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- 238 - Fig. 5. Maximum average occupancy vs. number of beds with 50 percent emergency arrivais and 40, 70, and 90 percent of electives scheduled. Results of model are compared with Hill-Burton formula and Poisson model in (c). c Q>
- 239 - AECOCL. Table 2. Eflect of Changc in Schedulcd Caincellation (SC) and Emergency Turnaway (ET) Rates on Maximum Average Occupancy Maximum average Average no. No. of o/< bds beds EMG % sched.uled occupancy SC + ET for 1-3% con SC and SC and ET: 1-3% ET: 2/mo tra 320 30 30 99.3 98.7 8.3 320 30 90 94.6 90.6 25.6 320 90 90 96.1 90. 21.9 80 30 30 97.6 96.5 3.2 80 30 90 90.7 87.3 5.4 80 90 30 90.8 85.0 4.7 *Fewer than two per month but as close to tw as posible. In general, if percent scheduled is below a certain level (approximately 80-90 percent) or if patients are scheduled seven days a week, maximum average occupancy will increase as percent EMG dqcreases. It is advantageous (from a maximum average occupancy standpoint) to schedule seven days a week because no weekend drop-off then occurs. Figure 5a shows that when percent scheduled is high, the use of seven-day scheduling allows a higher maximum average occupancy than does the use of five-day scheduling. This is to be expected since the'weekend drop.off for five-day scheduling has a greater effect when percent scheduled is high. Thus, when sizing a facility it is necessary to be aware of how patients are to be scheduled. The results of varying mean LOS are shown in Fig. 5b, where it can be seen that mean LOS has a much smaller effect on maximum average occupancy than the other parameters do. In sizing larger facilities, the mean LOS will have little effect on the results, but the same cannot be said for small facilities (fewer than 40 beds). As mentioned previously, the maximum average occupancy is affected by percent cancellations and turnaways. In Table 2 the maximum average occupancy with the 1-3 percent constraint on cancellations and turnaways is compared with the maximum average occupancy with the sum of the cancellations and turnaways being less than but as close as possible to 2 per month. For 320 and 80 beds, the constraint change results in a decrease in the cancellations and turnaways and the maximum average occupancy also decreases. For comparison, the sum of cancellations and turnaways for the 1-3 percent constraint is also given in average occurrences per month. For purposes of planning or determining the number of beds needed, the scheduledcancellation and emergency.-turnaway rates should be viewed as a HEALTH matter of policy. Once agreement is reached on their acceptable level, LSEAR' CH lthen maximum average occupancies can be computed using the simulator. It should be noted here that the occupancy data for 320 beds are not strictly part of this research and are furnished only for their
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L 00111111 MASTER COPY - NO TOCAR B
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- ii - liancock, W., D. Magerlein y
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FOREWORD These last years, PAHO wit
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Workshop .- Education in Operationa
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-3. The format of the workshop was
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-5- 2. Programs for bringing togeth
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II. R.commendations -7- A series of
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-9- there are technically trained i
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-11- and selected individuals who h
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-13- 6. In order to improve the qua
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-15- cnve!opment will typically be
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-17- 16. All participants sbould pr
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A. Short Courses -19- Short courses
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-21- 4. Presentation of a case to b
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Topic Introduction to Systems Analy
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-25- 12. Elementary Statistics ior
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-27- 8. Applications of data proces
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-29- problems. The graduate should
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-31- Lblo-w. Also given is that typ
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- 33 -' -Case Mix Definition by Dia
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- 35 - Acknowledgment The authors w
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ML ICAL CAE1 Februurl 1980, Vol. XV
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X;' VIII, No. 2. Suippllce,t - 39 -
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- 41 - dMLDICAL C.ARE '.Fcbrtanj 19
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\'nKV 111,I No. 2, IIIJ·,ri - 43 -
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Vol. XVIII, No. 2, Supplenent - 45
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'Vol. XVIII. No. 2, Supplemient - 4
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?Vol. XVIII. No. 2. Sttilluleareilt
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.'yo. XVIII. No. 2, Supplentcsit Si
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.V'oL XVIII. No. 2. Stpphlidary dia
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Vol..'XVlII, No. 2, Supplement - 55
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- 57 - MEDICAL CARE Febiuary 1980,
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- 59 - .SlDiCL ( :AL.. FcbnartlrJ p
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Vol. XVIII, No. 2, Suppletiment - 6
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Vol. XVIII, No. 2, Supplenwt - 63 -
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- 65 - £.¡EDCAL CARE ebrNuarV 1;9
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Vol. XVIII, No. 2, Sn",,phl- steal
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VoL XVIII. No. 2, Supplemnlent - 69
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'XVII. No. 2. Supplement - 71 - P)i
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;.'. 'Vol. XVIII. No. 2. Siupplemen
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:`". XVIII, No. 2. Stupplenent - 75
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,VoL XVIII, No. 2, Supplement Major
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.. Vol. XVIII, No. 2. Supl|lemcent
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i,..X VIII. No. 2. Supplemeiint - 8
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T XVIII. No. 2. S.pphlts"t .i¿jor
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·. ¥XVIII. No. 2 Supplement )i, "
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- 87 - 'i1. XVIII. No. -. Supplemne
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Vl. \'ll. No. 2. Sntiít'ult.uit M.
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- 91 - R. FRIRICHIS AND J. PRAWDA W
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- 93 - 414 R. FRRKICkIS AND J. PRAW
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- 95 - R. F'RERICItS'AND J. PRAWDA
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- 97 - R. F'RRICHS AND J. PRAWDA wh
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- 99 - 420 R. MFRIlC}IS AND J. PRAW
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V - 101 - McUCi. (:Au AWuu IMI. VoL
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GREENLAND ET AL - 103 - the case (p
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CREENLAND iT AL - 105 - TABLE 2. Fi
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GREENLAND ET AL. 3. Cornfleld J, Ha
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160 I indicates the flow of patient
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162 CONGESTION POINTS ANU CONTROL.A
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164 c 8o Table 4. The cffect of cha
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166 B. LEV etal. significant differ
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MEREDITH - 117 - ciety. However. ch
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I MEREDITH - 119 - varying oulcome
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MEDICAL CARE ,arch 1981, Vol. XIX,
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%,I. XIX, No. 3 iclnts. It should d
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n'ol. XIX, No. 3 - 125 - tailed exa
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1 Vol. XIX. No. 3 - 127 - tant for
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Vi. .XIX, No. 3 - 129 - tom' s reco
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- 131 - A \ ,,1. XIX, No. 3 PEHFOHR
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V Xl. IX, No. 3 - 133 - PERFORMANCE
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- 135 - The fourth requirement is l
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- 137 - Systems and Procedures of P
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- 139 - 2. ldentify problemn areas
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c 1 '-a
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u. o a.- 1 W. LZi - 143 - c c S C.
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- 145 - Thc cu rrent appointmren t-
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- 147 - A pure block appointment sy
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- 149 - ihe future. It was discover
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- 151 -
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- 153 - Figui.'¢ VII. Patient Arri
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- 155 - sonnel working in positions
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- 157 - 17. Keep the time span of t
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- 159 - TABLE I: Pnmary DesklConsul
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.Recomme;tded systenz - 161 - .;any
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- 163 - system, there is nr'. :vste
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- 165 - - A major problem with such
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- 167 - T1c Iteole of Olieraionls R
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- 169 - Larry J. Shumc- Harvey Wolf
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- 171 - '- ionoal Heolth Ploanning
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- 173 - Regional Health Planning ar
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- 175 - Regio.,oi Health Planning w
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- 177 - Regionao rfeclth Planning l
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A^CJonoal neonah ronning 21. 1'. F.
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- .,1 - Programming, Budgeting, and
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- 183 - the health care industí ,
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- 185 - was apparently no scarcity.
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Page 205 and 206: Budgeting Attitudes - 199 - The pla
Page 207 and 208: - 201 Health Services Research most
Page 209 and 210: a. - 203 - Health Services Research
Page 211 and 212: - 205 - DESIGN OF ALTERNATIVE PROVI
Page 213 and 214: - 207 - 1. A change in the immigrat
Page 215 and 216: - 209 - accessibility of health car
Page 217 and 218: - 211 - dimensional graph to illust
Page 219 and 220: - 213 - Primary Care Health Service
Page 221 and 222: - 215 - different health and educat
Page 223 and 224: - 217 - The tasks that were rated "
Page 225 and 226: IC1 o -a - i - w im W..i C -J M. -
Page 227 and 228: 0 z 0 u _ I- 0 Ut. I,, uj CD Q U- ,
Page 229 and 230: TABLE 3 TASK ANALYSIS OF MALNUTRITI
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Page 233 and 234: - 227 - 12. Reisman, A., F.Staub, B
Page 235 and 236: - 229 - METHODS Parameters Affectin
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Page 239 and 240: - 233 - HANCOCK Table 1. Parameters
Page 241 and 242: - 235 - Fig. 3. Maximum average occ
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Page 249 and 250: #12 Estinating the Need for Additio
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Page 253 and 254: . 1' - - IIINDLE Algorithmn for Det
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Page 261 and 262: HINDLE Tr AL HIALTH falvCU - 255 -
Page 263 and 264: - 257 - HIiDLZ 26. Ado, An . ad L.
Page 265 and 266: - 259 - REISMIAN, DEAN, ESOOBUE, AG
Page 267 and 268: - 261 - REISMAN, DEAN, ESOGBUE, AGG
Page 269 and 270: - 263 - 1350 REISMiAN, DEAN, ESOOBU
Page 271 and 272: - 265 - REISMAN, DEAN, ESOOBUE, AGO
Page 273 and 274: - 267 - 1354 REISMAN, IEAN, ESOGCUE
Page 275 and 276: - 269 - William J. Abernothy and Jo
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Page 289 and 290: Decmand in Mintu és/Day Numnlber o
Page 291 and 292: Disposal System 326 IIstlic I,',i,
Page 293 and 294: i Trays 334 Colorful pattenis anid
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tiie, gency L:ghting 347 ,i',., .:.
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- 296 - REVEI.LE we believe to be t
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- 293 R£VELLE is apparent in light
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- 295 - REVEt.EI. ET AL. poSJcd pro
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- 297 - RM.VELLE EL AL. of faciliti
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REVELLE ET AL. HALTOI SERVICUS RESE
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REVELLE ET Al.. - 301 - Fig. 4. Ano
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- 303 - REVet. ¡T AL Act of 1973.
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- 305 - REVELLE possible within ilh
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- 307 - RLVELI.E 29- Khumawala. a.
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- 309 - assuring thal the maxinmum
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-311 - the implemented strategy he
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- 313 - analytical approximalions w
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- 315 - rcquired Ior shipping and o
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- 317 - Controlling ¡he system The
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- 319 - The light pen techniques ar
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- 321 - shipnients have to be on ro
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- 323 THE CREATER NEIW' YORK BLOOD
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_,~ .- - 3. 2- - TABLE 1. PATIENT C
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TABLE 3. MEDICAL INTENSIVE CARE UNI
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Nursing Stalf Level (i of nurss/day
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Table 1. Factors ¡i denad for medi
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e forecast. This section descijbcs
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ei, paid to these standards in cond
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O Emphasis u.on the explicit enumer
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*1 1 21 1 «i 1 1 1 1 - 331, -- For
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Therc are ihreec basic prcessecs fi
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- 343 - Forecasting Hcalth Care Ser
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#20 Jaime 1B. Henrs Rtxlnc. I.. Ro:
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- 347 - I v,'N ti.K 1tHm.pi.l !, t1
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Ra.fo.renem.. aid %.hs '. - 31!9 -
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; / larman u empirical research has
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I Klarman - >3 - benefits that for
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I Klaman Ctitena for Inchmion - 355
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IClarman - 37 - The prevailing tend
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1 Klarman Intargibl Benefits - .5 -
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Kllarman - 361 - thi prospects of r
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- 363 - Thua, it did not consider w
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I Klannan - 365 - again if the new
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Klarman - 367 - At the other pole,
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- 369 - seem worth exploring. Howev
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iKlarman - 371 - in the use of serv
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Kmnnan - 373 - REFERENCES 1. Havema
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- 375 - 59. Valr y, W. S. One eonoi
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- 377 - i aSll a _ . b, CuaMu L. L,
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WAHRNER ANI) I|UTTr)N The puroses I
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WARNER AND HUTfON - 381 - observers
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.AHNF:R AND IIl'TIoN - 383 - rare I
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WARNER AND HUTTrU., TABLE 1. Trenda
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W'AHNER AND IHUTTON - 387 - treatme
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AAHNER AND HU'TON - 389 - Several d
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WARNER AND HUTTON pal orientations
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w'ARNER AND UL'TTOit'u ' . N Engl I
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I,,qr *ir 'ilu.,i XV. Seplteri¡br
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In.lumin- i',)i.eIu XV. Seph.irhb'r
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In#unrvlVolutn XV. September 1978 h
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Problemas identificados - 401 - Dur
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Programas educativos 3 - 403 - 1. S
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- 405 - maestrfa, donde se supone q
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- 407 - presentación formal de inf
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- 409 - * Curso para ingenieros ind
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- 411 - ¢ 16. Hancock, W., D. Mage
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- 413 - 2. Barrenechea, J. J. La se
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- 415 - Curwso (8 a 16 horas) para
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- 417 - 4. Necesidades de los admin
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MOISES ARTEAGA DR. DAVID GOMEZ COVA
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