Unless otherwise stated in the stem of the scenario; assume the patient in the following scenarios is an otherwise healthy 55-year-old lady. Assume the scenario is taking place in a 200 bed secondary level care, private hospital. Assume that the scenario reflects the norm in this hospital. Finally, approach these problems mostly from an “operational improvement” perspective. The likelihood of solutions requiring a significant amount of resources (whether financial, space or human) being accepted is minimal to none.
The patient was booked for knee replacement surgery. She was admitted 5 days ahead of time for elective investigations to be done on an inpatient basis, instead of as an outpatient. She had smooth surgery by the orthopedic surgeon and stayed in the hospital for 2 weeks after surgery to get physiotherapy (which can be done as an outpatient). Her total length of stay was 3 weeks, while the average Length of Stay (ALOS) for such a procedure is typically 5 days only. Other patients are denied admission because of no available beds affected by such practices.
Comments from Customer
Discipline: Health Economics