of Practice Management for Ambulatory Surgery Centers: An Evidence-Based Guide is a concise and evidence-based guide to successfully operating the modern health care facilities that have transformed the outpatient experience for millions of people.

Download or read book The Well Managed Ambulatory Practice written by Elizabeth W. Woodcock, DrPH, MBA, FACMPE, CPC and published by Springer Publishing Company. This book was released on 2021-11-12 with total page 267 pages. Available in PDF, EPUB and Kindle. Book excerpt: “This book is a great addition to the field of ambulatory practice. The variety of its topics are a plus for those seeking to enhance their ambulatory practice. Ambulatory services are a sign of the times and the authors have sculpted a leading way into being lean and successful with outpatient care. This book has the potential to help practices nationwide." ---Doody's Review Service, 3 stars Designed for both the healthcare management student and the health professional entering or navigating a career in this growing sector of the U.S. health system, The Well-Managed Ambulatory Practice is a comprehensive yet practical resource covering the essentials of management unique and specific to the ambulatory setting. Written by leaders in the field with featured contributions from expert ambulatory care administrators and practicing physicians, this textbook offers tools, cases, and other applications to arm students of health administration, public health, business, medicine, and other health professions with the knowledge and skills for the delivery of more efficient and effective patient care. As the singular reference to managing ambulatory care in outpatient clinics, medical practices, community health centers, and other settings, the textbook describes the evolution of ambulatory care as a significant source of health care services delivery, its continued expansion in the marketplace, and its prominence in population health management, telemedicine, and other service delivery strategies. This text provides the reader with a thorough review of core functional areas of healthcare management through the lens of managing an ambulatory practice, including strategy and leadership; organizational structure; quality, safety, and patient experience; operations; financial management; and human resources. Chapters provide complementary teaching tools and case studies to highlight real-world examples that students and professionals may encounter in practice. Cases investigate topics such as preventive health, healthcare leadership, quality measurement, disruptive physicians, patient flow, operating procedures and metrics, and lessons from COVID-19 among many more. Key Features: Describes the core areas of health management through the lens of leading an ambulatory network or managing an ambulatory practice — strategy and leadership; organizational structure; quality, safety, and experience; operations; financial management; and human resources Provides expert strategies and best practices for managing a diverse array of ambulatory care settings, including outpatient clinics, physician practices, community health centers, medical homes, and more Highlights real-world case studies that students and health professionals may encounter in practice Purchase includes digital access for use on most mobile devices or computers, as well as full suite of instructor resources with Instructor's Manual, PowerPoint slides, and test bank

Download or read book Adaptive Capacity Planning for Ambulatory Surgery Centers written by Seokjun Youn and published by . This book was released on 2020 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Problem Definition: Problem Definition: We develop a framework to plan capacity for ambulatory surgery centers (ASCs) typically consisting of three stages. The problem is to determine the capacity in each stage that efficiently covers possible daily patient demand and to coordinate the three stages of patient visits. The objective is to minimize the total cost incurred in satisfying the daily patient demand, where the total cost is defined as the sum of overtime cost and amortized construction cost for the three stages.Academic/Practical Relevance: Timely capacity adjustment is important for ASC practitioners, but related research is limited. We explicitly consider three sequential stages that are typical in ASCs: the pre-operative at holding room (HR), intra-operative at operating room (OR), and post-operative at post-anesthesia care unit (PACU). Such ASCs can be modeled as a hybrid flow shop (HFS) in the scheduling literature. The interdependence of activities and uncertainties in patient-mix as well as their durations pose a significant challenge to manage the capacity of each activity and achieving a smooth patient flow.Methodology: In contrast to the traditional top-down approach to capacity planning, our approach contributes by proposing a bottom-up strategy based on optimization methods combined with analytics that are informed by operational-level archival patient data. Specifically, we use analytics tools to classify patients into groups, which reduces the complexity of the capacity planning problem and improves the model's practicality. Later, we develop several mathematical formulations and heuristics based on scheduling theory to derive the most cost-efficient capacity solution. Results: Given the trade-off between overtime cost and amortized capacity construction cost, this study relaxes the fixed capacity assumption of traditional HFS problems. Because of the computational complexity of the exact HFS model, we develop a heuristic that is straightforward and easy to implement to find cost-efficient capacities for the three stages. Our computational study examines how uncertain business parameters, e.g., patient-mix, service durations, overnight-stay probabilities, affect the capacity planning decision.Managerial implications: This study highlights the benefit of considering multiple stages together in capacity planning, rather than focusing solely on the operating rooms exclusively. We expect our approach to guide the more than 5,000 ASCs in the U.S., performing 23 million surgeries annually, to make appropriate investments that will improve ASC operations via capacity adjustment and patient scheduling.

Download or read book Handbook of Ambulatory Anesthesia written by Rebecca S. Twersky and published by Springer Science & Business Media. This book was released on 2010-05-05 with total page 496 pages. Available in PDF, EPUB and Kindle. Book excerpt: This second edition of the Handbook of Ambulatory Anesthesia has been completely updated and expanded to reflect current practice guidelines and trends in ambulatory anesthesia. This practical manual covers preoperative evaluation, patient and procedure selection, anesthetic techniques, postoperative management, and quality assurance. Additionally, the editors have included all new information on anesthesia for minimally invasive surgery as well as office-based procedures. Written and edited by experts who have developed successful practices at the world's leading institutions, Handbook of Ambulatory Anesthesia includes a broad representation of perspectives and approaches for practitioners in every ambulatory setting.

Download or read book Ambulatory Surgical Centers written by and published by . This book was released on 1989 with total page 116 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Planning Ambulatory Surgery Facilities written by Reba D. Grubb and published by . This book was released on 1979 with total page 224 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Handbook of Healthcare System Scheduling written by Randolph Hall and published by Springer Science & Business Media. This book was released on 2011-11-25 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: This edited volume captures and communicates the best thinking on how to improve healthcare by improving the delivery of services -- providing care when and where it is needed most -- through application of state-of-the-art scheduling systems. Over 12 chapters, the authors cover aspects of setting appointments, allocating healthcare resources, and planning to ensure that capacity matches needs for care. A central theme of the book is increasing healthcare efficiency so that both the cost of care is reduced and more patients have access to care. This can be accomplished through reduction of idle time, lessening the time needed to provide services and matching resources to the needs where they can have the greatest possible impact on health. Within their chapters, authors address: (1) Use of scheduling to improve healthcare efficiency. (2) Objectives, constraints and mathematical formulations. (3) Key methods and techniques for creating schedules. (4) Recent developments that improve the available problem solving methods. (5) Actual applications, demonstrating how the methods can be used. (6) Future directions in which the field of research is heading. Collectively, the chapters provide a comprehensive state-of-the-art review of models and methods for scheduling the delivery of patient care for all parts of the healthcare system. Chapter topics include setting appointments for ambulatory care and outpatient procedures, surgical scheduling, nurse scheduling, bed management and allocation, medical supply logistics and routing and scheduling for home healthcare.

Download or read book Handbook of Healthcare Operations Management written by Brian T. Denton and published by Springer Science & Business Media. This book was released on 2013-02-28 with total page 542 pages. Available in PDF, EPUB and Kindle. Book excerpt: From the Preface: Collectively, the chapters in this book address application domains including inpatient and outpatient services, public health networks, supply chain management, and resource constrained settings in developing countries. Many of the chapters provide specific examples or case studies illustrating the applications of operations research methods across the globe, including Africa, Australia, Belgium, Canada, the United Kingdom, and the United States. Chapters 1-4 review operations research methods that are most commonly applied to health care operations management including: queuing, simulation, and mathematical programming. Chapters 5-7 address challenges related to inpatient services in hospitals such as surgery, intensive care units, and hospital wards. Chapters 8-10 cover outpatient services, the fastest growing part of many health systems, and describe operations research models for primary and specialty care services, and how to plan for patient no-shows. Chapters 12 – 16 cover topics related to the broader integration of health services in the context of public health, including optimizing the location of emergency vehicles, planning for mass vaccination events, and the coordination among different parts of a health system. Chapters 17-18 address supply chain management within hospitals, with a focus on pharmaceutical supply management, and the challenges of managing inventory for nursing units. Finally, Chapters 19-20 provide examples of important and emerging research in the realm of humanitarian logistics.

Download or read book Ambulatory Surgery Scheduling written by John P. O'Connor and published by . This book was released on 1986 with total page 5 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Healthcare Delivery in Surgery written by Justin B Dimick and published by Lippincott Williams & Wilkins. This book was released on 2023-08-02 with total page 410 pages. Available in PDF, EPUB and Kindle. Book excerpt: An invaluable resource for surgeons, surgical leaders, and health system administrators at all levels, Healthcare Delivery in Surgery: Scientific Principles and Practice provides unique, expert coverage of common challenges in the delivery of surgical care. Editor Justin B. Dimick, MD, MPH, Chair of the University of Michigan’s Department of Surgery, leads an outstanding editorial team from the UM Center for Healthcare Outcomes and Policy who provide clear guidance on the strategy and operations of delivering optimal surgical care. Using a case-based approach, authors consider the underlying principles and existing evidence followed by real-world practical solutions.

Download or read book Treatment of Chronic Pain Conditions written by Jason E. Pope and published by Springer. This book was released on 2017-09-01 with total page 319 pages. Available in PDF, EPUB and Kindle. Book excerpt: There is an unmet need in both acute and chronic care settings for a comprehensive, clinically focused, fast reference on pain management. Written by high-profile, internationally recognized experts in field, Pain Treatment for Acute and Chronic Conditions: A Comprehensive Handbook is one of the first manuals of its kind to provide balanced and comprehensive coverage of pain medicine modalities. The book is structured into sixteen sections with each chapter providing key points for quick reference, followed by a more detailed overview of the topic at hand with extensive tables and figures to illustrate. Beautifully laid out and extensively furnished with both research and experience, this book is a necessary resource in the field of pain medicine.

Download or read book Optimization of Health Care Delivery System Under Uncertainty written by Zhaoxia Zhao (Researcher on industrial engineering) and published by . This book was released on 2014 with total page 119 pages. Available in PDF, EPUB and Kindle. Book excerpt: This work investigates two types of scheduling problems in the healthcare industry. One is the elective surgery scheduling problem in an ambulatory center, and the other is the appointment scheduling problem in an outpatient clinic. The ambulatory surgical center is usually equipped with an intake area, several operating rooms (ORs), and a recovery area. The set of surgeries to be scheduled are known in advance. Besides the surgery itself, the sequence-dependent setup time and the surgery recovery are also considered when making the scheduling decision. The scheduling decisions depend on the availability of the ORs, surgeons, and the recovery beds. The objective is to minimize the total cost by making decision in three aspects, number of ORs to open, surgery assignment to ORs, and surgery sequence in each OR. The problem is solved in two steps. In the first step, we propose a constraint programming model and a mixed integer programming model to solve a deterministic version of the problem. In the second step, we consider the variability of the surgery and recovery durations when making scheduling decisions and build a two stage stochastic programming model and solve it by an L-shaped algorithm. The stochastic nature of the outpatient clinic appointment scheduling system, caused by demands, patient arrivals, and service duration, makes it difficult to develop an optimal schedule policy. Once an appointment request is received, decision makers determine whether to accept the appointment and put it into a slot or reject it. Patients may cancel their scheduled appointment or simply not show up. The no-show and cancellation probability of the patients are modeled as the functions of the indirect waiting time of the patients. The performance measure is to maximize the expected net rewards, i.e., the revenue of seeing patients minus the cost of patients' indirect and direct waiting as well as the physician's overtime. We build a Markov Decision Process model and proposed a backward induction algorithm to obtain the optimal policy. The optimal policy is tested on random instances and compared with other heuristic policies. The backward induction algorithm and the heuristic methods are programmed in Matlab.