Cosijn, Maurits (2023) Planning en control strategieën in het UMCG ter verbetering van patiënten flow in het beddencluster Neuro-Hoofd-Hals: Een ‘sequential explanatory mixed methods’ onderzoek. Maurits Cosijn | S2484242 | m.c.f.j.cosijn.1@student.rug.nl Eerste supervisor: Prof. dr. J.M.C. van Dijk - Faculteit Medische Wetenschappen Tweede supervisor: Prof. dr. T.J. van der Vaart - Faculteit Economie en Bedrijfskunde Afdeling: Beddencluster. thesis, Medicine.
Full text available on request.Abstract
Introduction Operations management and patient flow is becoming an increasingly important topic within healthcare, especially with the recent increase in patient flow problems. Increases in capacity are often sought for as a solution to these problems. However, variability in patient flows is part of the cause of suboptimal flow. At the UMCG, the Neuro-Head-Neck bed cluster emerged from five separate specialisms on 03-01-2022. The effects of this on variability are not entirely clear. This study aims to map the functioning of the cluster and suggest appropriate planning and control strategies to improve patient flow. Methods A mixed methods study design will be used to provide both quantitative and qualitative insight into the functioning of the bed cluster. For this purpose, admission data will be read from the electronic patient record. Production, length of stay, bed occupancy rate and variability through the coefficient of variation will be analysed, all using different statistical tests. Semi-structured interviews are conducted with relevant medical staff and a manager to put the quantitative data in context. Results The specialties have all produced less since clustering with an overall decrease of 17.5%. Median length of stay increased from 1.94 to 2.09 days (p < 0.001). Bed occupancy rate increased to 84.5%. Variability in supply was reduced but variability in length of stay was increased. Mechanisms of variability and current capacity planning are elaborated on. Discussion and conclusion Three strategic and tactical planning tools are presented to reduce the identified variability on the NHH bed cluster and thereby improve patient flow.
| Item Type: | Thesis (UNSPECIFIED) |
|---|---|
| Supervisor name: | van Dijk, Prof. dr. J.M.C. and van der Vaart, Prof. dr. T.J. |
| Faculty: | Medical Sciences |
| Date Deposited: | 18 Apr 2023 13:08 |
| Last Modified: | 18 Apr 2023 13:08 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/3479 |
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