Using models and data to support optimization of the military health system: A case study in an intensive care unit

被引：18

作者：

Masterson B.J. ^{[1
]}

Mihara T.G. ^{[2
]}

Miller G. ^{[3
]}

Randolph S.C. ^{[3
]}

Forkner M.E. ^{[3
]}

Crouter A.L. ^{[3
]}

机构：

[1] Ctr. for Hlth. Care Mgmt. Studies, Off. of the Assistant Sec. of Def., Hlth. Aff. (OASD(HA)), TRICARE M.

[2] The Altarum Institute, PO Box 134001, Ann Arbor, MI 48113-4001, USA

来源：

Health Care Management Science | 2004年 / 7卷 / 3期

关键词：

bed occupancy; congestion; intensive care unit; operating policies; simulation;

D O I：

10.1023/B:HCMS.0000039384.92373.c4

中图分类号：

学科分类号：

摘要：

Optimizing healthcare delivery - improving processes to reduce impediments to care - is an important goal of the Military Health System. Models and data can be effective tools to assist managers in achieving this goal. This paper illustrates this utility with a case study of the intensive care unit (ICU) at the US Air Force's Wilford Hall Medical Center. A discrete-event simulation demonstrates how the integration of corporate data and ICU data through a model can help identify changes intended to improve ICU performance. Results of the analysis describe impacts of ICU size and bed mix, operating policies, and the deployment of ICU staff on measures of occupancy, congestion, and physician training needs.

引用

页码：217 / 224

页数：7

共 11 条

[1] National Defense Authorization Act for FY 2001, (2001)
[2] Cahill W., Render M.L., Dynamic simulation modeling of ICU bed availability, Proceedings of the 1999 Winter Simulation Conference, pp. 1573-1576, (1999)
[3] Lowery J.C., Simulation of a hospital's surgical suite and critical care area, Proceedings of the 1992 Winter Simulation Conference, pp. 1071-1087, (1992)
[4] Williams S.V., How many intensive care beds are enough?, Critical Care Medicine, 11, pp. 412-416, (1983)
[5] Zilm F., Arch D., Hollis R.B., An application of simulation modeling to surgical intensive care bed need analysis in a university hospital, Hospital and Health Services Administration, pp. 82-101, (1983)
[6] Yergens D.W., Doig C.J., Sandham J.D., Computer simulation modeling for predicting ICU bed requirements in a tertiary care hospital, Clinical and Investigative Medicine, 18, 4 SUPPL., (1995)
[7] Kim S.C., Horowitz I., Young K., Buckley T.A., Analysis of capacity management of the intensive care unit in a hospital, European Journal of Operational Research, 115, pp. 36-46, (1999)
[8] Ridge J.C., Jones S.K., Nielsen M.S., Shahani A.K., Capacity planning for intensive care units, European Journal of Operational Research, 105, pp. 346-355, (1998)
[9] Lamiell J.M., Modeling intensive care unit census, Military Medicine, 160, pp. 227-232, (1995)
[10] Miller G., Forkner E., Crouter A., Randolph S., Model-Based Analysis of Long-Term Disease Management, (2002)

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