ACOMS in the News:
Angela Stewart, “Princeton foundation helps unclog ER congestion - Nationwide program offers grants to identify hospital bottlenecks”, Star Ledger, Monday, April 12, 2004.
This article focuses on overcrowding in the ER and mentions that Overlook Hospital in Summit, NJ has implemented a computer software program (ACOMS) in January that can help any hospital identify bottlenecks or problems. It also describes the benefits derived from the system by the hospital in terms of reduced patient admission time. Read more Here
Read what the Atlantic Health System has written about ACOMS. This article appeared on the AHS intranet for the week of March 15, 2004. Click here.
Interesting Articles & Papers:
Hospitals Get Serious About Operations
By Paul D. Mango and Louis Shapiro
McKinsey Quarterly, 2001 No. 2.
The income statements of hospitals have been ailing. The cure? Serious attention to operating efficiency.
Kosnik, L. (2002). The New Paradigm of Crew Resource Management: Just What is Needed to Reengage The Stalled Collaborative Movement. Joint Commission Journal on Quality Improvement. 28 (5).
Kosnik, L.K. (2003). Microsystems in health care: Part 7. The microsystem as a platform for merging strategic planning and operations. Joint Commission Journal on Quality Improvement, 29(9), 452-459.
Espinosa, J.A., Case, R.,Kosnik, L.K. (2004). Emergency department structure and operations. Emerg Med Clin N Am. 22, 73-85.
The Microsystem as a Platform for Merging Strategic Planning and Operations
By Linda K. Kosnik and James A. Espinosa
Joint Commission on Quality and Safety Journal, Vol. 29 (9), Sept. 2003.
This article explores the microsystems - the small, functional, front-line units - as an agent for change and the development of the relationship between macrosystems and microsystems.
Using a unit assessment tool to optimize patient flow and staffing in a community hospital
By Rozich JD and Resar RK
Joint Commission - Journal of Quality Improvement. 2002 Jan;28(1):31-41.
Patient flow within hospitals has far-reaching effects because it may consume valuable resources if it is managed improperly. This article presents an example of a hospital who developed a unit assessment tool based on the traffic light concept consisting of an assessment of current capacity and a graded, color-coded “workload tolerance” for each hospital unit.
Emergency Department Diversions: Hospital and Community Strategies Alleviate the Crisis
By Linda R. Brewster and Laurie E. Felland
The Center for Studying Health System Change: Issue Brief No. 78, March 2004.
ED diversions are a symptom of a hospital-wide patient flow problem. The Center for Studying Health System Change discusses twelve hospital initiatives across the U.S. to improve bed management and patient flow.
Kosnik, L. (2006). Breakthrough demand-capacity management strategies to improve hospital flow, safety, and satisfaction. In Randolph W. Hall (Ed). Patient Flow: Reducing Delay in Healthcare Delivery (pp. 101-122). New York, NJ:Springer Science+Business Media, LLC.
Werner A, Signorelli P. (2006). The hospital overall flow scorecard: An innovative tool in patient flow. Joint Commission Journal on Quality Improvement. 32 (12).
Kosnik LK, Brown J(in press)The case for crew resource management. OR Nurse 2007.
Kosnik LK, Brown J, Maund, T(in press) Crew resource management: Bringing collaborative communication to healthcare, Nursing Management.
