Administrators Leverage Predictive Analytics to Manage Capacity, Streamline Decision-making.

Carri Chan,Jim Scheulen

ED management : the monthly update on emergency department management(2017)

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摘要
A growing number of hospitals are turning to predictive analytics to anticipate and manage volume better. The approach, which involves using sophisticated simulation and modeling techniques, enables administrators to get ahead of patient surges and to focus on pressure points. For example, Johns Hopkins Hospital in Baltimore has made significant progress on a range of measures, using a centralized command center to monitor the hospital's data streams. The approach enables the hospital to accelerate decision-making and optimize hospital resources. Investigators at Columbia University believe similar modeling techniques can be used to avert ED congestion when used in conjunction with proactive diversion strategies. The 5,000-square-foot command center at Johns Hopkins Hospital monitors 14 IT systems on a 24/7 basis so that all relevant inputs can factor into decision-making about beds, transfers, consults, admissions, discharges, and other aspects of care. Administrators say they have been able to achieve 96% accuracy in their predictions. In just 10 months of operation, the data-driven command center has achieved dramatic improvements, including a 30% reduction in the number of emergency patients who must wait for an inpatient bed and a one-hour reduction in the time it takes to get out the door to retrieve a patient identified for transfer to the Hopkins facility. In addition, the hospital has all but eliminated procedure cancellations due to OR holds. Investigators at Columbia University contend that by using predictive analytics to guide proactive diversion strategies, ED delays can be reduced by as much as 15%.
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