« Suozzi & political backlash |
| Medicare drug discount cards »
New York City's Compstat program has been in use for a decade now and is spreading throughout the country. The essence is "statistics driven" resource deployment. Crime rates went down. When we do the same, we'll see changes in healthcare too.
April 28, 2004 in Information Technology, Performance Measurement | Permalink
Yes, actually it can. The ambulance industry uses "unit hour distribution" distributing ambulances differently geographically by time of year (8760 hours). We started staffing differently by time of year in our ER, first with docs, later with clerks and nurses. Managed a 50% increase in patient volume with reduced throughput and no change in the number of doctors. But the models are proprietary and unpublished. Even so, at a certain saturation point of the physicial plant (patients per sq. ft.) chaos increases non-linearly and throughput craters correspondingly.
Steven Davidson |
May 29, 2004 at 10:53 PM
Steven's is a very useful comment. Three responses:
1. Why are the models proprietary? I'm assuming the hospital owns them. Is that correct?
2. Even if the owner is unwilling to but the models into the public domain, why not sell them?
3. The references to reaching a saturation point and having everything spin out of control is evidence of some serious analysis and deep thinking about the nature of systems generally and this one in particular. Most view systems like this in a strictly linear manner and most of them aren't even aware of the potential consequences. Thus, they're not aware of the risks and when they do reach the tipping point they are almost invariably confused and their responses are wrong, often exactly the opposite of what they should do. Thus, the awareness of what happens here is evidence of sophisticated thinking.
Thanks for an excellent comment!
June 01, 2004 at 07:14 AM
The comments to this entry are closed.