SAVE-ME Hospital ED and Forecasting DataOf the many challenges confronting hospital-based emergency and trauma care today, one of the most...

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SAVE-ME Hospital ED and Forecasting Data

Of the many challenges confronting hospital-based emergency and trauma care today, one of the most serious is that of capacity. As reported in the IOM Committee's Hospital-Based Emergency Care: 

Between 1993 and 2003, ED visits increased from 90.3 to 113.9 million, a 26 percent increase. During this same period, the United States experienced a net loss of 425 hospital EDs.... The result of this growing imbalance between demand and capacity is a nationwide epidemic of ED overcrowding, boarding, and ambulance diversion (p. 19).

For this Discussion, you will assess how forecasting and capacity management can be used to help prepare an ED to meet the demand for its services.

To prepare for this Discussion:

 

  • Read the scenario and questions for Exercise 14.7 in Quantitative Methods in Health Care, page 392.
  • Download the Forecast for SAVE-ME Hospital ED spreadsheet, which provides the numerical solutions to Exercise 14.7.
  • Take some time to examine and interpret this spreadsheet. Note that it provides a forecast for emergency and non-emergency cases arriving at this ED for 6 months in the future. Identify results that are significant in terms of capacity management issues.
  • Review the Hospital-Based Emergency Care excerpt (pages 14), from this week's required resources, regarding key challenges in EDs. Refer also to the forecasted data provided in the 14.7 solution spreadsheet. Based on this information, and doing further research as needed, identify some operational issues that would need to be addressed so that this ED is able to meet capacity demands in 6 months.
  • Book Excerpt: Committee on the Future of Emergency Care in the United States. (2007). Summary. In Hospital-based emergency care: At the breaking point (pp. 1–4).
    Retrieved from
     http://books.nap.edu/openbook.php?record_id=11621&page=1

Post by Day 4 a response to the following:

  • Select and interpret some significant results in this spreadsheet. What do the numbers you selected mean in operational terms?
  • What are one or two specific operational issues that the manager of this ED would need to address in light of these 6-month forecasts, either for the emergency or non-emergency cases? Discuss the implications for the manager and staff of these anticipated changes in capacity requirement.
  • 9 years ago
  • 5
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