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Operational Efficiency in Healthcare with AI

Operational efficiency determines profitability for healthcare organizations (HCOs), AI boosts productivity up to 44%.

Problem

Today’s healthcare organizations (HCOs) face numerous challenges, including physician and nurse shortages, long patient wait times, and transitioning to value-based care, all of which threaten their viability. Matching volatile demand with limited and disorganized supply is a significant issue. For example, improving operating room (OR) efficiency by just 2-3% can yield an additional $200,000 annually per OR, while optimizing inpatient bed utilization is critical for financial outcomes, with each bed representing $2,000 in daily potential revenue (1). The shortage of 600,000 physicians and nurses by 2032 exacerbates these challenges (2). Additionally, 30% of patients report leaving clinics due to long wait times, and the number of patients leaving EDs without being seen has doubled in recent years (3). Improving operational efficiency is essential to address these issues and ensure HCOs can survive and thrive in a challenging environment (4).

Why it matters

  • There is a global shortage of 5.9 million nurses, with significant gaps in regions like Latin America and Africa [5].
  • Over 50% of physicians experience symptoms of burnout, which can lead to decreased productivity and increased turnover.
  • Operational errors can lead to malpractice claims, which are costly for healthcare providers. The average cost of a malpractice claim in the U.S. is around $400,000, including legal fees and settlements [6].
  • Errors often require additional staff time to address and rectify, diverting resources from other critical tasks. This can lead to decreased productivity and increased labor costs.

Solution

By investing in data analytics, healthcare organizations can predict patient needs and optimize resource allocation. Predictive models help in anticipating demand for services and managing patient flow more effectively. Not only that, automation of routine administrative tasks, such as scheduling and billing, helps reduce human error and improve operational efficiency

"OperationalIQ AI" is a predictive model developed to analyze various factors that affect daily operations in healthcare environments. By ranking efficiency levels and identifying areas for improvement, it helps SOs improve their service quality and subsequently their profitability.

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Datasources

The model's synthetic data set is constructed using information tailored to current healthcare operational dynamics, from studies and reports on emergency department trends by Moore et al. (1), outpatient wait times based on Heath (2), and hospital performance metrics from Medicare data (3). These sources provide a solid empirical basis for modeling the efficiency of healthcare operations.

Citations

  1. Agrawal Sanjeev, Giridharadas Mohan. Better Healthcare through Math: Bending the Access and Cost Curves. Charleston, SC: ForbesBooks; 2020.
  2. Moore, Brian J., et al. “Trends in Emergency Department Visits 2006-2014.” Healthcare Cost and Utilization Project 227, Sep. 2017, https://www.hcup-us.ahrq.gov/reports/statbriefs/sb227-Emergency-Departmenta¡tTrends.pdf.
  3. Dyrda, Laura. “25 facts and statistics on emergency departments in the US” BeckersHospitalReview.com, 7 Oct. 2016, https://wwwbeckershospitalreview.com/hospital-management-administration/25 -facts-and-statistics-on-emergency-department: -us.html.
  4. Heiser, Stuart. “New Findings Confirm Predictions on Physician Shortage” Association of American Medical Colleges, 23 Apr. 2019.
  5. WHO "Nursing and midwifery", 3 May 2024. https://www.who.int/news-room/fact-sheets/detail/nursing-and-midwifery.
  6. Accenture. "Intelligent Health Payer", https://www.accenture.com/us-en/services/health/intelligent-health-payer

Problem

Today’s healthcare organizations (HCOs) face numerous challenges, including physician and nurse shortages, long patient wait times, and transitioning to value-based care, all of which threaten their viability. Matching volatile demand with limited and disorganized supply is a significant issue. For example, improving operating room (OR) efficiency by just 2-3% can yield an additional $200,000 annually per OR, while optimizing inpatient bed utilization is critical for financial outcomes, with each bed representing $2,000 in daily potential revenue (1). The shortage of 600,000 physicians and nurses by 2032 exacerbates these challenges (2). Additionally, 30% of patients report leaving clinics due to long wait times, and the number of patients leaving EDs without being seen has doubled in recent years (3). Improving operational efficiency is essential to address these issues and ensure HCOs can survive and thrive in a challenging environment (4).

Problem Size

  • There is a global shortage of 5.9 million nurses, with significant gaps in regions like Latin America and Africa [5].
  • Over 50% of physicians experience symptoms of burnout, which can lead to decreased productivity and increased turnover.
  • Operational errors can lead to malpractice claims, which are costly for healthcare providers. The average cost of a malpractice claim in the U.S. is around $400,000, including legal fees and settlements [6].
  • Errors often require additional staff time to address and rectify, diverting resources from other critical tasks. This can lead to decreased productivity and increased labor costs.

Solution

By investing in data analytics, healthcare organizations can predict patient needs and optimize resource allocation. Predictive models help in anticipating demand for services and managing patient flow more effectively. Not only that, automation of routine administrative tasks, such as scheduling and billing, helps reduce human error and improve operational efficiency

"OperationalIQ AI" is a predictive model developed to analyze various factors that affect daily operations in healthcare environments. By ranking efficiency levels and identifying areas for improvement, it helps SOs improve their service quality and subsequently their profitability.

Opportunity Cost

AI can automate routine administrative tasks such as scheduling, billing, and patient data management, reducing labor costs.

AI can predict patient admissions and optimize resource allocation, reducing costs associated with overstaffing or underutilization of resources.

A report by Accenture estimates that AI applications could save the U.S. healthcare economy up to $150 billion annually by 2026 through efficiencies in clinical and operational processes [6].


Impact

AI-driven operational efficiency in healthcare administration is transforming how healthcare organizations manage their operations, leading to improved efficiency, reduced costs, and enhanced patient care.


Data Sources

The model's synthetic data set is constructed using information tailored to current healthcare operational dynamics, from studies and reports on emergency department trends by Moore et al. (1), outpatient wait times based on Heath (2), and hospital performance metrics from Medicare data (3). These sources provide a solid empirical basis for modeling the efficiency of healthcare operations.


References

  1. Agrawal Sanjeev, Giridharadas Mohan. Better Healthcare through Math: Bending the Access and Cost Curves. Charleston, SC: ForbesBooks; 2020.
  2. Moore, Brian J., et al. “Trends in Emergency Department Visits 2006-2014.” Healthcare Cost and Utilization Project 227, Sep. 2017, https://www.hcup-us.ahrq.gov/reports/statbriefs/sb227-Emergency-Departmenta¡tTrends.pdf.
  3. Dyrda, Laura. “25 facts and statistics on emergency departments in the US” BeckersHospitalReview.com, 7 Oct. 2016, https://wwwbeckershospitalreview.com/hospital-management-administration/25 -facts-and-statistics-on-emergency-department: -us.html.
  4. Heiser, Stuart. “New Findings Confirm Predictions on Physician Shortage” Association of American Medical Colleges, 23 Apr. 2019.
  5. WHO "Nursing and midwifery", 3 May 2024. https://www.who.int/news-room/fact-sheets/detail/nursing-and-midwifery.
  6. Accenture. "Intelligent Health Payer", https://www.accenture.com/us-en/services/health/intelligent-health-payer

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