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Capacity

Actions available to the Emergency Department manager…. Patients in Emergency. o. s. o. Workload Pressure. B2. B1. Closure. Staffing. s. s. Occasions of closure, when patient volume reaches capacity limit. Adding staff increases capacity so that patient volume can grow.

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Capacity

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  1. Actions available to the Emergency Department manager… Patients in Emergency o s o Workload Pressure B2 B1 Closure Staffing s s Occasions of closure, when patient volume reaches capacity limit Adding staff increases capacity so that patient volume can grow Loop B1 results: Loop B2 results: Capacity Capacity Emerg Patients Emerg Patients Time Time

  2. …and their first-order influence on performance FINANCIAL PERFORMANCE Revenue Expense EmergencyPatients o s o B2 B1 Staffing Closure Workload Pressure s s Service Denial SERVICE QUALITY

  3. Transfers toOther Dept’s s B3 o EmergencyPatients o s o Workload Pressure B2 B1 Closure Staffing s s Increased Emergency volume influences others…

  4. s Other Dept.Closures Patients inOther Dept’s B4 s o Transfers toOther Dept’s s B3 o Patients in Emergency o s o Workload Pressure Staffing B2 B1 Closure s s …who react, with feedback effects to the Emergency Department

  5. Questions • Are we just seeing a typical, Friday evening, peak demand pattern? If so, can we better manage across department boundaries to more effectively meet customer requirements? • Or has Emergency demand increased beyond our system’s service-delivery capacity? • How can we best influence the system to improve performance goals…by managing demand or supply?

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