Block planning in the outpatient clinic of Gastroenterology How dedicated time-slots and care pathways can improve timeliness

Evers, Joran (2016) Block planning in the outpatient clinic of Gastroenterology How dedicated time-slots and care pathways can improve timeliness.

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Abstract:The UMC Utrecht experiences an increase of outpatient clinic visits, due to the focus on a short length of stay. The outpatient clinic of Gastroenterology also experiences such developments. The patients at the clinic often do not receive care at the desired moment. The access time of new patients is higher than desired. The short term check-up consultations are often scheduled later than the desired moment, as the schedule is already filled with other consultations. To deal with these problems, we formulated the next goal: Develop and prospectively assess a method on a tactical level that helps to deliver care within the desired time-interval for various consultation types within the outpatient clinic of Gastroenterology. We conclude that the outpatient clinic of Gastroenterology will benefit from reserving a number of slots per consultation type.In order to improve the timeliness for check-up consultations, we evaluated the effect of decreasing the number of check-up consultations by using care pathways. The simulation showed for the IBD that an increasing probability of a patient exiting the system, results in less consultations and in an increase of the timeliness of the check-up consultations. However this decrease of consultations results in lowering the staff utilization.
Item Type:Essay (Master)
Clients:
UMC Utrecht, Nederland
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:85 business administration, organizational science
Programme:Industrial Engineering and Management MSc (60029)
Link to this item:http://purl.utwente.nl/essays/71317
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