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Low Demand Days & Wasted Resources: Single Facility vs. System-Wide

March 25, 2019

Facilities have excess capacity during low volume days, resulting in significantly decreased clinician productivity. This unused capacity is lost in the current care delivery model. The chart below shows the excess unused capacity that is available on lower volume days for a typical 40,000 annual visit emergency department.

Utilization of Staff on Duty at Single Facility - This chart shows actual demand and capacity on a day with lower quartile patient volume. This shows 62% utilization of available capacity.
Utilization of Staff on Duty at Single Facility - This chart shows actual demand and capacity on a day with lower quartile patient volume. This shows 62% utilization of available capacity.

While the excess capacity per facility is significant, an even larger opportunity is available when considering the cumulative unused capacity across all the emergency departments in a typical multi-hospital system. The chart below shows the excess capacity per day that is available across a multi-hospital system. In this example, six hospitals care for 200,000 emergency patients per year using traditional fixed staffing models to service variable patient demand:

Sum of Utilization of Staff on Duty at Multiple Facilities - This chart shows 72% utilization of available capacity with unused capacity sufficient to handle approximately 200 additional patients across the system on a day with average system-wide p…
Sum of Utilization of Staff on Duty at Multiple Facilities - This chart shows 72% utilization of available capacity with unused capacity sufficient to handle approximately 200 additional patients across the system on a day with average system-wide patient volumes. All of this wasted capacity translates directly to excessive costs for physical plant construction and staffing.

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