Blanchard Janice C, Rudin Robert S
Rand Health Q. 2016 May 9;5(4):2.
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.
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%。
