Suppr超能文献

通过数据驱动的管理提高医院效率:以佛罗里达州健康第一医院为例

Improving Hospital Efficiency Through Data-Driven Management: A Case Study of Health First, Florida.

作者信息

Blanchard Janice C, Rudin Robert S

出版信息

Rand Health Q. 2016 May 9;5(4):2.

Abstract

This article presents a case study of how one health system-Health First, in Brevard County, Florida-addressed resource challenges by using Lean thinking enabled by information technology. Examining Health First provides an opportunity to learn about how one hospital system addressed these challenges by making fundamental changes in their operations, in advance of the shift toward accountable care. Three years after Health First embarked on an effort to streamline patient flow and improve throughput, adult transfers within the system have increased by more than 300 percent and emergency department times between admission and inpatient bed occupancy decreased by 37 percent.

摘要

本文介绍了一个案例研究,讲述了佛罗里达州布雷瓦德县的一个医疗系统——健康第一(Health First)如何通过利用信息技术支持的精益思维来应对资源挑战。研究健康第一提供了一个机会,来了解一个医院系统在向 accountable care 转变之前,如何通过对其运营进行根本性变革来应对这些挑战。在健康第一开始努力简化患者流程并提高吞吐量三年后,系统内的成人转诊增加了300% 以上,急诊科从入院到入住 inpatient bed occupancy 的时间减少了37%。

相似文献

2
Extending the use of clinical audit data: a resource planning model.
BMJ. 1990 Jul 21;301(6744):159-62. doi: 10.1136/bmj.301.6744.159.
3
Lean intervention improves patient discharge times, improves emergency department throughput and reduces congestion.
Hosp Pract (1995). 2016 Dec;44(5):252-259. doi: 10.1080/21548331.2016.1254559. Epub 2016 Nov 15.
4
A Conceptual Framework for Improving Critical Care Patient Flow and Bed Use.
Ann Am Thorac Soc. 2015 Jun;12(6):886-94. doi: 10.1513/AnnalsATS.201409-419OC.
5
Active bed management by hospitalists and emergency department throughput.
Ann Intern Med. 2008 Dec 2;149(11):804-11. doi: 10.7326/0003-4819-149-11-200812020-00006.
6
A 5-year time study analysis of emergency department patient care efficiency.
Ann Emerg Med. 1999 Sep;34(3):326-35. doi: 10.1016/s0196-0644(99)70126-5.
8
Discharge timeliness and its impact on hospital crowding and emergency department flow performance.
Emerg Med Australas. 2016 Apr;28(2):164-70. doi: 10.1111/1742-6723.12543. Epub 2016 Feb 4.
9
Improving ED specimen TAT using Lean Six Sigma.
Int J Health Care Qual Assur. 2015;28(5):428-40. doi: 10.1108/IJHCQA-10-2013-0117.

引用本文的文献

1
Emergency department and urgent care clinician perspectives on digital access to past medical histories.
BMJ Health Care Inform. 2022 May;29(1). doi: 10.1136/bmjhci-2022-100567.
2
Hospitals Bending the Cost Curve With Increased Quality: A Scoping Review Into Integrated Hospital Strategies.
Int J Health Policy Manag. 2022 Dec 6;11(11):2381-2391. doi: 10.34172/ijhpm.2021.168. Epub 2021 Dec 8.
3
Association Between Racial Disparities in Hospital Length of Stay and the Hospital Readmission Reduction Program.
Health Serv Res Manag Epidemiol. 2021 Aug 31;8:23333928211042454. doi: 10.1177/23333928211042454. eCollection 2021 Jan-Dec.
4
Trends in Medical and Surgical Admission Length of Stay by Race/Ethnicity and Socioeconomic Status: A Time Series Analysis.
Health Serv Res Manag Epidemiol. 2021 Jul 29;8:23333928211035581. doi: 10.1177/23333928211035581. eCollection 2021 Jan-Dec.

本文引用的文献

1
The Evolving Role of Emergency Departments in the United States.
Rand Health Q. 2013 Jun 1;3(2):3. eCollection 2013 Summer.
2
Ambulance diversion associated with reduced access to cardiac technology and increased one-year mortality.
Health Aff (Millwood). 2015 Aug;34(8):1273-80. doi: 10.1377/hlthaff.2014.1462.
3
The use of Lean and Six Sigma methodologies in surgery: a systematic review.
Surgeon. 2015 Apr;13(2):91-100. doi: 10.1016/j.surge.2014.08.002. Epub 2014 Sep 2.
4
Effect of emergency department crowding on outcomes of admitted patients.
Ann Emerg Med. 2013 Jun;61(6):605-611.e6. doi: 10.1016/j.annemergmed.2012.10.026. Epub 2012 Dec 6.
5
Impact of 5 years of lean six sigma in a University Medical Center.
Qual Manag Health Care. 2012 Oct-Dec;21(4):262-8. doi: 10.1097/QMH.0b013e31826e74b7.
6
Solutions to emergency department 'boarding' and crowding are underused and may need to be legislated.
Health Aff (Millwood). 2012 Aug;31(8):1757-66. doi: 10.1377/hlthaff.2011.0786.
7
National trends in emergency department occupancy, 2001 to 2008: effect of inpatient admissions versus emergency department practice intensity.
Ann Emerg Med. 2012 Dec;60(6):679-686.e3. doi: 10.1016/j.annemergmed.2012.05.014. Epub 2012 Jun 20.
8
Growth in US health spending remained slow in 2010; health share of gross domestic product was unchanged from 2009.
Health Aff (Millwood). 2012 Jan;31(1):208-19. doi: 10.1377/hlthaff.2011.1135.
9
Factors associated with closures of emergency departments in the United States.
JAMA. 2011 May 18;305(19):1978-85. doi: 10.1001/jama.2011.620.
10
Lean in healthcare: the unfilled promise?
Soc Sci Med. 2012 Feb;74(3):364-371. doi: 10.1016/j.socscimed.2011.02.011. Epub 2011 Mar 2.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验