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Flow-Sizing Critical Care Resources
Joseph L Nates1, John M Oropello2, Neeraj Badjatia3
1The University of Texas MD Anderson Cancer Center, Houston, TX.
Critical Care Medicine
|July 24, 2023
Summary
Critical care organizations (CCOs) in academic centers use "flow-sizing" to manage resources during normal, strained, and surge conditions. This approach optimizes critical care capacity and preparedness for future health crises.
Area of Science:
- Healthcare Management
- Critical Care Medicine
- Resource Allocation
Background:
- Critical care capacity is a significant challenge for healthcare systems, especially during public health emergencies.
- Understanding how critical care organizations (CCOs) manage resources under varying demand is crucial for effective healthcare delivery.
Purpose of the Study:
- To describe factors influencing critical care capacity.
- To outline how U.S. academic center CCOs "flow-size" critical care resources during normal, strain, and surge conditions.
Main Methods:
- Literature review of PubMed, federal agency reports, and American Hospital Association data.
- Analysis of previous CCO survey results and selected studies on critical care capacity and utilization.
- Consensus building among the Academic Leaders in the Critical Care Medicine Task Force via conference calls.
Main Results:
- Critical care "flow-sizing" involves vertical (internal resources) and horizontal (interdepartmental) integration.
- Methods for managing critical care resources during normal, strain, and surge conditions were detailed.
- Advantages, barriers, and recommendations for scaling critical care operations through CCOs were identified.
Conclusions:
- The CCO governance model facilitates rapid and cost-effective "flow-sizing" of critical care services.
- Comprehensive "flow-sizing" strategies are essential for preparing for future epidemics, as highlighted by the COVID-19 pandemic.
- Urgent planning for adequate critical care capacity is needed to address potential future crises.
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