No other department influences the workload of a hospital more than the Department of Surgery and... more No other department influences the workload of a hospital more than the Department of Surgery and in particular, the activities in the operating room. These activities are governed by the master surgical schedule (MSS), which states which patient types receive surgery on which day. In this paper we describe an analytical approach to project the workload for downstream departments based
IEEE Transactions on Ultrasonics Ferroelectrics and Frequency Control, 2011
In this paper we address the decision of choosing a patient mix for a hospital that leads to the ... more In this paper we address the decision of choosing a patient mix for a hospital that leads to the most beneficial treatment case mix. We illustrate how capacity, case mix and patient mix decisions are interrelated and how understanding this complex relationship is crucial for achieving the maximum benefit from the fee-for-service financing system. Although studies to determine the case
IEEE Transactions on Electron Devices - IEEE TRANS ELECTRON DEVICES, 2009
Subject/Research problem Hospitals traditionally segregated resources into centralized functional... more Subject/Research problem Hospitals traditionally segregated resources into centralized functional departments such as diagnostic departments, ambulatory care centres, and nursing wards. In recent years this organizational model has been challenged by the idea that higher quality of care and efficiency in service delivery can be achieved when services are organized around patient groups. Examples are specialized clinics for breast cancer patients and clinical pathways for diabetes patients. Hospitals are grappling more and more with the question, should we become more centralized to achieve economies of scale or more decentralized to achieve economies of focus. In this paper service and patient group characteristics are examined to determine conditions where a centralized model is more efficient and conversely where a decentralized model is more efficient. Research Question When organizing hospital capacity what service and patient group characteristics indicate that efficiency can b...
The introduction of microCHP (Combined Heat and Power) appliances and other means of distributed ... more The introduction of microCHP (Combined Heat and Power) appliances and other means of distributed generation causes a shift in the way electricity is produced and consumed. Households themselves produce electricity and deliver the surplus to the grid. In this way, the distributed generation also has implications on the transformers and, thus, on the grid. In this work we study the
No other department influences the workload of a hospital more than the Department of Surgery and... more No other department influences the workload of a hospital more than the Department of Surgery and in particular, the activities in the operating room. These activities are governed by the master surgical schedule (MSS), which states which patient types receive surgery on which day. In this paper we describe an analytical approach to project the workload for downstream departments based
IEEE Transactions on Ultrasonics Ferroelectrics and Frequency Control, 2011
In this paper we address the decision of choosing a patient mix for a hospital that leads to the ... more In this paper we address the decision of choosing a patient mix for a hospital that leads to the most beneficial treatment case mix. We illustrate how capacity, case mix and patient mix decisions are interrelated and how understanding this complex relationship is crucial for achieving the maximum benefit from the fee-for-service financing system. Although studies to determine the case
IEEE Transactions on Electron Devices - IEEE TRANS ELECTRON DEVICES, 2009
Subject/Research problem Hospitals traditionally segregated resources into centralized functional... more Subject/Research problem Hospitals traditionally segregated resources into centralized functional departments such as diagnostic departments, ambulatory care centres, and nursing wards. In recent years this organizational model has been challenged by the idea that higher quality of care and efficiency in service delivery can be achieved when services are organized around patient groups. Examples are specialized clinics for breast cancer patients and clinical pathways for diabetes patients. Hospitals are grappling more and more with the question, should we become more centralized to achieve economies of scale or more decentralized to achieve economies of focus. In this paper service and patient group characteristics are examined to determine conditions where a centralized model is more efficient and conversely where a decentralized model is more efficient. Research Question When organizing hospital capacity what service and patient group characteristics indicate that efficiency can b...
The introduction of microCHP (Combined Heat and Power) appliances and other means of distributed ... more The introduction of microCHP (Combined Heat and Power) appliances and other means of distributed generation causes a shift in the way electricity is produced and consumed. Households themselves produce electricity and deliver the surplus to the grid. In this way, the distributed generation also has implications on the transformers and, thus, on the grid. In this work we study the
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Papers by Johann Hurinka