Healthcare capacity measurement

Purpose – The purpose of this paper is to present findings from an action research intervention in the outpatient department of a National Health Service (NHS) Hospital. It investigates the perceived and actual problems of measuring capacity at a UK hospital.Design/methodology/approach – An action research methodology was adopted: relevant literature on capacity measurement and performance was reviewed; the motivation behind its usage explored. Systems requiring improvement were identified and the adoption and implementation of new working methods initiated and explored. In addition to considering capacity measurement and performance issues, the authors examined the effects this may have on the long‐term potential of the organisation.Findings – The research identified gaps in the capacity and activity measures used and in the dissemination of performance information. To address these problems and meet the changing needs of the department a new performance measurement and reporting tool was implemented.Res...

[1]  Minwir Al-Shammari,et al.  A multi‐criteria data envelopment analysis model for measuring the productive efficiency of hospitals , 1999 .

[2]  Kelvin F. Cross,et al.  Measure Up!: Yardsticks for Continuous Improvement , 1991 .

[3]  Alfred J. Nanni,et al.  The New Performance Challenge: Measuring Operations for World-Class Competition , 1990 .

[4]  J. J. Dahlgaard,et al.  Measuring lean initiatives in health care services: issues and findings , 2006 .

[5]  Mohamed E. Bayou Developing an instrumental capacity model for industry , 2001 .

[6]  S. Moore,et al.  Capacity planning – modelling unplanned admissions in the UK NHS , 2003 .

[7]  G. R. Russell,et al.  Service Case Scheduling: An Exploratory Description and Recommendations for Solution , 2004 .

[8]  A. Neely,et al.  WHY MEASUREMENT INITIATIVES FAIL , 2000 .

[9]  Paul Gemmel,et al.  Admission scheduling in acute care hospitals: does the practice fit with the theory? , 1999 .

[10]  Panagiotis Chytas,et al.  Making decisions using the balanced scorecard and the simple multi‐attribute rating technique , 2005 .

[11]  R. Kaplan,et al.  The Balanced Scorecard: Translating Strategy into Action , 1996 .

[12]  Mary McGuire,et al.  Performance management in the public sector: fact or fiction? , 2004 .

[13]  William L. Moore,et al.  Optimal service design: integrating marketing and operations perspectives , 1999 .

[14]  Andy Neely,et al.  Performance measurement frameworks: A review , 2007 .

[15]  D. Bamford,et al.  Matching Demand and Capacity of Patient Services Within the UK National Health Service , 2005 .

[16]  Bruce Gurd,et al.  Lives in the balance: an analysis of the balanced scorecard (BSC) in healthcare organizations , 2007 .

[17]  C. Grönroos,et al.  Service productivity: Towards a conceptualization of the transformation of inputs into economic results in services , 2004 .

[18]  Kim Seung-Chul,et al.  Flexible bed allocation and performance in the intensive care unit , 2000 .

[19]  Fraser Macfarlane,et al.  Intangible resources as performance drivers in European hospitals , 2007 .

[20]  J. Fereday,et al.  Demonstrating Rigor Using Thematic Analysis: A Hybrid Approach of Inductive and Deductive Coding and Theme Development , 2006 .

[21]  Graham Clark,et al.  Service Operations Management: Improving Service Delivery , 2005 .

[22]  Mike Moore,et al.  Self-directed learning and distance education , 1986 .

[23]  C. Armistead,et al.  The “Coping” Capacity Management Strategy in Services and the Influence on Quality Performance , 1994 .

[24]  M. Alvesson Doing critical management research , 2000 .

[25]  Ying Li,et al.  Hospital Operating Room Capacity Expansion , 2002, Manag. Sci..

[26]  J W Curtright,et al.  Strategic performance management: development of a performance measurement system at the Mayo Clinic. , 2000, Journal of healthcare management / American College of Healthcare Executives.

[27]  Umit Bititci,et al.  Web enabled performance measurement systems , 2002 .

[28]  Rexford E. Santerre,et al.  The Effect of Competition on Reserve Capacity: The Case of California Hospitals in the Late 1990s , 2004, International Journal of Health Care Finance and Economics.

[29]  Mike Kennerley,et al.  Managing through measures: a study of impact on performance , 2005 .

[30]  Andi Smart,et al.  Theory and practice in SME performance measurement systems , 2001 .

[31]  Thomas J. Crowe,et al.  An integrated dynamic performance measurement system for improving manufacturing competitiveness , 1997 .

[32]  Uolevi Lehtinen,et al.  Content and measurement of productivity in the service sector , 1998 .

[33]  Peter Cressey,et al.  Doing research in organisations: Edited by Alan Bryman, Routledge, 1988, 268p, £8.95 , 1988 .

[34]  Peter Jones,et al.  Service productivity: Towards understanding the relationship between operational and customer productivity , 2004 .

[35]  Christopher M. McDermott,et al.  Hospital operations and length of stay performance , 2007 .

[36]  C. Renner,et al.  Outsourcing to increase service capacity in a New Zealand hospital. , 1999, Journal of management in medicine.

[37]  R. Johnston,et al.  Operations and Process Management: Principles and Practice for Strategic Impact , 2006 .

[38]  D. Remenyi,et al.  Doing Research in Business and Management: An Introduction to Process and Method , 1998 .

[39]  T. Rohleder,et al.  Outpatient appointment scheduling with urgent clients in a dynamic, multi‐period environment , 2004 .

[40]  Andy Neely,et al.  Business performance measurement: Performance measurement – practical applications , 2002 .

[41]  Bart Van Looy,et al.  Dealing with productivity and quality indicators in a service environment: some field experiences , 1997 .

[42]  Rodney McAdam,et al.  Performance management in the UK public sector: Addressing multiple stakeholder complexity , 2005 .

[43]  R. Kaplan,et al.  The balanced scorecard--measures that drive performance. , 2015, Harvard business review.

[44]  Prasanta Kumar Dey,et al.  Measuring the operational performance of intensive care units using the analytic hierarchy process approach , 2006 .

[45]  A. Neely,et al.  Measuring performance in a changing business environment , 2003 .

[46]  Maureen Meadows,et al.  Call centre capacity management , 2000 .

[47]  Steve Buchheit,et al.  Outcome effects and capacity cost reporting , 2001 .

[48]  Ijbf Ivo Adan,et al.  Patient mix optimisation in hospital admission planning: a case study , 2002 .