Improving surgeon utilization in an orthopedic department using simulation modeling

Yusta W Simwita, Berit I Helgheim Department of Logistics, Molde University College, Molde, Norway Purpose: Worldwide more than two billion people lack appropriate access to surgical services due to mismatch between existing human resource and patient demands. Improving utilization of...

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Main Authors: Simwita YW, Helgheim BI
Format: Article
Language:English
Published: Dove Medical Press 2016-10-01
Series:Journal of Healthcare Leadership
Subjects:
Online Access:https://www.dovepress.com/improving-surgeon-utilization-in-an-orthopedic-department-using-simula-peer-reviewed-article-JHL
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author Simwita YW
Helgheim BI
author_facet Simwita YW
Helgheim BI
author_sort Simwita YW
collection DOAJ
description Yusta W Simwita, Berit I Helgheim Department of Logistics, Molde University College, Molde, Norway Purpose: Worldwide more than two billion people lack appropriate access to surgical services due to mismatch between existing human resource and patient demands. Improving utilization of existing workforce capacity can reduce the existing gap between surgical demand and available workforce capacity. In this paper, the authors use discrete event simulation to explore the care process at an orthopedic department. Our main focus is improving utilization of surgeons while minimizing patient wait time.Methods: The authors collaborated with orthopedic department personnel to map the current operations of orthopedic care process in order to identify factors that influence poor surgeons utilization and high patient waiting time. The authors used an observational approach to collect data. The developed model was validated by comparing the simulation output with the actual patient data that were collected from the studied orthopedic care process. The authors developed a proposal scenario to show how to improve surgeon utilization.Results: The simulation results showed that if ancillary services could be performed before the start of clinic examination services, the orthopedic care process could be highly improved. That is, improved surgeon utilization and reduced patient waiting time. Simulation results demonstrate that with improved surgeon utilizations, up to 55% increase of future demand can be accommodated without patients reaching current waiting time at this clinic, thus, improving patient access to health care services.Conclusion: This study shows how simulation modeling can be used to improve health care processes. This study was limited to a single care process; however the findings can be applied to improve other orthopedic care process with similar operational characteristics. Keywords: waiting time, patient, health care process
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spelling doaj.art-52d8ca5aa6f2433282d9751ab3001d142022-12-22T03:12:28ZengDove Medical PressJournal of Healthcare Leadership1179-32012016-10-01Volume 8415029285Improving surgeon utilization in an orthopedic department using simulation modelingSimwita YWHelgheim BIYusta W Simwita, Berit I Helgheim Department of Logistics, Molde University College, Molde, Norway Purpose: Worldwide more than two billion people lack appropriate access to surgical services due to mismatch between existing human resource and patient demands. Improving utilization of existing workforce capacity can reduce the existing gap between surgical demand and available workforce capacity. In this paper, the authors use discrete event simulation to explore the care process at an orthopedic department. Our main focus is improving utilization of surgeons while minimizing patient wait time.Methods: The authors collaborated with orthopedic department personnel to map the current operations of orthopedic care process in order to identify factors that influence poor surgeons utilization and high patient waiting time. The authors used an observational approach to collect data. The developed model was validated by comparing the simulation output with the actual patient data that were collected from the studied orthopedic care process. The authors developed a proposal scenario to show how to improve surgeon utilization.Results: The simulation results showed that if ancillary services could be performed before the start of clinic examination services, the orthopedic care process could be highly improved. That is, improved surgeon utilization and reduced patient waiting time. Simulation results demonstrate that with improved surgeon utilizations, up to 55% increase of future demand can be accommodated without patients reaching current waiting time at this clinic, thus, improving patient access to health care services.Conclusion: This study shows how simulation modeling can be used to improve health care processes. This study was limited to a single care process; however the findings can be applied to improve other orthopedic care process with similar operational characteristics. Keywords: waiting time, patient, health care processhttps://www.dovepress.com/improving-surgeon-utilization-in-an-orthopedic-department-using-simula-peer-reviewed-article-JHLwaiting timepatienthealthcare process
spellingShingle Simwita YW
Helgheim BI
Improving surgeon utilization in an orthopedic department using simulation modeling
Journal of Healthcare Leadership
waiting time
patient
healthcare process
title Improving surgeon utilization in an orthopedic department using simulation modeling
title_full Improving surgeon utilization in an orthopedic department using simulation modeling
title_fullStr Improving surgeon utilization in an orthopedic department using simulation modeling
title_full_unstemmed Improving surgeon utilization in an orthopedic department using simulation modeling
title_short Improving surgeon utilization in an orthopedic department using simulation modeling
title_sort improving surgeon utilization in an orthopedic department using simulation modeling
topic waiting time
patient
healthcare process
url https://www.dovepress.com/improving-surgeon-utilization-in-an-orthopedic-department-using-simula-peer-reviewed-article-JHL
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