{"title":"Using Computer Simulation for Nurse Staffing in an Outpatient Clinic","authors":"Sung Shim, Arun Kumar, Roger Jiao","doi":"10.55834/halmj.6727422866","DOIUrl":"https://doi.org/10.55834/halmj.6727422866","url":null,"abstract":"This study attempts to assess the efficiency of using computer simulation in the outpatient consultation process in a hospital clinic. The simulation results show that there are opportunities for improvement in patient wait times in the clinic. Based on the simulation results, we recommend the optimal number of nurses at which patient wait times could be reduced and nurses could be most efficiently utilized. The study demonstrates that computer simulation can be an effective tool supporting decisions on nurse staffing in the clinic.","PeriodicalId":500441,"journal":{"name":"Healthcare Administration Leadership & Management Journal","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135323152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Robert Smoldt, Natalie Landman, Benjamin Weinstock, Denis Cortese
{"title":"Is Hospital Consolidation Leading to Higher Value?","authors":"Robert Smoldt, Natalie Landman, Benjamin Weinstock, Denis Cortese","doi":"10.55834/halmj.9462789854","DOIUrl":"https://doi.org/10.55834/halmj.9462789854","url":null,"abstract":"Hospital consolidation is on the rise, driven by the combination of government provisions that aim to move the system from volume to value and the financial impacts of the pandemic. The key argument in favor of consolidation is that larger systems are better positioned to achieve higher value through dissemination of best practices and economies of scale. So, are these systems delivering consistently high value? Our analysis of the CMS Hospital Value-Based Purchasing Total Performance Score (TPS) for two cohorts of health systems — those in the state of California and those top ranked by U.S. News & World Report— suggests that the answer is: it depends. Although in some systems, most hospitals have higher-than-average TPS, all systems show opportunities for improvement. Given that patients often assume within-brand equivalence in healthcare value judgements, hospital systems must assume responsibility for delivering truly consistent and high value healthcare across their entire network.","PeriodicalId":500441,"journal":{"name":"Healthcare Administration Leadership & Management Journal","volume":"101 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135323160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}