Innovate and Validate: Design-Led Simulation Optimization to Test Centralized Registration Feasibility in a Multispecialty Clinic.
| Autor: | Hosseini M; EwingCole, New York, NY, USA., Gittler AM; Binghamton University, Binghamton, NY, USA., Hoak M; EwingCole, New York, NY, USA., Cogswell J; Northwell Health, New York, NY, USA., Khasawneh MT; Binghamton University, Binghamton, NY, USA. |
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| Jazyk: | angličtina |
| Zdroj: | HERD [HERD] 2024 Jul; Vol. 17 (3), pp. 171-188. Date of Electronic Publication: 2024 Apr 02. |
| DOI: | 10.1177/19375867241237504 |
| Abstrakt: | Objective: This study utilizes a design-led simulation-optimization process (DLSO) to refine a hybrid registration model for a free-standing outpatient clinic. The goal is to assess the viability of employing DLSO for innovation support and highlight key factors influencing resource requirements. Background: Manual registration in healthcare causes delays, impacting patient services and resource allocation. This study addresses these challenges by optimizing a hybrid centralized registration and adopting technology for efficiency. Method: An iterative methodology with simulation optimization was designed to test a proof of concept. Configurations of four and five registration options within a hybrid centralized system were explored under preregistration adoption rates of 30% and 50%. Three self-service kiosks served as a baseline during concept design and test fits. Results: Centralized registration accommodated a daily throughput of 2,000 people with a 30% baseline preregistration rate. Assessing preregistration impact on seating capacity showed significant reductions in demand and floor census. For four check-in stations, a 30%-50% preregistration increase led to a 32% seating demand reduction and a 26% decrease in maximum floor census. With five stations, a 50% preregistration reduced seating demand by 23% and maximum floor census by 20%. Conclusion: Innovating introduces complexity and uncertainties requiring buy-in from diverse stakeholders. DLSO experimentation proves beneficial for validating novel concepts during design. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| Databáze: | MEDLINE |
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