title: Achieving hospital operating objectives in the light of patient preferences.
abstract: Patient satisfaction is becoming increasingly important for the successful operation of private and public hospitals. The quality of the service provided can be improved if internal and external customers' opinions are taken into account during the definition of hospital operating objectives. This research presents a new methodology, called the simulation service quality system (SSQS), developed to improve operating performance measures in the light of customer preferences. The motivation for the development of the SSQS methodology arose from the need to achieve timeliness standards at United States Veterans' Hospitals. The Harry S. Truman Memorial Veterans' Hospital in Columbia Missouri served as the validation and initial application site for the SSQS methodology. Details one such project: the objective of reducing customer waiting times to 30 minutes or less at an outpatient treatment clinic. Through the identification of relationships and interactions, discrete-event simulation techniques are applied to model and experiment with the system to ultimately arrive at recommended changes in hospital operating policies which achieve the objective.
authors.affiliation: Universidad Nacional de Ingenieria, Managua, Nicaragua.
authors.forename: M T
authors.initials: MT
authors.lastname: Ramirez Valdivia
authors.forename: T J
authors.initials: TJ
authors.lastname: Crowe
mesh_terms: D001071:Appointments and Schedules; D003198:Computer Simulation; D017598:Efficiency, Organizational; D015285:Hospital-Patient Relations; D006787:Hospitals, Veterans / Q000458:organization & administration / Q000592:standards*; D008923:Missouri; D019982:Organizational Case Studies; D009937:Organizational Objectives; D010044:Outpatient Clinics, Hospital / Q000592:standards / Q000706:statistics & numerical data*; D017060:Patient Satisfaction; D012985:Software Design; D013996:Time and Motion Studies; D017749:Total Quality Management / Q000379:methods*; D014850:Waiting Lists