Hospital Capacity Management Insights and Strategies
Hospital Capacity Management: Insights and Strategies details many of the key processes, procedures, and administrative realities that make up the healthcare system we all encounter when we visit the ED or the hospital. It walks through, in detail, how these systems work, how they came to be this way, why they are set up as they are, and then, in many cases, why and how they should be improved right now. Many examples pulled from the lifelong experiences of the authors, published studies, and well-documented case studies are provided, both to illustrate and support arguments for change.
First and foremost, it is necessary to remember that the mission of our healthcare system is to take care of patients. This has been forgotten at times, causing many of the issues the authors discuss in the book including hospital capacity management. This facet of healthcare management is absolutely central to the success or failure of a hospital, both in terms of its delivery of care and its ability to survive as an institution. Poor hospital capacity management is a root cause of long wait times, overcrowding, higher error rates, poor communication, low satisfaction, and a host of other commonly experienced problems. It is important enough that when it is done well, it can completely transform an entire hospital system.
Hospital capacity management can be described as optimizing a hospital’s bed availability to provide enough capacity for efficient, error-free patient evaluation, treatment, and transfer to meet daily demand. A hospital that excels at capacity management is easy to spot: no lines of people waiting and no patients in hallways or sitting around in chairs. These hospitals don’t divert incoming ambulances to other hospitals; they have excellent patient safety records and efficiently move patients through their organization. They exist but are sadly in the minority of American hospitals. The vast majority are instead forced to constantly react to their own poor performance. This often results in the building of bigger and bigger institutions, which, instead of managing capacity, simply create more space in which to mismanage it. These institutions are failing to resolve the true stumbling blocks to excellent patient care, many of which you may have experienced firsthand in your own visit to your hospital. It is the hope of the authors that this book will provide a better understanding of the healthcare delivery system.
Table of Contents
Letter from the Authors
About the Authors
Chapter 1 Hospital Priorities
Chapter 2 Bed Assignment
Chapter 3 Inpatient and Outpatient
Chapter 4 Emergency Department
Chapter 5 Types of Hospital Beds
Chapter 6 Capacity Management Strategies
Chapter 7 Discharging Patients
Chapter 8 Surgical Short Stay Unit
Chapter 9 Hospital Capacity Management Metrics
Chapter 10 Complex Care Patients
Chapter 11 Integrated Patient Care
- The PCAT (Patient Centered Admission Team)
- Efficient Patient Transfer
- Team-Based Care
- Standardized Discharge Process
- An Emergency Department PCAT Model: Hot Zone
- 30-Day Readmission Discussion and Strategies
Chapter 12 Additional Capacity Management Programs (Proceduralist Program)
Chapter 13 Discharges before Noon
- Achieving Discharges before Noon
Chapter 14 Leveling
Chapter 15 Ancillary Demand Level Staffing
Chapter 16 Surge
Chapter 17 Starting a Patient Flow Team
Chapter 18 Optimal Hospital Operational Strategies
Chapter 19 Process Improvement
Chapter 20 Conclusion
"Hospitals are enormously complex institutions. This book seeks to de-mystify how they can operate more effectively. Hospital Capacity Management- Insights and Strategies, is an important addition to the literature at a time when many institutions are confronted with a myriad of capacity challenges.
Dr. Dick and Robert Agness have written a timely book during a time of great stress within the hospital industry. Hospital Capacity Management: Insights and Strategies, does a terrific job in describing how hospitals can operate more efficiently and with improved patient care services to meet the capacity challenges of these difficult times.
The current pandemic has elevated the challenges that hospitals face in meeting the health care demands of the communities that they serve. Dr. Dick and Robert Agness have written a timely book that assists hospital management and consumers alike, in understanding and improving how capacity demands can be met and patient care services improved. This book is an important read for those interested in understanding the complexities of the hospital environment and the steps necessary to meet the challenges of our times. "
Steven I. Goldstein, M.H.A., President & CEO, Strong Memorial Hospital, URMC
"A refreshingly candid and thoughtful look at the state of hospital capacity management in the U.S., and the vital role it plays in driving the healthcare industry’s Triple Aim – better care, better health, better value. Dr. Robbin Dick is an industry thought leader who has devoted his career to making healthcare better. This patient-centered "playbook" provides healthcare leaders with proven strategies and practical process improvement tools for redesigning patient flow and capacity management in ways that can deliver a consistently exceptional patient care experience with greater efficiency and reliability."
Mark C. Clement, President and CEO, TriHealth System
"The book provides a map for hospital leaders in navigating the challenge of reducing length of stay and increasing throughput. The approaches are practical and directed to increasing quality of care. The book belongs on the bookshelf of every hospital leader who is charged with capacity management."
Kevin Casey, MD, President Rochester General Hospital at Rochester Regional Health
"Hospital Capacity Management manages to take a highly complex topic and simplify it to tangible and executable recommendations. As hospital leaders we continually looking for better ways to use our resources in a cost effective and efficient manner. This book certainly provides the backbone to achieve these goals."
Michael Cetta, MD, FACEP, FACHE, Chief of Integrated Acute Care, US Acute Care Solutions