An Integrative Model-Based Approach to Hospital Layout

Space Utilization Management within William Beaumont Army Medical Center

“…(Butler, Karwan & Sweigart, 1992) The final set of activities in the hierarchy involves the execution of detailed plans on a regular or routine basis. In health care and other service settings, the disposition of these activities may be the primary determinant of customer (patient) service and satisfaction.…”

“…(Butler, Karwan & Sweigart, 1992) The results of the hierarchical planning process must be evaluated in terms of performance measures. Although long term survival and profitability are almost always paramount, the effectiveness of most decisions is usually assessed in relation to other strategic objectives, or derivatives of these objectives.…”

“…Whatever the key objectives, the chosen performance measures as well as the decisions made at the various levels of the hierarchy must be consistent with these. (Butler, Karwan & Sweigart, 1992) The key point about the planning and decision process is that overall system performance is the result of how Any project to change the use of space should be carefully planned in advanced and closely managed (Griffith & White, 2002, p. 641). Griffith and White (2002, p. 641) recommend a sound program to include the following:…”

Integrated decision making in healthcare : an operations research and management science perspective

“…The facility layout concerns the positioning and organization of different physical areas in a facility. To determine the inpatient care facility layout, it needs to be specified which care units should be next to each other [387] and which care units should be close to other services like the surgical, emergency and ambulatory care facilities [77]. Ideally, the optimal physical layout of an inpatient care facility is determined given the decisions on service mix, case mix, care unit partitioning and care unit size.…”

“…Ideally, the optimal physical layout of an inpatient care facility is determined given the decisions on service mix, case mix, care unit partitioning and care unit size. However, in practice, it often happens vice versa: physical characteristics of a facility constraint service mix, care unit partitioning and care unit size decisions [77,499]. Newly-built hospi-tals are preferably designed such that they support resource pooling and have modular spaces so that they are as flexible as possible with respect to care unit partitioning and dimensioning [499].…”