The Use of Simulation to Determine Maximum Capacity in the利用模拟来确定最大容量.pptVIP

The Use of Simulation to Determine Maximum Capacity in the Surgical Suite Operating Room Sarah M. Ballard Michael E. Kuhl Industrial and Systems Engineering Department Rochester Institute of Technology Rochester N.Y., 14623, USA Presented by: Mike Reed, Midwestern State University Rising Health Care Costs Growing concern for health care costs Basic health care unaffordable for many people/businesses 45 million under 65 uninsured What’s Causing This? From 1950-2000, population over 75 rose 3-6% By 2050, over 12% be over 75 Elderly require more services, and more expensive What’s Causing This? Increasing equipment costs Shortage of Qualified Health Care Professionals Growing Demand Overloaded Surgical Suites If Caseload is greater than capacity, lower patient satisfaction Increased waiting times Surgeons / Nurses become physically/mentally exhausted Hospital incurs cost of overtime Lack of quantifiable data of what impact of adding new surgical procedures and surgical suite capacity Ultimate Goal Care for largest number of patients while maintaining highest standards of patient satisfaction What needs to be done? In order to make healthcare affordable, must make efficient use of resources Determining capacity is the first step What needs to be done? So, create a simulation model that can be used to determine current efficiency of surgical suite, potential maximum of suite, and how changing resources or adding surgical procedures affects surgical suite performance Simulation Details Used Arena Based on one hospital, generalized so others can just input data Percentage receiving certain type of surgery Up to 10 surgeries in category, with how long they take What percentage receive each surgery type Inpatient/Outpatient Time to administer Anesthesia Simulation Details Additional Resources Nurses OR teams Preparation rooms Fortunately, hospitals keep great records useful in determining averages Simulation Details Additional Time Users Room cleaning Pre-Operati