Using process capability analysis and simulation to improve patient flow

Abstract This work investigates a regional hospital, which has an affiliated low-acuity emergency department (ED) facility that currently struggles to meet its service level goal (85% of its patients should be in the room in 60 minutes or less). A capability analysis using data from existing processes at this facility revealed that with the current processes and current level of resources, the facility is not capable of meeting existing service level goal. A simulation was developed to examine multiple alternatives that could improve patient flow at the facility. A set of scenarios were created that modified one or more of the resources such as doctors, nurses, and rooms by changing their schedules or their quantities. The impact of the response variables related to the facility’s service level goal was recorded for each scenario. Based on the results of the simulation, recommendations to the facility for alternative ways to schedule and allocate its resources in order to meet its current service level goal were given.