iSixSigma

bed availability Key Performance Indicators (KPI)

Six Sigma – iSixSigma Forums Old Forums Healthcare bed availability Key Performance Indicators (KPI)

Viewing 18 posts - 1 through 18 (of 18 total)
  • Author
    Posts
  • #25271

    Aguilar
    Member

    Hi,
    Just wondering if any of you has have some experience that wouln’t mind sharing defining KPIs for bed availability or pacient flow.
    Much appreciated,
    Victor

    0
    #60790

    Heath
    Participant

    ED diversion hours, Time of day of discharge, Bed assigned to bed placement, Bed cleaning time, LOS in ED. 

    0
    #60791

    Aguilar
    Member

    Thank you very much

    0
    #60792

    Sheri
    Member

    Victor,
    There is another site that may be of benefit.  Check out http://www.ihi.org.  It has more detail on patient flow.
    Sheri

    0
    #60793

    Aguilar
    Member

    Thank you Sheri!,
    Victor

    0
    #60794

    Mr IAM
    Participant

    Heath,
    What does ED and LOS stand for?  Thx!
    I can guess LOS is length of stay?  But I’m not sure and have no clue what ED is…

    0
    #60795

    J D Cole
    Participant

    ED is short for Emergency Department…expanded version of the ER, Emergency Room, or EC, Emergency Center…the same place, just different terminology, and sometimes indicating the size or scope of the facility

    0
    #60798

    Vivek
    Member

    You can also look at Bed Occupancy Rate, and Bed through Put / Bed Turnover Rate……
    Vivek
     

    0
    #60807

    M Jay
    Participant

    Do you have any information on automating the bed availability from an analog system that uses a white board, to a computer based system that updates in realtime and sends notifications.

    0
    #60808

    Sheri
    Member

    M Jay,
    We use Teletracking in our organization for bed management, facilities (room cleaning), and transport so everything is in one system (realtime) and notifications are sent. I would be happy to talk with you about your current process to see if I can offer up any assistance.  Please provide your contact information if you would like.
    Sheri

    0
    #60809

    M Jay
    Participant

    Thank you Sherri, my contact info is Michael Jay Spearman -1708 756 1000 ext 6173 Ofc – or you can page me @ 1708 242 0986.
    Thank you again, and hope to hear from you soon.

    0
    #61017

    Ashman
    Member
    #61018

    Dave Wilson
    Participant

    All,
    I am in the implementation phase of a kaizen event regarding bed flow here at Oregon Health & Sciences University (OHSU). I would be happy to share any information I have with you if you think it would help.
    About me, I also come from the Manufacturing/Hi-Tech industry and have worked for RCA, IBM, GE etc. Now in healthcare, I’m tasked with setting-up a Six Sigma/Lean program here at OHSU. We have already had many successes including ED Billing, Pharmacy move to JIT, Scheduled and Unscheduled Admissions, Bed Flow etc. If I can be of any help, please fell free to contact me…I’m willing to share!
    Dave Wilson
    Process Improvement Analyst
    Oregon Health & Sciences University
    [email protected]
    503-494-6079
     
     
     

    0
    #61019

    Anonymous
    Guest

    Hi,
    I just want to ask a ‘stupid’ question – why is bed availability a key performance index?
    I mean .. to draw an analogy it a bit like saying the availablity of seats in a theatre is a key performance indicator – which is clearly wrong! I don’t want to go and see a show that no one else wants to see …
    I beleive the real indicator is all the seats are full ..!!!
    Surely we want all beds in hospitals to be occupied and we certainly want enough hospitals – or spare capacity in case it rains and there is a flurry of car accidents.
    Now patient throughput is entirely a different matter – we want a first time ‘yield’ of cured patients – meaning we don’t want any of them coming back (reworks); and if this means they have to stay in hospital an extra day – so be it. The point of all this is there should be a standard time for each procedure – including a recovery time; but there ought to  be a little flexibility for complicated case, where patient’s have unexpected pathology or take longer to recover.
    In manufacturing – TPS style – any ‘patient’ who needs more than a ‘standard time’ sets off an Andom alarm and is pulled off the line and examined elsewhere.
    I hope you don’t mind my ignorance; I just felt strongly that bed availability is not a reasonable metric! (Muri.)
    Cheers,
    Andy

    0
    #61020

    Brit
    Participant

    You certainly aren’t being ignorant – you make a good point on why  beds availability as a KPI shouldn’t be used.  One problem with your scenario (bear with me – I’m a bit long winded):
    The point of all this is there should be a standard time for each procedure – including a recovery time; but there ought to  be a little flexibility for complicated case, where patient’s have unexpected pathology or take longer to recover.
    In manufacturing – TPS style – any ‘patient’ who needs more than a ‘standard time’ sets off an Andom alarm and is pulled off the line and examined elsewhere.
    We can calculate average standard times for procedures in areas like surgery.  We can also calculate average standard times for different DRGs.  However the difference in standard deviationis tremendous between the 2. For example, I can know with relative certainty that a specific cath procedure will take 45 minutes, have 1.5 hour of cath recovery, and 5 hours of CVICU recovery time.  If someone comes in complaining of shortness of breath, possibly a COPD issue, but not sure, the LOS std deviation is amazing.  So, finding a standard time for that process is a little unreasonable – that is where one part of the problem lies.  It’s actually the less acute patients that have the greater variability in treatment time – on average.  There is much more variation in a person’s care than in making a widget.  I’ve worked in both environments and can attest to it.  That is why Lean 6 sigma is so needed in healthcare.
    Now – as for beds being available as a KPI.  I wouldn’t use that either. There are some other variables that go with that.  Nurse:Patient ratio is one.  Your bed capacity may change daily based on your staffing.  I think bed turns, bed utilization (in place of a full bed measure), bed turnover times, intent to discharge vs discharge (i.e., the difference in time), discharge time of day, ED to Floor time after disposition, diversion hours, transport response time, are all better measures of throughput than beds full.  Last problem – other than clinical data, most hospitals are data poor in terms of throughput.  Only since 1999 or so has there been a huge effort for throughput as an improvement issue.  Baby boomers, financial issues, etc. have caused this, in my opinion.  I wished they had looked at it sooner.

    0
    #61021

    Anonymous
    Guest

    Brit,
    Thank you for responding …
    I’m happy to concede the points you’ve made. My interest is based on my daughter’s experience – not my own!
    One of the point she made was the ‘multi-disciplinary team ‘roughly’ knows the expected time for surgery and rehab. – she mentioned four days in rehab. Apparently, some hospitals in the NHS do have  ‘special’ beds for patients in a rehab ward – the problem is there are not enough rehab beds, which puts a tremendous strain on wards by increasing the prospect of ‘infections’ and ‘bed-blocking.’
    As you point out staffing levels is now a serious concern especially since the NHS has wasted vast sums of money paying doctors unnecessary bonusses and using ‘contract’ staff – who work from agencies ‘owned’ by NHS hiring managers – an old Admiralty trick for fleecing the public purse.
    Cheers,
    Andy

    0
    #61022

    Brit
    Participant

    Good insight.  I think we are on the same page, as usual.

    0
    #61796

    Kaushik
    Participant

    Dear All,
    Can any one help me out in figuring out the KPIs’ for Business Development in an hospital setup?
    Thanks in advance.
    Regards,
    Arun

    0
Viewing 18 posts - 1 through 18 (of 18 total)

The forum ‘Healthcare’ is closed to new topics and replies.