Healthcare Simulation

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Healthcare Simulation:
Bed Allocation in Hospital:

Simcad Pro is a sophisticated simulation engine that can be utilized to improve the overall efficiency of the Emergency Room. The use of Simcad Pro has been shown to improve Emergency Room efficiency, accuracy and effectiveness, which in turn improves patient outcomes and the quality of care that is received. In addition, staff allocation and efficiency can be better forecasted and analyzed, reducing the overall cost of care without sacrificing the quality of care.

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Healthcare Simulation

  1. 1. Real-Time Bed Allocation with Dynamic Simulation Hosni Adra CreateASoft, Inc.www.createasoft.com @Copyright 2012, CreateASoft, Inc. All Rights Reserved 1 7/25/2012
  2. 2. Simulation Applications in Healthcare Patient Flow and Wait Time analysis Provider analysis OR Simulation and methods to improve OR efficiency ED Simulation Basic bed allocation implementation Clinics/Outpatient scheduling analysis And many morewww.createasoft.com @Copyright 2012, CreateASoft, Inc. All Rights Reserved 2 7/25/2012
  3. 3. Dynamic Simulation Dynamic simulation environment differs from standard environments… Highly interactive with fast model building capabilities. On-the-fly changes– Modify, Analyze, Optimize the model on the fly without the need to stop and restart the simulation Connectivity to external data systems during the simulation run Initial state loading based on current environment state. Dynamic model updates based on current constraints and flows.www.createasoft.com @Copyright 2012, CreateASoft, Inc. All Rights Reserved 3 7/25/2012
  4. 4. The need for Dynamic Simulation Reduced time for model building Enable simulation for everyone within the organization Improve model accuracy Better optimization methods Improved analysis capability Provide “life to the model” beyond the initial simulation effort.www.createasoft.com @Copyright 2012, CreateASoft, Inc. All Rights Reserved 4 7/25/2012
  5. 5. Why Bed Allocation? OR ED Patient Scheduling Arrivals Admittance Outpatient Transfers Scheduling Bed Availability Patient Experience And Hospital Efficiencywww.createasoft.com @Copyright 2012, CreateASoft, Inc. All Rights Reserved 5 7/25/2012
  6. 6. Looking in the wrong place? Is the ED the real problem? Are patients waiting due to bed availability? OR efficiency impact, patients waiting too long in PACU? Forecasting with Real Data ? 2 examples often missed in the analysis process.www.createasoft.com @Copyright 2012, CreateASoft, Inc. All Rights Reserved 6 7/25/2012
  7. 7. Other impacts Revenue reduction. Increase in length of stay. Reduction in patient satisfaction. Efficiency reduction and increased utilization. Improper use of resources. Impact on staff and providers. And many morewww.createasoft.com @Copyright 2012, CreateASoft, Inc. All Rights Reserved 7 7/25/2012
  8. 8. Solution must have... Valid model representing the current state of the operation. Data – actual patient information data (HIPPA Compliant) Historical performance and data points. Staffing/provider constraint impact Ability to accurately forecast. Live model that can react to changes with minimum interaction.www.createasoft.com @Copyright 2012, CreateASoft, Inc. All Rights Reserved 8 7/25/2012
  9. 9. Proposed Solution Historical EMR data Other Tracking systems Dynamic Simulation Live System – Constant Updates and monitoring Bed Allocation Needs Capacity constraints and Schedules Staff allocation and expected flow datawww.createasoft.com @Copyright 2012, CreateASoft, Inc. All Rights Reserved 9 7/25/2012
  10. 10. Data Side Seasonality Short term EMR Historical data Data Data Data Abstraction Layer Forecasting effect factors Staffing, spee Tracking d, efficiency Other factors Dynamic data Simulation Tracking data effect factorswww.createasoft.com @Copyright 2012, CreateASoft, Inc. All Rights Reserved 10 7/25/2012
  11. 11. Dynamic Simulation Models Bed Allocation (OR,ED,…) Rules Current State Scheduler Loader Results Data Storewww.createasoft.com @Copyright 2012, CreateASoft, Inc. All Rights Reserved 11 7/25/2012
  12. 12. Dynamic Simulation Detail 2 Methods to implement the simulation models Single model for Overall Hospital view. Multiple models connected through dynamic interface. Multiple models method provides Better model validation Faster delivery (multiple modelers) Ramped up implementation Distributed computingwww.createasoft.com @Copyright 2012, CreateASoft, Inc. All Rights Reserved 12 7/25/2012
  13. 13. Multiple Dynamic simulation models ED Model OR Model Bed Allocation Rules Model Dynamic Simulation Scheduler Other Related Bed Re-Allocation Rules Models Modelwww.createasoft.com @Copyright 2012, CreateASoft, Inc. All Rights Reserved 13 7/25/2012
  14. 14. Bed Allocation ResultsCurrent state of bed allocation by Department Acuity Private/semi-private OtherExpected need – Short term – by Department Acuity Type Other factors
  15. 15. Bed Allocation schedulesCleaning schedule with priorities When should each bed be cleaned, grouped by department Cleaning priority for each.Discharge time impact on the schedule Effect of late discharge due to physician delays Schedule Adherence (Optimal vs current). Cause analysis of the delays.
  16. 16. Other benefits Better utilization of the OR Increased capacity Increased efficiency Reduced “Waiting for OR” time Improved staff efficiency ED efficiency improvement Better predictability of the short term future state improves staff and room scheduling.www.createasoft.com @Copyright 2012, CreateASoft, Inc. All Rights Reserved 16 7/25/2012
  17. 17. Results delivery Accessibility On demand data availability Web based – for intranet and tablet/smart phone compatibility Protected – availability based on need. Visual Animated view for improved communication Quick hover effect for fast data access.www.createasoft.com @Copyright 2012, CreateASoft, Inc. All Rights Reserved 17 7/25/2012
  18. 18. Exampleswww.createasoft.com @Copyright 2012, CreateASoft, Inc. All Rights Reserved 18 7/25/2012
  19. 19. www.createasoft.com @Copyright 2012, CreateASoft, Inc. All Rights Reserved 19 7/25/2012
  20. 20. www.createasoft.com @Copyright 2012, CreateASoft, Inc. All Rights Reserved 20 7/25/2012
  21. 21. Real-Time Bed Allocation with Dynamic Simulation Hosni Adra CreateASoft, Inc. Q&A www.createasoft.com Process Improvement Solutionswww.createasoft.com @Copyright 2012, CreateASoft, Inc. All Rights Reserved 21 7/25/2012

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