Hospital Bed Management Strategies
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AI Summary
The assignment focuses on effective hospital bed management strategies. It delves into various forecasting techniques used to predict future bed requirements, challenging the traditional demographic-based approach. The document also highlights the importance of patient flow management, exploring models and best practices for optimizing bed utilization and enhancing healthcare delivery.
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Table of Contents
INTRODUCTION...........................................................................................................................1
ASSESSMENT TASK....................................................................................................................1
CONCLUSION................................................................................................................................5
REFERENCES................................................................................................................................7
INTRODUCTION...........................................................................................................................1
ASSESSMENT TASK....................................................................................................................1
CONCLUSION................................................................................................................................5
REFERENCES................................................................................................................................7
INTRODUCTION
Business operations and their management should be effective in nature as they are
essential for every single firm of any sector when it comes to achieve desired goals and
objectives. Other than this, whatever activities that are running in regards to make money can be
known as business operations. Lynfield mount is a hospital which is located in Bradford,
England has been taken under this report (Cooper, Wang and Singh, 2016). Long turnaround bed
time is an issue that they are facing at current point. Along with this, assessment is going to
include various tools through which quality can get improved and bed turnaround time can get
reduced as well.
ASSESSMENT TASK
X and R Bar Chart:
Sub
Grou
p Data
Sub
Group Data
Sub
Group Data
Day
Tim
e 1 Day
Tim
e 2 Day
Tim
e 3
1 127 1 135 1 167
2 140 2 155 2 122
3 112 3 128 3 97
4 223 4 135 4 154
5 181 5 155 5 160
6 103 6 158 6 145
7 146 7 135 7 167
8 104 8 122 8 115
9 136 9 158 9 137
10 145 10 163 10 106
11 84 11 146 11 125
12 169 12 152 12 208
13 216 13 124 13 163
14 190 14 178 14 103
15 148 15 205 15 144
16 157 16 151 16 126
17 142 17 102 17 95
18 166 18 178 18 159
19 177 19 211 19 204
20 98 20 91 20 158
21 133 21 160 21 152
22 212 22 131 22 138
23 180 23 165 23 134
1
Business operations and their management should be effective in nature as they are
essential for every single firm of any sector when it comes to achieve desired goals and
objectives. Other than this, whatever activities that are running in regards to make money can be
known as business operations. Lynfield mount is a hospital which is located in Bradford,
England has been taken under this report (Cooper, Wang and Singh, 2016). Long turnaround bed
time is an issue that they are facing at current point. Along with this, assessment is going to
include various tools through which quality can get improved and bed turnaround time can get
reduced as well.
ASSESSMENT TASK
X and R Bar Chart:
Sub
Grou
p Data
Sub
Group Data
Sub
Group Data
Day
Tim
e 1 Day
Tim
e 2 Day
Tim
e 3
1 127 1 135 1 167
2 140 2 155 2 122
3 112 3 128 3 97
4 223 4 135 4 154
5 181 5 155 5 160
6 103 6 158 6 145
7 146 7 135 7 167
8 104 8 122 8 115
9 136 9 158 9 137
10 145 10 163 10 106
11 84 11 146 11 125
12 169 12 152 12 208
13 216 13 124 13 163
14 190 14 178 14 103
15 148 15 205 15 144
16 157 16 151 16 126
17 142 17 102 17 95
18 166 18 178 18 159
19 177 19 211 19 204
20 98 20 91 20 158
21 133 21 160 21 152
22 212 22 131 22 138
23 180 23 165 23 134
1
24 88 24 126 24 108
25 95 25 156 25 138
X bar chart
Range Chart
146.22 Xbar/IMR Chart Avg 164.51 Xbar one sigma Upper Limit 51.276 Rbar one sigma Upper Limit
29.189 Range Chart Avg 182.81 Xbar two sigma Upper Limit 73.362 Rbar two sigma Upper Limit
25.8769 Rbar/d2 201.1 Xbar three sigma Upper Limit 95.449 Rbar three sigma Upper Limit
25 Number of samples 127.93 Xbar one sigma Lower Limit 7.1027 Rbar one sigma Lower Limit
3 Subgroup size 109.64 Xbar two sigma Lower Limit n/a Rbar two sigma Lower Limit
75 Number of subgroups 91.347 Xbar three sigma Lower Limit n/a Rbar three sigma Lower Limit
Six sigma: It is an important tool which is defined as business strategy and includes
designing, enhancing and regulating activities in such manner that resources are utilised
efficiently. This method help management to reduce wastage and improve financial stability.
Besides this, it also help organisation to anticipate production process, outcomes that are
generated and compare it with standards. So, if results are not according to benchmarks; than
appropriate changes in tool and techniques are conducted to make system function effectively.
After this, members require to acknowledge impacts of improvements on outcomes (Beeknoo
and Jones, 2016). This tool includes DMAIC approach which consists various aspects, i.e.
define, measure, analyse, improve and control. These are various concepts which help members
to identify project and use this method to analyse capabilities of system in respect to execution of
activities in accordingly.
Therefore, from above graph it has been examined that best suitable approach that can be
used by Lynfield mount is Six Sigma in order to reduce the bed turnaround time. Reduction of
discharge documentation time and initial level file may also aid in reducing time frame that will
decrease death rate in hospital. With the help of this, patients will start coming into Lynfield
mount with good faith.
Some other tools that can be used by Lynfield mount
2
25 95 25 156 25 138
X bar chart
Range Chart
146.22 Xbar/IMR Chart Avg 164.51 Xbar one sigma Upper Limit 51.276 Rbar one sigma Upper Limit
29.189 Range Chart Avg 182.81 Xbar two sigma Upper Limit 73.362 Rbar two sigma Upper Limit
25.8769 Rbar/d2 201.1 Xbar three sigma Upper Limit 95.449 Rbar three sigma Upper Limit
25 Number of samples 127.93 Xbar one sigma Lower Limit 7.1027 Rbar one sigma Lower Limit
3 Subgroup size 109.64 Xbar two sigma Lower Limit n/a Rbar two sigma Lower Limit
75 Number of subgroups 91.347 Xbar three sigma Lower Limit n/a Rbar three sigma Lower Limit
Six sigma: It is an important tool which is defined as business strategy and includes
designing, enhancing and regulating activities in such manner that resources are utilised
efficiently. This method help management to reduce wastage and improve financial stability.
Besides this, it also help organisation to anticipate production process, outcomes that are
generated and compare it with standards. So, if results are not according to benchmarks; than
appropriate changes in tool and techniques are conducted to make system function effectively.
After this, members require to acknowledge impacts of improvements on outcomes (Beeknoo
and Jones, 2016). This tool includes DMAIC approach which consists various aspects, i.e.
define, measure, analyse, improve and control. These are various concepts which help members
to identify project and use this method to analyse capabilities of system in respect to execution of
activities in accordingly.
Therefore, from above graph it has been examined that best suitable approach that can be
used by Lynfield mount is Six Sigma in order to reduce the bed turnaround time. Reduction of
discharge documentation time and initial level file may also aid in reducing time frame that will
decrease death rate in hospital. With the help of this, patients will start coming into Lynfield
mount with good faith.
Some other tools that can be used by Lynfield mount
2
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Measures and Benchmarks: It is must for Lynfield mount in order to better serve
patients in hospital (Sibbald and et. al., 2016). Registered nurses should fix their time frame of
every single activity and other staff member as well. Along with this, management of this
hospital should set benchmarks for their carers so that it won't take much time and effectiveness
can be maintained. Continuous measurement of quality services that they are offering or
delivering to patient is also fundamental. So that performance level can get enhanced. Away
from this, comparing feature among nurses, ward boys and staff members of Lynfield mount
may aid in improving or encourage to do good performance. Bed turnaround time can be
improved if management of Lynfield mount will start performing well. Other than this,
complexity of care systems, serving the services, capricious time frame of delivering care and so
on can be barriers while measuring quality of this hospital. Therefore, it is must for management
of Lynfield hospital to take help from Agency for Healthcare Research and Quality. This
government agency looks at all the areas and find out where the problem is and then give
suggestions to hospitals in order to remove all those issues that they are going through. By the
help of valid & reliable measures of quality and patient safety improvisation can be done (Lovett,
Illg and Sweeney, 2016).
Measurements can be made or develop in Lynfield mount hospital by following a process
in which classifications of scientific strength of evidence, evaluation of rigour and dependability
that is related to data, determinations by which measures can get implement in better ways
(Beeknoo and Jones, 2016).
Plan-Do-Study-Act (PDSA): Lynfield mount hospital can use this type of model in order
to improve quality and turnover time of beds. In modern era, most of hospitals are are using this
theory. Institute for Healthcare Improvement are the one that are rapidly helping all the hospitals
so that they can enhance their productivity and better serve to patients. This model is being used
in cyclical nature that measures impacts and locate alterations. PDSA is said to be effective in
nature that aid in making decisions in much effective and efficient ways. Before changes are
made systems should be wide in nature.
It has been examined that purpose of this model is to improve quality of Hospitals that
are related to their operations and so on. It also helps in establishing functional and causal
relationships in between changes that are being covered under objectives. Along with this,
outcomes can get hit in more effective and efficient way.
3
patients in hospital (Sibbald and et. al., 2016). Registered nurses should fix their time frame of
every single activity and other staff member as well. Along with this, management of this
hospital should set benchmarks for their carers so that it won't take much time and effectiveness
can be maintained. Continuous measurement of quality services that they are offering or
delivering to patient is also fundamental. So that performance level can get enhanced. Away
from this, comparing feature among nurses, ward boys and staff members of Lynfield mount
may aid in improving or encourage to do good performance. Bed turnaround time can be
improved if management of Lynfield mount will start performing well. Other than this,
complexity of care systems, serving the services, capricious time frame of delivering care and so
on can be barriers while measuring quality of this hospital. Therefore, it is must for management
of Lynfield hospital to take help from Agency for Healthcare Research and Quality. This
government agency looks at all the areas and find out where the problem is and then give
suggestions to hospitals in order to remove all those issues that they are going through. By the
help of valid & reliable measures of quality and patient safety improvisation can be done (Lovett,
Illg and Sweeney, 2016).
Measurements can be made or develop in Lynfield mount hospital by following a process
in which classifications of scientific strength of evidence, evaluation of rigour and dependability
that is related to data, determinations by which measures can get implement in better ways
(Beeknoo and Jones, 2016).
Plan-Do-Study-Act (PDSA): Lynfield mount hospital can use this type of model in order
to improve quality and turnover time of beds. In modern era, most of hospitals are are using this
theory. Institute for Healthcare Improvement are the one that are rapidly helping all the hospitals
so that they can enhance their productivity and better serve to patients. This model is being used
in cyclical nature that measures impacts and locate alterations. PDSA is said to be effective in
nature that aid in making decisions in much effective and efficient ways. Before changes are
made systems should be wide in nature.
It has been examined that purpose of this model is to improve quality of Hospitals that
are related to their operations and so on. It also helps in establishing functional and causal
relationships in between changes that are being covered under objectives. Along with this,
outcomes can get hit in more effective and efficient way.
3
Failure Modes and Effects Analysis: In this sector it has been analysed that most of the
time error occurs in systems which are not at all predictable. Therefore, it is must for
management of Lynfield Hotel to locate the areas through which risks and errors can be
eliminated (Mattern and et. al., 2016). This type of analysis was firstly introduced by US army in
order to better serve the patients who got hit in the war. When it was found that by others that
this model is much effective in order to examined the failures or unrecognised hazards. Lynfield
mount can use this model in order to locate whether it is must for them to bring new beds in
hospital or not.
Quality improvement strategies
Organisation of health care sector require to design system and utilise resources in such
way that quality items and services are delivered to clients. For this, it is necessary that
appropriate structure and business operations are being conducted. Apart from this, management
should have healthy relationship with suppliers; so that they are able to purchase adequate
material. Lynfield Mount hospital require that administration have quality resources which
includes health insurance facility, appropriate number of beds and nurses. Members of enterprise
require to be skilled and competent in respect to technologies that are used by doctors to provide
effective treatment to patients. So, management need to conduct training and development
programs to enhance skills and capabilities of nurse. Thereby make them perform tasks in
suitable manner. These are various quality improvement strategies which are used by manager
are stated beneath:
Total quality management: It is oldest tactic which is used in each and every kind of
organisation. This is part of operations management which comprises opportunity that quality of
products and services are enhanced in according to demands of people. As in case of Lynfield
Mount hospital, TQM is an effective method which specifies that administration uses appropriate
tools and techniques in system. Apart from this, they even require to make changes in structure
and technologies to deliver quality services to patients (Wang and et. al., 2016). Thus, firm is
able to compete with other companies in same sector and improve market goodwill.
Continuous improvement: This element defines that management conduct market
survey to acknowledge current trends and requirements of people. Besides this, they even require
to anticipate updations that are taking in technologies. In Lynfield Mount hospital, administration
make alterations in system and structure to make it function effectively and deliver quality
4
time error occurs in systems which are not at all predictable. Therefore, it is must for
management of Lynfield Hotel to locate the areas through which risks and errors can be
eliminated (Mattern and et. al., 2016). This type of analysis was firstly introduced by US army in
order to better serve the patients who got hit in the war. When it was found that by others that
this model is much effective in order to examined the failures or unrecognised hazards. Lynfield
mount can use this model in order to locate whether it is must for them to bring new beds in
hospital or not.
Quality improvement strategies
Organisation of health care sector require to design system and utilise resources in such
way that quality items and services are delivered to clients. For this, it is necessary that
appropriate structure and business operations are being conducted. Apart from this, management
should have healthy relationship with suppliers; so that they are able to purchase adequate
material. Lynfield Mount hospital require that administration have quality resources which
includes health insurance facility, appropriate number of beds and nurses. Members of enterprise
require to be skilled and competent in respect to technologies that are used by doctors to provide
effective treatment to patients. So, management need to conduct training and development
programs to enhance skills and capabilities of nurse. Thereby make them perform tasks in
suitable manner. These are various quality improvement strategies which are used by manager
are stated beneath:
Total quality management: It is oldest tactic which is used in each and every kind of
organisation. This is part of operations management which comprises opportunity that quality of
products and services are enhanced in according to demands of people. As in case of Lynfield
Mount hospital, TQM is an effective method which specifies that administration uses appropriate
tools and techniques in system. Apart from this, they even require to make changes in structure
and technologies to deliver quality services to patients (Wang and et. al., 2016). Thus, firm is
able to compete with other companies in same sector and improve market goodwill.
Continuous improvement: This element defines that management conduct market
survey to acknowledge current trends and requirements of people. Besides this, they even require
to anticipate updations that are taking in technologies. In Lynfield Mount hospital, administration
make alterations in system and structure to make it function effectively and deliver quality
4
services to clients. In recent times, numbers of diseases are increasing; therefore, it is required
for superior to use some precaution so they will be able to control them in an effective way. This
help management to make changes in system and provide adequate treatment to clients in respect
to diseases of patients.
Just in time: This component specifies that management require to utilise funds, material
and manpower in efficient manner. As there are limited resources, so it is necessary that
organisation uses them in appropriately through which items and services are delivered in respect
to wants of public. For this, management require to have connection with suppliers; so that firms
are able to purchase material timely (Haugen and et. al., 2016). As in case of Lynfield Mount
hospital, administration uses just in time concept through which doctors are able to deliver
quality services to patients and use instruments and material in appropriate manner. In hospital,
there are various products that have limited time and expiry date. Medicines is one of part, which
require to be purchased by members in respect to requirements. This help firm to enhance
productivity and profitability. Thus, it helps doctors to improve their market image and make
system function in respect to market conditions.
This is best tool which is used by management of Lynfield Mount firm to make system
function efficiently and deliver quality items as per needs and wants of clients. As this method
includes two methods, one comprises investigating results to anticipate number of defects and
convert them into carry actions to correct them. Other process comprises computation of
variations in production processes; thereby taking appropriate tasks and make improvements in
tools and techniques. This help Lynfield Mount hospital to deliver quality services to patients
and enhance their market image (Iranzo, Santamaria and Tolosa, 2016).
Thus, it can be comprehended that management of Lynfield Mount hospital uses six
sigma approach in system. This help doctors to use resources efficiently and deliver quality
services to patients. Besides this, administration is able to identify projects and ascertain
feasibility in respect to market conditions. DMAIC is appropriate concept which help manager to
measure and control things and make system function effectively (Bruton and et. al., 2016). This
also help hospital to serve patients in appropriately and improve their market image.
CONCLUSION
From the above report, it can be concluded that business operations is essential concept
which is required to be used by management to make system function in suitable manner. Six
5
for superior to use some precaution so they will be able to control them in an effective way. This
help management to make changes in system and provide adequate treatment to clients in respect
to diseases of patients.
Just in time: This component specifies that management require to utilise funds, material
and manpower in efficient manner. As there are limited resources, so it is necessary that
organisation uses them in appropriately through which items and services are delivered in respect
to wants of public. For this, management require to have connection with suppliers; so that firms
are able to purchase material timely (Haugen and et. al., 2016). As in case of Lynfield Mount
hospital, administration uses just in time concept through which doctors are able to deliver
quality services to patients and use instruments and material in appropriate manner. In hospital,
there are various products that have limited time and expiry date. Medicines is one of part, which
require to be purchased by members in respect to requirements. This help firm to enhance
productivity and profitability. Thus, it helps doctors to improve their market image and make
system function in respect to market conditions.
This is best tool which is used by management of Lynfield Mount firm to make system
function efficiently and deliver quality items as per needs and wants of clients. As this method
includes two methods, one comprises investigating results to anticipate number of defects and
convert them into carry actions to correct them. Other process comprises computation of
variations in production processes; thereby taking appropriate tasks and make improvements in
tools and techniques. This help Lynfield Mount hospital to deliver quality services to patients
and enhance their market image (Iranzo, Santamaria and Tolosa, 2016).
Thus, it can be comprehended that management of Lynfield Mount hospital uses six
sigma approach in system. This help doctors to use resources efficiently and deliver quality
services to patients. Besides this, administration is able to identify projects and ascertain
feasibility in respect to market conditions. DMAIC is appropriate concept which help manager to
measure and control things and make system function effectively (Bruton and et. al., 2016). This
also help hospital to serve patients in appropriately and improve their market image.
CONCLUSION
From the above report, it can be concluded that business operations is essential concept
which is required to be used by management to make system function in suitable manner. Six
5
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sigma, total quality management, just in time and continuous improvement are various strategies
that are used by members to improve system and make it function effectively. FMEA and PDSA
are another tools that are used by manager to utilise resources efficiently and provide appropriate
services to clients. Thus, this help administration to enhance market image and goodwill; and
position firm superior than competitors.
6
that are used by members to improve system and make it function effectively. FMEA and PDSA
are another tools that are used by manager to utilise resources efficiently and provide appropriate
services to clients. Thus, this help administration to enhance market image and goodwill; and
position firm superior than competitors.
6
REFERENCES
Books and Journals
Beeknoo, N. and Jones, R., 2016. A simple method to forecast future bed requirements: a
pragmatic alternative to queuing theory. Br J Med Med Res. 18(4). pp.1-20.
Beeknoo, N. and Jones, R., 2016. The demography myth-how demographic forecasting
underestimates hospital admissions, and creates the illusion that fewer hospital beds or
community-based bed equivalents will be required in the future. Brit J Med Medical
Res. 19(2). pp.1-27.
Bruton, J. and et. al., 2016. Nurse handover: patient and staff experiences. British Journal of
Nursing. 25(7). pp.386-393.
Cooper, R. A., Wang, C. and Singh, N., 2016. Evaluation of a model community‐wide bed bug
management program in affordable housing. Pest management science. 72(1). pp.45-56.
Haugen, B. R. and et. al., 2016. 2015 American Thyroid Association management guidelines for
adult patients with thyroid nodules and differentiated thyroid cancer: the American
Thyroid Association guidelines task force on thyroid nodules and differentiated thyroid
cancer. Thyroid. 26(1). pp.1-133.
Iranzo, A., Santamaria, J. and Tolosa, E., 2016. Idiopathic rapid eye movement sleep behaviour
disorder: diagnosis, management, and the need for neuroprotective interventions. The
Lancet Neurology. 15(4). pp.405-419.
Lovett, P. B., Illg, M. L. and Sweeney, B. E., 2016. A successful model for a comprehensive
patient flow management center at an academic health system. American Journal of
Medical Quality. 31(3). pp.246-255.
Mattern, C. and et. al., 2016. “Tazomoka is not a problem”. Local perspectives on malaria, fever
case management and bed net use in Madagascar. PloS one. 11(3). p.e0151068.
Sibbald, R. G. and et. al., 2016. Optimizing the Moisture Management Tightrope with Wound
Bed Preparation 2015©: wound care. Wound Healing Southern Africa. 9(1). pp.9-15.
Wang, C. and et. al., 2016. Bed bugs: Prevalence in low-income communities, resident’s
reactions, and implementation of a low-cost inspection protocol. Journal of medical
entomology. 53(3). pp.639-646.
7
Books and Journals
Beeknoo, N. and Jones, R., 2016. A simple method to forecast future bed requirements: a
pragmatic alternative to queuing theory. Br J Med Med Res. 18(4). pp.1-20.
Beeknoo, N. and Jones, R., 2016. The demography myth-how demographic forecasting
underestimates hospital admissions, and creates the illusion that fewer hospital beds or
community-based bed equivalents will be required in the future. Brit J Med Medical
Res. 19(2). pp.1-27.
Bruton, J. and et. al., 2016. Nurse handover: patient and staff experiences. British Journal of
Nursing. 25(7). pp.386-393.
Cooper, R. A., Wang, C. and Singh, N., 2016. Evaluation of a model community‐wide bed bug
management program in affordable housing. Pest management science. 72(1). pp.45-56.
Haugen, B. R. and et. al., 2016. 2015 American Thyroid Association management guidelines for
adult patients with thyroid nodules and differentiated thyroid cancer: the American
Thyroid Association guidelines task force on thyroid nodules and differentiated thyroid
cancer. Thyroid. 26(1). pp.1-133.
Iranzo, A., Santamaria, J. and Tolosa, E., 2016. Idiopathic rapid eye movement sleep behaviour
disorder: diagnosis, management, and the need for neuroprotective interventions. The
Lancet Neurology. 15(4). pp.405-419.
Lovett, P. B., Illg, M. L. and Sweeney, B. E., 2016. A successful model for a comprehensive
patient flow management center at an academic health system. American Journal of
Medical Quality. 31(3). pp.246-255.
Mattern, C. and et. al., 2016. “Tazomoka is not a problem”. Local perspectives on malaria, fever
case management and bed net use in Madagascar. PloS one. 11(3). p.e0151068.
Sibbald, R. G. and et. al., 2016. Optimizing the Moisture Management Tightrope with Wound
Bed Preparation 2015©: wound care. Wound Healing Southern Africa. 9(1). pp.9-15.
Wang, C. and et. al., 2016. Bed bugs: Prevalence in low-income communities, resident’s
reactions, and implementation of a low-cost inspection protocol. Journal of medical
entomology. 53(3). pp.639-646.
7
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