IDEAS home Printed from https://ideas.repec.org/a/eee/jomega/v100y2021ics0305048320306629.html
   My bibliography  Save this article

On the design, implementation, and feasibility of hospital admission services: The admission lounge case

Author

Listed:
  • Veneklaas, W.
  • Leeftink, A.G.
  • van Boekel, P.H.C.M.
  • Hans, E.W.

Abstract

An admission lounge is an emerging type of hospital facility that potentially improves the efficiency and efficacy of the perioperative process. We propose a five-step approach for the design, suitability assessment, and optimisation of an admission lounge. The approach uses a case mix optimisation method to select patients for the admission lounge, clinical ward, or for both. Also, it determines the required admission lounge and clinical ward capacities using an Erlang loss model combined with a novel analytical model. The approach is integrated into a decision support system, which helps hospitals to identify the suitability of the admission lounge concept, optimise its configuration, and identify the potential bed reduction in the clinical ward. The decision support system is validated and tested in a case study of a Dutch hospital using their historical data.

Suggested Citation

  • Veneklaas, W. & Leeftink, A.G. & van Boekel, P.H.C.M. & Hans, E.W., 2021. "On the design, implementation, and feasibility of hospital admission services: The admission lounge case," Omega, Elsevier, vol. 100(C).
    • Handle: RePEc:eee:jomega:v:100:y:2021:i:c:s0305048320306629
    DOI: 10.1016/j.omega.2020.102308
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0305048320306629
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.omega.2020.102308?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Sebastian Hof & Andreas Fügener & Jan Schoenfelder & Jens O. Brunner, 2017. "Case mix planning in hospitals: a review and future agenda," Health Care Management Science, Springer, vol. 20(2), pages 207-220, June.
    2. Linda Green, 2006. "Queueing Analysis in Healthcare," International Series in Operations Research & Management Science, in: Randolph W. Hall (ed.), Patient Flow: Reducing Delay in Healthcare Delivery, chapter 0, pages 281-307, Springer.
    3. P T Vanberkel & R J Boucherie & E W Hans & J L Hurink & W A M van Lent & W H van Harten, 2011. "An exact approach for relating recovering surgical patient workload to the master surgical schedule," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 62(10), pages 1851-1860, October.
    4. J B Jun & S H Jacobson & J R Swisher, 1999. "Application of discrete-event simulation in health care clinics: A survey," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 50(2), pages 109-123, February.
    5. Nikky Kortbeek & Aleida Braaksma & Ferry HF Smeenk & Piet JM Bakker & Richard J Boucherie, 2015. "Integral resource capacity planning for inpatient care services based on bed census predictions by hour," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 66(7), pages 1061-1076, July.
    6. James R. Jackson, 1957. "Networks of Waiting Lines," Operations Research, INFORMS, vol. 5(4), pages 518-521, August.
    7. F Gorunescu & S I McClean & P H Millard, 2002. "A queueing model for bed-occupancy management and planning of hospitals," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 53(1), pages 19-24, January.
    8. X Li & P Beullens & D Jones & M Tamiz, 2009. "An integrated queuing and multi-objective bed allocation model with application to a hospital in China," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 60(3), pages 330-338, March.
    9. A. Bruin & R. Bekker & L. Zanten & G. Koole, 2010. "Dimensioning hospital wards using the Erlang loss model," Annals of Operations Research, Springer, vol. 178(1), pages 23-43, July.
    10. Jie Bai & Andreas Fügener & Jan Schoenfelder & Jens O. Brunner, 2018. "Operations research in intensive care unit management: a literature review," Health Care Management Science, Springer, vol. 21(1), pages 1-24, March.
    11. R. Bekker & A. Bruin, 2010. "Time-dependent analysis for refused admissions in clinical wards," Annals of Operations Research, Springer, vol. 178(1), pages 45-65, July.
    12. James R. Jackson, 1963. "Jobshop-Like Queueing Systems," Management Science, INFORMS, vol. 10(1), pages 131-142, October.
    13. Ahmadi-Javid, Amir & Jalali, Zahra & Klassen, Kenneth J, 2017. "Outpatient appointment systems in healthcare: A review of optimization studies," European Journal of Operational Research, Elsevier, vol. 258(1), pages 3-34.
    14. Stefano Villa & Marta Barbieri & Federico Lega, 2009. "Restructuring patient flow logistics around patient care needs: implications and practicalities from three critical cases," Health Care Management Science, Springer, vol. 12(2), pages 155-165, June.
    15. P T Vanberkel & R J Boucherie & E W Hans & J L Hurink & W A M van Lent & W H van Harten, 2011. "An exact approach for relating recovering surgical patient workload to the master surgical schedule," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 62(10), pages 1851-1860, October.
    16. Michael Samudra & Carla Van Riet & Erik Demeulemeester & Brecht Cardoen & Nancy Vansteenkiste & Frank E. Rademakers, 2016. "Scheduling operating rooms: achievements, challenges and pitfalls," Journal of Scheduling, Springer, vol. 19(5), pages 493-525, October.
    17. Arnoud Bruin & A. Rossum & M. Visser & G. Koole, 2007. "Modeling the emergency cardiac in-patient flow: an application of queuing theory," Health Care Management Science, Springer, vol. 10(2), pages 125-137, June.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Mahsa Pahlevani & Majid Taghavi & Peter Vanberkel, 2024. "A systematic literature review of predicting patient discharges using statistical methods and machine learning," Health Care Management Science, Springer, vol. 27(3), pages 458-478, September.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Yuta Kanai & Hideaki Takagi, 2021. "Markov chain analysis for the neonatal inpatient flow in a hospital," Health Care Management Science, Springer, vol. 24(1), pages 92-116, March.
    2. Amir Elalouf & Guy Wachtel, 2022. "Queueing Problems in Emergency Departments: A Review of Practical Approaches and Research Methodologies," SN Operations Research Forum, Springer, vol. 3(1), pages 1-46, March.
    3. Hui Zhang & Thomas J. Best & Anton Chivu & David O. Meltzer, 2020. "Simulation-based optimization to improve hospital patient assignment to physicians and clinical units," Health Care Management Science, Springer, vol. 23(1), pages 117-141, March.
    4. Zhaohui Li & Haiyue Yu & Zhaowei Zhou, 2024. "Scheduling of elective operations with coordinated utilization of hospital beds and operating rooms," Journal of Combinatorial Optimization, Springer, vol. 47(5), pages 1-29, July.
    5. Julian Schiele & Thomas Koperna & Jens O. Brunner, 2021. "Predicting intensive care unit bed occupancy for integrated operating room scheduling via neural networks," Naval Research Logistics (NRL), John Wiley & Sons, vol. 68(1), pages 65-88, February.
    6. Samantha L. Zimmerman & Alexander R. Rutherford & Alexa Waall & Monica Norena & Peter Dodek, 2023. "A queuing model for ventilator capacity management during the COVID-19 pandemic," Health Care Management Science, Springer, vol. 26(2), pages 200-216, June.
    7. Santos, Daniel & Marques, Inês, 2022. "Designing master surgery schedules with downstream unit integration via stochastic programming," European Journal of Operational Research, Elsevier, vol. 299(3), pages 834-852.
    8. Osorio, Carolina & Bierlaire, Michel, 2009. "An analytic finite capacity queueing network model capturing the propagation of congestion and blocking," European Journal of Operational Research, Elsevier, vol. 196(3), pages 996-1007, August.
    9. Grigory Korzhenevich & Anne Zander, 2024. "Leveraging the potential of the German operating room benchmarking initiative for planning: A ready-to-use surgical process data set," Health Care Management Science, Springer, vol. 27(3), pages 328-351, September.
    10. Ortiz-Barrios, Miguel & Arias-Fonseca, Sebastián & Ishizaka, Alessio & Barbati, Maria & Avendaño-Collante, Betty & Navarro-Jiménez, Eduardo, 2023. "Artificial intelligence and discrete-event simulation for capacity management of intensive care units during the Covid-19 pandemic: A case study," Journal of Business Research, Elsevier, vol. 160(C).
    11. Shehadeh, Karmel S. & Padman, Rema, 2021. "A distributionally robust optimization approach for stochastic elective surgery scheduling with limited intensive care unit capacity," European Journal of Operational Research, Elsevier, vol. 290(3), pages 901-913.
    12. Hessam Bavafa & Charles M. Leys & Lerzan Örmeci & Sergei Savin, 2019. "Managing Portfolio of Elective Surgical Procedures: A Multidimensional Inverse Newsvendor Problem," Operations Research, INFORMS, vol. 67(6), pages 1543-1563, November.
    13. Steffen Heider & Jan Schoenfelder & Thomas Koperna & Jens O. Brunner, 2022. "Balancing control and autonomy in master surgery scheduling: Benefits of ICU quotas for recovery units," Health Care Management Science, Springer, vol. 25(2), pages 311-332, June.
    14. Francisco Castro & Hamid Nazerzadeh & Chiwei Yan, 2020. "Matching queues with reneging: a product form solution," Queueing Systems: Theory and Applications, Springer, vol. 96(3), pages 359-385, December.
    15. John Bowers, 2013. "Balancing operating theatre and bed capacity in a cardiothoracic centre," Health Care Management Science, Springer, vol. 16(3), pages 236-244, September.
    16. Michael Samudra & Carla Van Riet & Erik Demeulemeester & Brecht Cardoen & Nancy Vansteenkiste & Frank E. Rademakers, 2016. "Scheduling operating rooms: achievements, challenges and pitfalls," Journal of Scheduling, Springer, vol. 19(5), pages 493-525, October.
    17. Flötteröd, G. & Osorio, C., 2017. "Stochastic network link transmission model," Transportation Research Part B: Methodological, Elsevier, vol. 102(C), pages 180-209.
    18. Almehdawe, Eman & Jewkes, Beth & He, Qi-Ming, 2013. "A Markovian queueing model for ambulance offload delays," European Journal of Operational Research, Elsevier, vol. 226(3), pages 602-614.
    19. Papadopoulos, H. T. & Heavey, C., 1996. "Queueing theory in manufacturing systems analysis and design: A classification of models for production and transfer lines," European Journal of Operational Research, Elsevier, vol. 92(1), pages 1-27, July.
    20. Aleksandra Marcikic Horvat & Branislav Dudic & Boris Radovanov & Boban Melovic & Otilija Sedlak & Monika Davidekova, 2020. "Binary Programming Model for Rostering Ambulance Crew-Relevance for the Management and Business," Mathematics, MDPI, vol. 9(1), pages 1-13, December.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:jomega:v:100:y:2021:i:c:s0305048320306629. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/375/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.