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Related Experiment Videos

Reorganizing ambulatory care: an administrator's view.

R Bloom

    The Journal of Ambulatory Care Management
    |January 12, 1979
    PubMed
    Summary

    Mount Auburn Hospital reorganized its ambulatory care system by hiring new physicians and administrators, successfully shifting patient volume from emergency services to primary care. Strategic planning is crucial for future cost-effective, high-quality outpatient services.

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    Area of Science:

    • Healthcare Management
    • Ambulatory Care Services
    • Hospital Administration

    Background:

    • Increasing utilization of hospital outpatient services presents challenges.
    • Physician attrition led to overburdened emergency services and underutilized outpatient departments at Mount Auburn Hospital.
    • A 300-bed community hospital in Cambridge, Massachusetts, faced operational inefficiencies.

    Purpose of the Study:

    • To discuss the reorganization of an ambulatory care delivery system.
    • To address issues of overburdened emergency services and underutilized outpatient departments.
    • To improve patient volume and service utilization within a hospital setting.

    Main Methods:

    • Hiring full-time physicians for the outpatient area.
    • Appointing a non-physician administrator for outpatient services.
    • Reorganizing the ambulatory care delivery system.

    Main Results:

    • Significant increase in patient volume in the outpatient department.
    • Shift in utilization from emergency services to primary care.
    • Required adjustments in staffing for several ancillary hospital departments.

    Conclusions:

    • Hospital-based ambulatory care planning should define community needs.
    • Marketing programs are essential for outpatient service utilization.
    • Anticipating legislation influencing outpatient demand is critical for strategic growth.

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