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Patient Flow and Service Delivery

Patient Flow and Service Delivery. Presentation to USC Health Collaborative Randolph W. Hall Senior Associate Dean for Research Epstein Department of Industrial and Systems Engineering University of Southern California. Patient Flows. Movement of patients through a healthcare system

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Patient Flow and Service Delivery

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  1. Patient Flow and Service Delivery Presentation to USC Health Collaborative Randolph W. Hall Senior Associate Dean for Research Epstein Department of Industrial and Systems Engineering University of Southern California

  2. Patient Flows • Movement of patients through a healthcare system • When the system works well, patients flow like a river • When it fails, patients flow like a reservoir • Unless patient needs to remain in the system for health reasons, reservoirs are bad, rivers are good • A queue represents the accumulation of patients awaiting service (examination, test, treatment, etc.) • A queue could also be a specimen awaiting analysis, a request awaiting a file transfer, etc,

  3. Consequences • Wasted time on part of customer • Reduced efficiency in service • Patient suffering • Degradation in patient condition • Disabilities, Medical Consequences • Failure to receive treatment • Lost customers • Dissatisfaction

  4. PATIENT FLOWS IN JURIES ILLNESSES RENEGE/BALK WAITING TREATMENT TREATMENT TREAT ELSEWHERE OR FOREGO SPILLBACK DISCHARGE HOSPITAL DISCHARGE

  5. LAC/USC Collaborative • Currently engaged in top to bottom review of service delivery in hospital • Steps include focus groups with RNs,schedulers,MDs,analysts,administrators • Charting service processes • Evaluating quality of data sources, creating initial assessment of problem areas and opportunities • Vision is to expand: make LAC/USC a teaching hospital for process reengineering in health care

  6. Other Health Work in Viterbi School of Engineering • Medical device technology: Alfred Mann Institute, BMES NSF Center, particularly neural interface • Imaging technology via MRI and Ultrasound; anatomical and functional imaging with applications in neuroimaging, oncology, and gene expression.Cardio-vascular studies, development of implantable micro-sensors • Biomedical Simulations Resource (BMSR) develops modeling and simulation for use by the biomedical research community.

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