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Healthcare has been a big part of AnalysisWorks right from the beginning. We've worked closely with physicians, front-line staff, managers, directors, and health care executives on a wide range of engagements. Our services include strategic planning, estimating future demand for health services, and system reconfiguration. Our analytical engagements range from developing patient care classification methodologies, simulation modeling of patient flow, to dynamic surgical smoothing. Our transformational change services include process redesign and change management (such as Emergency Department "Streaming" or "Rapid Access Zones"), and solutions for allocating scarce health resources.

We find that health care leaders call us when they are facing challenges such as:

  • There is routine congestion in patient flow, and everyone thinks it's someone else's fault.
  • Programs are struggling to manage their inpatient performance because their patients are placed off-service.
  • There is a plan to build or renovate a hospital, and there is a need to estimate the future demand for heath services, and evaluate the new building layout using simulation.
  • Patients are waiting an unreasonable amount of time for surgery relative to their priority level.
  • There is a need to quantify how high intensity resources are being utilized (such as intensive care beds) and work with clinicians to develop improved capacity management protocols.
  • Clinician teachers need to quantify the impact of teaching on patient flow.

We typically build our services and solutions to meet the specific needs of each engagement. Some of our more successful health care solutions include the Bed Allocation Methodology, the Operating Room Allocation Methodology and Dynamic Surgical Smoothing.

Bed Allocation Methodology (BAM)

The AnalysisWorks Bed Allocation Methodology is one of our first and most successful service offerings. It is a transparent, data-driven process for allocating inpatient beds to clinical programs based on patterns of bed utilization, performance targets, and access considerations. The methodology involves bringing clinical and operational leaders together to jointly review the data, set targets, and make decisions about "who owns the patient on what day". Our clients tell us that "the process was as important as the result" and that the engagement "provided a foundation for ownership and accountability of patient populations".

Click here for a [summary of the Bed Allocation Methodology]

Operating Room Allocation Methodology (ORAM)

The AnalysisWorks Operating Room Allocation Methodology is a solution that identifies how OR time should be allocated to Surgical Divisions and individual Surgeons. It is a transparent, data-driven process based on principles of fairness, patient access, and manageable change. The process involves significant engagement with Surgeon Leaders to ensure that their data is accurate and representative, and that the results hold face-validity. When ORAM is adopted, "what is good for the surgeon" is aligned with "what is good for the patient" and "what is good for the health care system". Our clients tell us that ORAM has shifted unproductive debates based on anecdotes to productive discussions based on a shared body of information.

Click here for a [summary of the Operating Room Allocation Methodology]

Dynamic Surgical Smoothing

Dynamic Surgical Smoothing is an automated short term forecast of Surgical inpatient bed congestion. The concept of Surgical Smoothing has attracted attention over the past several years, often with an approach of moving OR blocks across different days of the week to level the demand for surgical beds (i.e. moving Orthopedics from Thursdays to Tuesdays). A challenge with this approach is that there is significant variation across Surgeons, patients, and procedures, even within a Surgical Division. The AnalysisWorks Dynamic Surgical Smoothing solution improves on the concept by leveraging the Surgical Slate (that is Surgeon and procedure specific), and linking it to the individual Surgeon's historical patterns of inpatient length of stay, and then simulating the upcoming inpatient bed utilization for the next two weeks. Dynamic Surgical Smoothing helps departments work proactively with Surgeons to shift cases on the upcoming slate and minimize cancellations.

Click here for a [summary of Dynamic Surgical Smoothing]

Note: Some of our clients refer to Dynamic Surgical Smoothing as "DAM" (Dynamic Access Module)

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