Figure - available from: International Journal of Engineering Business Management
This content is subject to copyright.
Source publication
Centralization of intensive care units (ICUs) is a concept that has been around for several decades and the OECD countries have led the way in adopting this in their operations. Singapore Hospital was built in 1981, before the concept of centralization of ICUs took off. The hospital's ICUs were never centralized and were spread out across eight dif...
Similar publications
Many different methods and techniques can be used for modelling business processes in order to give an understanding of possible scenarios for improvement. The simulation modelling shows the process as a whole, drawbacks of the existing process, bottlenecks in the process execution and provides critical insight into process execution. The results o...
The main goal of the paper is to present the characteristics of business renovation efforts, readiness for e-government in Slovenia, and how the simulation modelling can be used for these purposes. It is clear that successful e-government implementation requires not only introduction of modern information technology, but also business renovation, b...
Citations
... Thus, managers must pay close attention to efficiency improvement and cost reduction in their health-care systems. [1][2][3][4][5] Additionally, the delivery of health care while enhancing the levels of quality service, patient gratification, and staff fulfillment is increasingly becoming a vital concern of administrators in health-care systems. Because operating rooms (ORs) and nursing unit are closely allied departments, both are considered simultaneously by administrators in their search for quality improvement and cost reduction. ...
... where the average occupancy level G ¼ P W w¼1 G w =W and G 1 , G 2 , . . . , G W are daily bed occupancy levels in plan period W, and G w is P fðk;mÞg2m w P n r r¼1 P n p j¼1 ðX j;k;A;r g 0 j;m þ X j;k;P;r g 0 j;m Þ For the purpose of formulating occupancy level G w in equation (3) and the daily patient hours D w in the following equation (4), the expressions (k, m) are adopted to reduce the dimensions so that computation complexity can be reduced. The expressions (k, m) in column m w in Table 1 represent the elements of set m w corresponding to various patients undergoing surgeries on weekday k on a specific day w in a planned period. ...
... w is 1, 2, 3, 4, 5, 6, and 7, which are Monday to Sunday for the first week, and is 8,9,10,11,12,13, and 14, which are Monday to Sunday for the second week. k is Monday to Friday (1)(2)(3)(4)(5) for the first week, and Monday to Friday (6-10) for the second week. The example (6,9) in column m 1 shows that patients underwent surgeries on a Monday and have stayed in the hospital for 9 days. ...
The managerial aspect of providing quality, cost-effective health services to hospital patients is becoming increasingly important. However, merely focusing on cost reduction and quality improvement may jeopardize personnel satisfaction. Therefore, a balanced approach based on multiple considerations is necessary. Operating rooms (ORs) account for almost 33% of a hospital’s budget, and nursing labor costs represent more than 40% of a hospital’s budget. The concerns around health-care quality, personnel motivation, staff satisfaction, patient length of stay, and patient flow rate are greatly influenced by these two units with regard to day-to-day operations management. A possible approach is to look into the related essential problems, such as the nursing staff time scheduling in nursing units, and the doctor time scheduling in ORs. After surgery in the OR, patients stay in the subsequent ward for a period of time. This causes loading interdependency between the anterior OR and the posterior ward nursing unit; as a result, an attempt to schedule these two departments simultaneously is necessary for operation efficiency enhancement, service quality improvement, hospital budget reduction, and personnel satisfaction. In order to achieve the multiple objectives describing the conflicting priorities and differing preferences within nursing units and ORs, a compromise programming is adopted in this study as a balancing tool for multi-objective optimization to realize improved OR and nursing unit scheduling.
... In the Healthcare sector have been also some experiences with this kind of information technologies showing the promising applications of them [11]. Kumar et al [15] had extended the deployment of RFID to the whole Healthcare supply chain as a tool of remotely tracking supplies, equipment, and even people as they move through the supply chain from manufacturers to suppliers, wholesalers, hospitals, pharmacies, and intermediaries. Monitoring and controlling effectively (and efficiently) the hospital operations, although difficult, it is vital to patient care. ...
... The main objective of this research is to illustrate the RFID technology deployment in infant security systems inside the hospitals, more precisely its main architectural characteristics, the way it works, and advantages.To attain the research objective, was used a two stage research methodology similar to the one used by Kumar et al [15]. In a first stage, three illustrative case studies were conducted based on secondary data using external sources, namely books, journals, business magazines and websites. ...
... Next, in a second stage, one case study in an RFID-based infant security system provider is conducted to obtain primary data related to the RFID deployment in Healthcare organizations. Using a methodology similar to Kumar et al [15] the secondary data for this research was gathered from the analysis of published literature based on a broad range of sources from Healthcare and RFID experts including newspapers, conference proceedings, industry reports, white papers, press releases and books. In addition, was used the specialized magazine on RFID: the RFID Journal. ...
The Radio Frequency Identification (RFID) technology is actually considered a hot topic in all scientific areas and has been described as a major enabling technology for the automation of many processes. Although it is not a new technology it has only recently come to the awareness of the public and widely used in many sectors and particularly in the Healthcare. This paper aims to illustrate the RFID technology deployment in Healthcare organisations, more precisely in infant security systems inside the hospitals. To attain this objective a case study about the experience of three hospitals and one RFID technology provider is presented to highlight the main architectural characteristics, functionality, and advantages associated with the RFID deployment.
The perioperative services (periop) manager establishes policies to manage the operating room (OR) resources that affect both patient and surgeon satisfaction with the hospital's service. Both the surgeon and the patient are customers of the periop department, and their satisfaction is a measure of the service quality. The periop manager uses block scheduling to allocate OR time. This technique gives one surgical practice (or service specialty) priority access to a block of time for scheduling procedures in an OR. Hospitals seek to obtain more of the surgeon's practice by allocating blocks to the surgeon, but the hospital must balance this OR time allocation with the risk that the OR time may not be used. In doing so, the periop manager creates a schedule that balances the hospital's risk of staff working overtime (beyond the OR's scheduled hours of blocked time) with the risk of staff being idle during a block of time reserved for a surgical practice that did not use it. The authors propose an OR management policy that creates service-specific blocks of OR time as well as open-posting blocks (those blocks shared by all surgical practices) and propose that this policy can increase access to the OR for more surgeons and, consequently, increase both surgeon and patient satisfaction. Through the use of two quality metrics–averseness to overtime and flexibility in sharing block time across services–this article examines how the setting of these two metrics affects OR performance. Historical data were used as an input into a modeling framework that created a feasible block schedule for a set of ORs. The block allocation schedule was then evaluated, with a portion of the data set reserved for testing. In an experiment at a large teaching hospital, results indicated that for every 20 percent increase in a manager's averseness to overtime, the hours in reserved blocks increased by 3 percent and utilization decreased by 2 percent. Similarly, a 33 percent increase in open posting flexibility translated into a reduced need of one OR.
