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J O McClain

Publications and source records attributed to J O McClain.

8 recordsLinked to original sources
PubMed1978

A model for regional obstetric bed planning.

Utilization of obstetric beds is often inefficient because of the randomness inherent in the occurrence of births. In an effort to increase efficiency, obstetric units admit certain types of nonobstetric patients when beds are available. However, legal and practical restrictions on such admissions make it difficult to estimate the potential increase in efficiency. A stochastic model was developed to forecast the allocation of nonobstetric patient days to the OB unit and to predict the effect of such allocations on demand for obstetric beds as well as beds in other units of the hospital. The model was tested with data from six hospitals, and its possible use in decisions on the merger of units and decertification of beds was explored.

Bed Occupancy↗
PubMedDate not supplied

Administrative days in acute care facilities: a queueing-analytic approach.

After acute care services are no longer required, a patient in an acute care hospital often must remain there while he or she awaits the provision of extended care services by a nursing home, through social support services, or by a home health care service. This waiting period is often referred to as "administrative days" because the time is spent in the acute facility not for medical reasons, but rather for administrative reasons. In this paper we use a queueing-analytic approach to describe the process by which patients await placement. We model the situation using a state-dependent placement rate for patients backed up in the acute care facility. We compare our model results with data collected from a convenience sample of 7 hospitals in New York State. We conclude with a discussion of the policy implications of our models.

Appointments and Schedules↗