Maximal Utilization of Services Already Established in a Hospital – A Basic Framework for Analysis
Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg
February 20, 2012
The services are already established with all the needed logistics in place.
- Are the services being maximally utilized in terms of number of clients served and number of procedures done?
- Have we reached the maximum most of the time?
- If yes, how do we maintain it? Do we need to expand already?
- If no, can we improve to reach the maximum most of the time? If no, can we remove the service? If yes, do we remove the service?
Calculation for Reasonable Maximum Utilization:
Determine the reasonable maximum service capacity of medical equipment, patient beds, and other physical facility in terms of number of clients served and number of procedures done.
Examples of calculation for reasonable maximum utilization:
Inpatient beds – 80% bed occupancy and targeted total number of admission per year (calculated based on 80% occupancy and average of 4 or 5 hospital stay per inpatient)
Operating rooms – 6 procedures per operating room x total number of operating rooms x number of working days in a year (365 – 52 Sundays – total number of holidays in a year that fall on a weekday and Saturday)
Medical Clinics – per clinic, 4 patients per hour x 8 hours x total number of working days in a year
Medical equipments (during office hours) – per equipment, determine maximum number of procedures per equipment utilization per day then multiple by total number of working days in a year
Other services can be calculated using the above and other processes.