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Transforming hospital capacity management: Experience from two academic medical centres

Erin Kane, Kimiyoshi Kobayashi, Peter F. Dunn and James J. Scheulen

Management in Healthcare: A Peer-Reviewed Journal, 2019, vol. 3, issue 4, 339-348

Abstract: Historically, capacity has been ‘undermanaged’ in health systems. Traditional mechanisms that rely on single departments to solve these problems are inadequate. New governance and managerial mechanisms are needed for redesigning care at the hospital and health system level. On the basis of our collective experience at two large academic medical centres, we identified four important elements of effective capacity management: a dedicated leadership role with a hospital-level view, centralised analytics defining universal metrics, aligned incentives across the institution and an engaged front-line staff. This paper shares case studies from two different academic medical centres, highlighting tools developed to manage patient flow and streamline operations while operating at high capacity.

Keywords: capacity management; Command Center; patient flow; throughput; systems engineering (search for similar items in EconPapers)
JEL-codes: I1 I10 (search for similar items in EconPapers)
Date: 2019
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