Coordinating supply and demand in Haga hospital outpatient planning

Towards a more service-oriented control structure

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Abstract

The Haga hospital in The Hague demands a more structured approach for their patient planning in outpatient clinics. Five clinics have been observed and analysed using the Delft Systems Approach and system requirements were established using three main stakeholders: Patient, Doctor and Hospital. Main conclusion is that current coordination lacks for many requirements; the main focus lies on financial-, not service parameters. A control structure is proposed considering all system requirements. The structure consists of new KPI’s and standards, and a number of interventions for every clinic that allow for more accurate KPI steering. An MCDA is used to determine the preferred planning strategy, and a simulation tool is added to assist clinic managers in making ground schedules