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. 2019 Dec;25(4):1412-1433.
doi: 10.1177/1460458218757059. Epub 2018 Apr 29.

Service delivery innovation for hospital emergency management using rich organizational modelling

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Free article

Service delivery innovation for hospital emergency management using rich organizational modelling

Yogit Dhakal et al. Health Informatics J. 2019 Dec.
Free article

Abstract

The purpose of this article is to identify and assess service delivery issues within a hospital emergency department and propose an improved model to address them. Possible solutions and options to these issues are explored to determine the one that best fits the context. In this article, we have analysed the emergency department's organizational models through i* strategic dependency and rational modelling technique before proposing updated models that could potentially drive business process efficiencies. The results produced by the models, framework and improved patient journey in the emergency department were evaluated against the statistical data revealed from a reputed government organization related to health, to ensure that the key elements of the issues such as wait time, stay time/throughput, workload and human resource are resolved. The result of the evaluation was taken as a basis to determine the success of the project. Based on these results, the article recommends implementing the concept on actual scenario, where a positive result is achievable.

Keywords: business process modelling; emergency department; i* Organizational Framework; service delivery framework; stay time; wait time; workload.

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