Utilization Of Hospital Facilities Research Articles

THE IMPLEMENTATION OF SYSTEM DYNAMICS IN HOSPITAL SERVICES FOR IMPROVING THE INPATIENT ROOMS UTILIZATION

Hospitals are an important part of the health system. This agency consists of several main services, namely Outpatient, Emergency, and Inpatient services. One type of main service that is quite complex and needs to be considered is service at inpatient installations. Regarding this inpatient service, hospitals must make a structural and functional utilization effort to be further improved by increasing the utilization of service space regarding the number of available beds. To measure the level of utilization of hospital facilities at inpatient services, hospital service indicators are needed to measure it. These indicators include BOR (Bed Ocupanccy Rate), which is the percentage of beds filled, LOS (Length of Stay), namely the average length of stay, TOI (Turn Over Interval), which is the average free time of bed, BTO (Bed Turn Over), namely the productivity of the bed. These indicators will be presented in graphical form, namely Barber Johnson Graph. From the values ​​produced by the hospital management, later it can be used as material for planning and decision-making in determining service facility policies in the future. The purpose of this study is to make modeling with a system dynamics so that the value of the indicator can have ideal parameter values. The result of this study is that a scenario is needed to increase the number of patient visits, because patient visits are too low. This is evidenced by the value of the BOR which is less than the ideal value. In addition, the duration of patient care, day of care was influenced by the variable number of patient visits. The results of the scenario show that in 2019 to 2030 the values ​​of BOR, LOS, TOI, and BTO were produced according to the ideal indicator value.
 Keywords: Inpatients, Room Utilization, Service Indicators, System Dynamics.

Leadership Management of Military Hospital in Efforts to Improve the Patient Service (Case Study of RSAL Dr. Mintoarjo)

RSAL dr. Mintoharjo is a military hospital serving members of the Indonesian National Army, the Navy and their families also provide services to the general public. Utilization of hospital facilities has not been optimal with the standard value of Bed Occupancy Rate (BOR) below the minimum value that must be achieved. Leadership becomes one of the factors that greatly affect the organization. A leader plays an important role because its existence can determine the progress of the organization, with the change of hospital leadership is expected for better organizational performance. Better performance is one of them by providing good service to the customer so customer satisfaction will be improved so that will reduce (save) cost to effort to attract new customer. In an effort to improve the quality and service of RSAL dr. Mintoharjo implements effective leadership strategies, Transformative and militaristic leadership styles and innovatively transforms organizational culture. With an effective leadership strategy. RSAL dr. Mintoharjo has a strategy of building service, human, quality and achievement in finance. Building service by choosing superior service included in hospital vision, mission, values and strategic plan. Building humanity and quality is by building leadership and training institutions. In the field of finance has been built Hospital Management Information System (SIMRS) is very helpful in the management of hospital finances. With an effective leadership strategy and leadership style of the Military Transformational Head of RSAL dr. Mintoharjo managed to change the existing organizational culture in the Hospital to be better one of them is with the measuring value of the increasing number of BOR RSAL dr. Mintharjo.

Restructuring the hospital sector in Greece in order to improve effectiveness and efficiency

<p>This paper discusses the study focused on the<br />reform of Greek Hospital Sector, also known as<br />“hospital mergers”. The aim of the study was to<br />propose a new pattern of organizing hospitals<br />in groups based on the reform of emergency<br />care and the management of five main chronic<br />diseases (AMI, Stroke, Cancer, Diabetes Mellitus<br />and COPD). The proposals in general concern the<br />creation of a national network of health services<br />provided mainly by primary healthcare units and<br />the largest hospitals of the groups in each health<br />region. In the context of improving the hospital<br />sector efficiency, ways of collaborations between<br />private and public sector and expenditure<br />containment measures are presented. The<br />restructuring of the public hospital sector relied<br />on six specific criteria including the population<br />criterion, catchment area, hospital size,<br />infrastructure age, utilization of hospital facilities<br />and cost. Due to its nature, the study was exposed<br />to various factors such as the diversity of actors<br />being involved, collection and compilation of the<br />relevant data in a short term of three months, last<br />minute adjustments and the variety of audience.</p>

Analysis of hospital use for injury among individuals with mental retardation

The utilization of hospital facilities for injuries by individuals with mental retardation (MR) was evaluated using a statewide hospital database. In comparison with the general population, persons with MR had a lower proportion of ER visits related to injury (26.5% vs. 30.4%) and were less likely to have multiple ER visits for injuries (Odds Ratio = 0.26, 95% CI 0.10–0.69). When persons with MR were admitted to the hospital for injury, the causes were less likely to be a motor vehicle crash (Odds Ratio = 0.30, 95% CI 0.15–0.62) but more likely to be a fall (Odds Ratio = 1.76, 95% CI 1.19–2.60). In the ER setting, persons with MR were more likely to be seen for poisoning (Odds Ratio = 6.05, 95% CI 2.97–12.32) and falls (Odds Ratio = 1.69, 95% CI 1.24–2.32). Individuals with MR had incurred lower charges per admission and higher charges in the ER, compared to the non-MR group. In general, there were notable differences in the types of injuries and the hospital usage patterns between the group with and without MR.

Factors influencing admission to hospital during terminal childhood illnesses in Kenya.

Access to essential clinical services offered by district hospitals or health centres forms an important component of primary health care activities in the developing world. Utilization of hospital facilities during life-threatening childhood illnesses will affect survivorship. We have examined clinical, geographical, social, economic and demographic features of families of 49 children who consulted a hospital facility during a terminal illness and 88 who did not during a 1-year prospective demographic and hospital-based surveillance of a rural community on the Kenyan Coast. Of children who died without admission, 15% had symptoms which lasted only 1 day compared to no children who were admitted (P = 0.004). Furthermore, those who died without admission tended to live further away from the nearest bus stage (P = 0.01) and had made greater use of traditional healers (P = 0.08). Mothers' education or household socioeconomic status did not influence admission to hospital. Health education is required to improve early recognition of clinical signs warranting hospital care and traditional healers should be included in any community-based education programmes.

Neurological Disorders in Saudi Children at the Al-Majardah General Hospital, Asir Region

Over a 20-month period (June 1988 to January 1990), 180 Saudi children with neurological disorders were seen at the Al-Majardah General Hospital, Asir Region. These constituted 7.5% of all the pediatric inpatients and outpatients. More than one-half of the children were under three years of age and 74% were six years and below. In the series, convulsive disorders accounted for 28.9% of cases, followed by cerebral palsy (18.9%), mental retardation (16.7%), infections (9.4%), trauma (8.9%), and disorders of the primary senses (6.7%). In 57% of the children, the lesions were due to acquired and mostly preventable etiological factors whereas approximately 24% of the children suffered from prenatal (congenital) disorders, some of which were also preventable. The need for continued appraisal of the maternal and child care services as well as extension of rehabilitative facilities to handicapped children in rural areas of the Kingdom is highlighted.

Reimbursement policy of hospitals in the Federal Republic of Germany.

The factors that have contributed to an overhaul of German hospital policy in the last 12 months are both numerous and highly interrelated. Rising health expenditures and inflexible mechanisms for implementing hospital policy are major culprits, as are the considerably changed political and economic circumstances over the last 15 years. Although this overhaul does embody some changes in the direction of German health care policy, they can best be understood as a further manifestation of the continuity that has characterized policy in this area for the past 100 years; a continuity rooted in the widely shared belief that disease, whatever its nature, is beyond the control of individuals. The key to cost containment is considered to lie in the reduction of the average length of stay and in the better utilization of hospital facilities. Payment remains directly related neither to specific diagnoses of individual patients nor to occupancy rates in individual departments, which vary greatly across disciplines and specialities. In the era that is unfolding, one political phenomenon requires close watching in the future: policy coalitions at the Land-level will become even more important as prime movers than they have been in the past. Demands for Strukturreform are a regular feature of many governmental systems. Yet the capacity of political bodies--whether ministries or parliaments--is severely limited by the distribution of power and control over resources and by the political dynamics which they generate. In the FRG, major reforms will not take place until after the 1987 federal elections, and it is essential to remember that the realms of campaign rhetoric and of policy choice and implementation are governed by entirely different sets of rules and constraints.

Bed Utilization Improved by Planned Hospital Procedures

Due to the acute shortage of hospital beds and the need for physicians to curb rising health expenses, it is desirable to save the patient hospital days whenever possible. Time can be lost in the admission and discharge of patients as well as in the diagnostic work-up in the clinical laboratory, radiology department, nuclear medicine section, and other departments. Attention to test combinations and the time sequence of procedures will shorten the hospital stay for many patients. The following recommendations will provide more efficient utilization of hospital facilities. General A hospital preadmission order form can be completed in the doctor's office or at the patient's home and sent in an envelope with the patient to the hospital. The hospital nurse then loses no time looking for the doctor to get admission orders. Patient care can thus be started promptly. The envelope is retained by the patient; printed on it is

Medicare and Utilization Review

The emerging concept of utilization review has one compelling justification—it is the way in which doctors, working together and accountable to each other, can assure that each patient in medical need will have fair access to and an optimum use of scarce and expensive facilities. In implementing the new law the Social Security Administration will do everything possible to accommodate and encourage existing practices—however variable they may be—so long as they give promise, under professional direction, of assuring quality care to patients through sound utilization of hospital facilities and services. I find there is full agreement that professional people must be responsible for determining how such reviews can best be done, but that some concern exists over the question of how the program will ascertain, once the institution establishes a utilization review plan, that the plan is in existence and operates effectively. Conditions for Participation for Hospitals and Extended-Care Facilities

Full Utilization of Hospital Facilities

Full Utilization of Hospital Facilities