Background: In hospitals and health systems across the country, patient flow bottlenecks delay care delivery-emergency department boarding and operating room exit holds are familiar examples. In other industries, such as oil, gas, and air traffic control, command centers proactively manage flow through complex systems.
Methods: A systems engineering approach was used to analyze and maximize existing capacity in one health system, which led to the creation of the Judy Reitz Capacity Command Center. This article describes the key elements of this novel health system command center, which include strategic colocation of teams, automated visual displays of real-time data providing a global view, predictive analytics, standard work and rules-based protocols, and a clear chain of command and guiding tenets. Preliminary data are also shared.
Results: With proactive capacity management, subcycle times decreased and allowed the health system's flagship hospital to increase occupancy from 85% to 92% while decreasing patient delays.
Conclusion: The command center was built with three primary goals-reducing emergency department boarding, eliminating operating room holds, and facilitating transfers in from outside facilities-but the command center infrastructure has the potential to improve hospital operations in many other areas.
Copyright © 2018 The Joint Commission. Published by Elsevier Inc. All rights reserved.
Developing an efficient scheduling template of a chemotherapy treatment unit: A case study.Australas Med J. 2011;4(10):575-88. doi: 10.4066/AMJ.2011.837. Epub 2011 Oct 31. Australas Med J. 2011. PMID: 23386870 Free PMC article.
Evidence Brief: Comparative Effectiveness of Appointment Recall Reminder Procedures for Follow-up Appointments.2015 Jul. In: VA Evidence Synthesis Program Evidence Briefs [Internet]. Washington (DC): Department of Veterans Affairs (US); 2011–. VA Evidence Synthesis Program Evidence Briefs. 2011–. PMID: 27606388 Free Books & Documents. Review.
Evidence Brief: Effectiveness of Intensive Primary Care Programs.2013 Feb. In: VA Evidence Synthesis Program Evidence Briefs [Internet]. Washington (DC): Department of Veterans Affairs (US); 2011–. VA Evidence Synthesis Program Evidence Briefs. 2011–. PMID: 27606397 Free Books & Documents. Review.
Administrators Leverage Predictive Analytics to Manage Capacity, Streamline Decision-making.ED Manag. 2017 Feb;29(2):19-23. ED Manag. 2017. PMID: 29787661
Air cleaning technologies: an evidence-based analysis.Ont Health Technol Assess Ser. 2005;5(17):1-52. Epub 2005 Nov 1. Ont Health Technol Assess Ser. 2005. PMID: 23074468 Free PMC article.