Hospital Registration Process Reengineering Using Simulation Method

With increasing competition, many healthcare organizations have undergone tremendous reform in the last decade aiming to increase efficiency, decrease waste, and reshape the way that care is delivered. This study focuses on the operational efficiency improvement of hospital’s registration process. The operational efficiency related factors including the service process, queue strategy, and queue parameters were explored systematically and illustrated with a case study. Guided by the principle of business process reengineering (BPR), a simulation approach was employed for process redesign and performance optimization. As a result, the queue strategy is changed from multiple queues and multiple servers to single queue and multiple servers with a prepare queue. Furthermore, through a series of simulation experiments, the length of the prepare queue and the corresponding registration process efficiency was quantitatively evaluated and optimized.

[1]  Andrew Kusiak,et al.  Process analysis and reengineering , 2001 .

[2]  Roland E. Kidwell,et al.  The implementation of business process reengineering in American and Canadian hospitals. , 1999, Health care management review.

[3]  S L Walston,et al.  Outcomes of Hospital Restructuring and Reengineering: How Is Success or Failure Being Measured? , 2001, The Journal of nursing administration.

[4]  C. Murdaugh,et al.  Role clarity, organizational commitment, and job satisfaction during hospital reengineering. , 1999, NursingConnections.

[5]  Wallace J. Hopp,et al.  Factory physics : foundations of manufacturing management , 1996 .

[6]  David M. Ferrin,et al.  Maximizing hospital finanacial impact and emergency department throughput with simulation , 2007, 2007 Winter Simulation Conference.

[7]  Arie Hasman,et al.  Simulation as decision tool for capacity planning , 2001, Comput. Methods Programs Biomed..

[8]  Ashutosh Tiwari,et al.  Business Process Analysis and Optimization: Beyond Reengineering , 2008, IEEE Transactions on Systems, Man, and Cybernetics, Part C (Applications and Reviews).

[9]  Alain Guinet,et al.  Modelling and simulation of emergency services with ARIS and Arena. Case study: the emergency department of Saint Joseph and Saint Luc Hospital , 2009 .

[10]  VergidisK.,et al.  Business Process Analysis and Optimization , 2008 .

[11]  Brigitte Werners,et al.  A decision support system for business process planning , 2000, Eur. J. Oper. Res..

[12]  F. Caeldries Reengineering the Corporation: A Manifesto for Business Revolution , 1994 .

[13]  Paul A. Fishwick,et al.  Simulation model design and execution - building digital worlds , 1995 .

[14]  P A Lundgren,et al.  A case study: business process re-engineering (BPR) of the order-/delivery process at the pediatric clinic at the University Hospital of Lund. , 1995, Medinfo. MEDINFO.

[15]  K L Capitulo,et al.  Creating Patient-Focused, Family-Centered, Maternal-Child and Pediatric Healthcare , 2001, MCN. The American journal of maternal child nursing.

[16]  Jesse M Pines,et al.  The effect of emergency department crowding on patient satisfaction for admitted patients. , 2008, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[17]  Stephen L. Chan,et al.  A conceptual and analytical framework for business process reengineering , 1997 .

[18]  N. K. Kwak,et al.  Business process reengineering for health-care system using multicriteria mathematical programming , 2002, Eur. J. Oper. Res..

[19]  S L Walston,et al.  Does reengineering really work? An examination of the context and outcomes of hospital reengineering initiatives. , 2000, Health services research.

[20]  Karen Neuman,et al.  The Effect of Organizational Reengineering on Job Satisfaction for Staff in Hospital Social Work Departments , 2003, Social work in health care.

[21]  Rochelle N. Price,et al.  Healthcare simulation modeling and optimization using MedModel , 2001, WSC '01.

[22]  Mak A. Kaboudan A dynamic-server queuing simulation , 1998, Comput. Oper. Res..

[23]  Carolyn J Kesler Redesign of a pediatric hospital's triage and registration area. , 2007, Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association.

[24]  Sirkka L. Jarvenpaa,et al.  SIM Paper Competition: Business Reengineering at CIGNA Corporation: Experiences and Lessons From the First Five Years , 1994, MIS Q..

[25]  Donna B. Stoddard,et al.  Business reengineering at CIGNA Corporation: experiences and lessons learned from the first five years , 1994 .

[26]  M. Khadem,et al.  Evaluating the layout of the emergency department of a public hospital using computer simulation modeling: A case study , 2008, 2008 IEEE International Conference on Industrial Engineering and Engineering Management.

[27]  R. R. Roberts,et al.  Impact of institution of an electronic hospital information system on nursing quick registration and triage times , 2004 .