Hospital Capacity Management: Insights and Strategies details many
of the key processes, procedures, and administrative realities that
make up the healthcare system we all encounter when we visit the ED
or the hospital. It walks through, in detail, how these systems
work, how they came to be this way, why they are set up as they
are, and then, in many cases, why and how they should be improved
right now. Many examples pulled from the lifelong experiences of
the authors, published studies, and well-documented case studies
are provided, both to illustrate and support arguments for change.
First and foremost, it is necessary to remember that the mission of
our healthcare system is to take care of patients. This has been
forgotten at times, causing many of the issues the authors discuss
in the book including hospital capacity management. This facet of
healthcare management is absolutely central to the success or
failure of a hospital, both in terms of its delivery of care and
its ability to survive as an institution. Poor hospital capacity
management is a root cause of long wait times, overcrowding, higher
error rates, poor communication, low satisfaction, and a host of
other commonly experienced problems. It is important enough that
when it is done well, it can completely transform an entire
hospital system. Hospital capacity management can be described as
optimizing a hospital's bed availability to provide enough capacity
for efficient, error-free patient evaluation, treatment, and
transfer to meet daily demand. A hospital that excels at capacity
management is easy to spot: no lines of people waiting and no
patients in hallways or sitting around in chairs. These hospitals
don't divert incoming ambulances to other hospitals; they have
excellent patient safety records and efficiently move patients
through their organization. They exist but are sadly in the
minority of American hospitals. The vast majority are instead
forced to constantly react to their own poor performance. This
often results in the building of bigger and bigger institutions,
which, instead of managing capacity, simply create more space in
which to mismanage it. These institutions are failing to resolve
the true stumbling blocks to excellent patient care, many of which
you may have experienced firsthand in your own visit to your
hospital. It is the hope of the authors that this book will provide
a better understanding of the healthcare delivery system.
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