Abstract
Over the past two decades there has been an escalation in the number of patient admissions to U.S. hospitals while the number of available hospital beds has declined. Concurrently, decreasing reimbursements for patient care services have compelled cost cutting and efficiency measures. Coupled with other factors such as personnel shortages, this has eroded the capacity of hospitals to absorb situational increases in demand. Innovative approaches to monitoring and enhancing capacity management are integral to improving resilience and reliability. This paper describes the Acute Care Operations Management Solution (ACOMS), an application designed to enable dynamic management of demand versus capacity across system scales, and Cognitive Assessment Indicators, a method for evaluating the impact of system design on the cognitive functioning of operators.
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