Managing capacity and demand across the patient journey

Clinical Medicine, Journal of the Royal College of Physicians of London

Volumn 10, Issue 1, 2010, Pages 13-15

  Allder, Steven ^a   Silvester, Kate ^b   Walley, Paul ^c  

^a PLYMOUTH HOSPITALS NHS TRUST   (United Kingdom)

^b WARWICK HOSPITAL   (United Kingdom)

^c UNIVERSITY OF WARWICK   (United Kingdom)

Author keywords

Accident and emergency flow; Admissions and discharges; Bed management; Synchronisation; Systems planning; Variation

Indexed keywords

EMERGENCY CARE; HEALTH CARE NEED; HOSPITAL ADMISSION; HOSPITAL BED CAPACITY; HOSPITAL BED UTILIZATION; HOSPITAL DISCHARGE; HOSPITAL PLANNING; HOSPITALIZATION; LENGTH OF STAY; NATIONAL HEALTH SERVICE; PROGRAM DEVELOPMENT; PUBLIC HOSPITAL; REVIEW; SEASONAL VARIATION; STRATEGIC PLANNING; WORKING TIME;

EID: 77149156967     PISSN: 14702118     EISSN: 14734893     Source Type: Journal    
DOI: 10.7861/clinmedicine.10-1-13     Document Type: Review

References (21)

1. Department of Health. Shaping the future: long term planning for hospitals and related services. Consultation document on the findings of the National Bed Inquiry. London: DH, 2000.
2. Macfarlane A, Godden S, Pollock, AM, Are we on track - can we monitor bed targets in the NHS plan for England? J Public Health 2005;27:263-9.
3. Silvester K, Lendon R, Bevan H, Steyn, R,Walley P. Reducing waiting times in the NHS: is lack of capacity the problem? Clinician Manag 2004;12:105-11.
4. Cooke MW,Wilson S, Hallsall J, Roalfe A. Total time in English accident and emergency departments is related to bed occupancy. Emer Med J 2004;21:575-6.
5. Boaden R, Proudlove N,Wilson M. An exploratory study of bed management. J Manag Med 1999;13:234-50.
6. Proudlove NC, Gordon K, Boaden R. Can good bed management solve the overcrowding problem in accident and emergency departments? Emerg Med J 2003:149-55.
7. Black S. More and better management is the key to fixing the NHS. BMJ 2006;333:358
8. Fusco D, Saitto C, Arca M et al. Cyclic fluctuations in hospital bed occupancy in Roma (Italy): supply or demand driven? Health Serv Manag Res 2003;16:268-75.
9. Black S, Proudlove N. Hospital bed utilisation in the NHS and Kaiser Permanente, bed management in the NHS can be improved easily. BMJ 2004;328:582-3.
10. Noon CE, Hankins CT, Cote MJ. Understanding the impact of variation in the delivery of healthcare services. J Health Manag 2003;48:81-8.
11. Gallivan S, Utley M, Treasure T, Valencia O. Booked inpatient admissions and hospital capacity: mathematical modelling study. BMJ 2002;280-2.
12. De Bruin AM, van Rossum AC, Visser MC, Koole GM.Modeling the emergency cardiac in-patient flow. An application of queuing theory. Health Manag Sci 2007;10:125-37.
13. Bagust A, Place M, Posnett JW. Dynamics of bed use in accommodating emergency admissions: stochastic simulation model. BMJ 1999;319:155-8.
14. Walley P, Silvester K, Steyn R. Managing variation in demand: lessons from the UK National Health Service. J Health Manag 2006;51:309-20.
15. Ham C, York N, Sutch S, Shaw R. Hospital bed utilisation in the NHS, Kaiser Permanente, and the US Medicare Programme: analysis of routine data. BMJ 2003;327:1257.
16. Jarman B, Aylin P, Bottle A. Discharge destination and length of stay: differences between US and English hospitals for people aged 65 and over. BMJ 2004;328:605.
17. Clarke A, Rosen R. Length of stay. How short should hospital care be? Eu J Public Health 2001;11:166-70.
18. Gilligan S,Walters M. Quality improvements in hospital flow may lead to a reduction in mortality. Clin Govern Int J 2008;13:26-34.
19. Rae B, Busby W, Millard PH. Fast-tracking acute hospital care - from bed crisis to bed crisis. Aust Health Rev 2007;31:50-62.
20. Millard PH. NHS needs plan for all acute, rehabilitative, and long-stay care. BMJ 2001;322:735.
21. McCoy D, Godden S, Pollock AM, Bianchessi C. Carrots and sticks? The Community Care Act (2003) and the financial incentives on delays in discharge from hospitals in England. J Public Health 2007;29:281-7