4.1 Article

Analysis of Clinic Layouts and Patient-Centered Procedural Innovations Using Discrete-Event Simulation

Journal

ENGINEERING MANAGEMENT JOURNAL
Volume 28, Issue 3, Pages 134-144

Publisher

TAYLOR & FRANCIS LTD
DOI: 10.1080/10429247.2016.1195664

Keywords

Computer Simulation; Healthcare Layout; Improving Patient Flow; Resource Utilization

Funding

  1. Veterans Health Administration [00036096]

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Given that healthcare costs in the U.S. continue to climb, engineering managers can help address this situation by identifying designs for cost savings. Using discrete-event simulation, the layout of four different healthcare clinic scenarios considered in a redesign program named Patient Aligned Care Teams were studied. Model 1 is an existing layout in many clinics and Model 2 is staff-centered, while Models 3 and 4 provide additional space including common hallway(s). Our main conclusion is that Model 4 reduces patient travel distances and average queueing waits, while also providing the best privacy in accordance with HIPAA and the most security for the staff.

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