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Simulation Presentation to Design

Simulation Presentation to Design. May 21, 2008. Agenda. Simulation Process Redesign Sample Emergency Project Clients. Simulation – What is it?. Mathematical representation of real life Model generation on simulation software Queuing theory Randomization and variation

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Simulation Presentation to Design

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  1. Simulation Presentation to Design May 21, 2008

  2. Agenda • Simulation • Process Redesign • Sample Emergency Project • Clients

  3. Simulation – What is it? • Mathematical representation of real life • Model generation on simulation software • Queuing theory • Randomization and variation • Input process information • Outcome statistics • Scenario model to compare outcomes

  4. Simulation – Project Steps • Collect data • Define current process • Develop model of current process • Compare model outcomes to real-life • Define changes • Develop scenario models • Compare scenario to model outcomes

  5. Simulation - Data • Volumes • Average and Peak Daily Visits, Arrival by Hour • Types • Walk-In/Ambulance, Acuity, Discharge/Admit/Transfer • Activity Times • Triage, Evaluation, Tests, Disposition • Waiting Times • Test Results, Renege/Leave Without Being Seen • Locations • Triage, Beds • Staff Schedule • Physician, Nurse, Tech, Clerk, Registration

  6. Simulation - Patient Volume • Daily average 157.8 visits in 2007 • Monthly range from 147.0 to 163.6

  7. Simulation - Patient Arrival • Pattern of arrival by hour

  8. Simulation - Locations Current • 3 Triage • 5 Fast Track • 30 Beds • 12 Overflow beds

  9. Emergency Process

  10. Emergency Model

  11. Current Model LOS Outcomes

  12. Process Redesign • Insight Strategies, Inc. - Lean Method Current Color Key Process Wait Route Review Decision Redesign

  13. Locations Current • 3 Triage • 5 Fast Track • 30 Beds • 12 Overflow beds Redesign • 1 Screening • 3 Intake • 2 Lab Draw • 20 TREAD • Treat and Discharge • 20 Acute Beds

  14. Scenario Model LOS Outcomes

  15. Clients – Real Outcomes

  16. Clients - Experience • Kahn with Insight Strategies - Emergency Process Redesign (6) • CHW-East Valley Chandler Regional Medical Center, AZ • CHW-East Valley Mercy Gilbert Medical Center, AZ • University Health Center, UT • Banner Health Baywood Medical Center, AZ • Sun Health Webb Memorial Hospital, AZ • Sun Health Boswell Memorial Hospital, AZ • Kahn - Emergency Facility Planning (2) • Hospital Israelita Albert Einstein, Sao Paulo, Brasil • Foote Hospital, Jackson, MI • SJHS Process Improvement (5) • St. John Hospital and Medical Center • Cancer Center, Birthing Center, Registration, Surgery • Detroit Riverview Hospital • Birthing Center

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