Skip to main content
Mobile
  • Finance, Accounting & Economics
  • Global Business Management
  • Management, Leadership & Organisation
  • Marketing & Sales
  • Strategy
  • Technology & Operations
HS Talks HS Talks
Subjects  
Search
  • Notifications
    Notifications

    No current notifications.

  • User
    Welcome Guest
    You have Limited Access The Business & Management Collection
    Login
    Get Assistance
    Login
    Forgot your password?
    Login via your organisation
    Login via Organisation
    Get Assistance
Finance, Accounting & Economics
Global Business Management
Management, Leadership & Organisation
Marketing & Sales
Strategy
Technology & Operations
Practice paper

MALO (more activity, less overcrowding): A bed management model as a high-impact solution to the problem of hospital overcrowding

Josep Lluís Vega and Ricard Casadevall
Management in Healthcare: A Peer-Reviewed Journal, 4 (4), 331-339 (2020)
https://doi.org/10.69554/TFDO9808

Abstract

There is abundant literature that relates the overcrowding of the emergency departments (EDs) to the presence of patients admitted to the ED for want of beds in the hospitalisation area. Likewise, there is also abundant evidence on the relationship between hospital overcrowding and the deterioration of multiple indicators of healthcare quality. In this paper we present our bed management model (MALO model: more activity, less overcrowding), which we have successfully applied in three different hospitals. The three characteristic elements of this model are: 1. PREBEDA formula: this consists of a simple but useful formula for calculating the availability of beds on the basis of the scheduled activity and the activity estimated based on recent history 2. Coordinated surgical programming: surgical programming is coordinated with the bed availability forecast 3. ‘Beds czar’: a person responsible for the management of hospital beds is appointed, which acts according to the prioritization criteria established by a ‘bed management committee’, in which the medical director and the nursing director participate.

Keywords: overcrowding; emergency department; prediction models; bed management

The full article is available to subscribers to the journal.

Already a subscriber? Login or review other options.

Author's Biography

Josep Lluís Vega is Medical Director at Hospital Quirónsalud Barcelona. He is a general surgeon and health manager with extensive experience in health services management, having held various positions from Head of the Emergency Department to Medical Director in different Spanish hospitals. Mr Vega designed a bed management model, which he has applied in three of the centres he has managed. He is currently the director of the Hospital Quirónsalud Barcelona.

Ricard Casadevall is Head of the Healthcare Management Support Unit at Sant Joan De Déu Barcelona Children’s Hospital. He is a health economist and is fully engaged in clinical and healthcare management. He focuses on data analysis, visualisation, data mining, predictive analytics and clinical outcomes measurement. He contributes actively to resource planning, performance monitoring, economic evaluations and clinical decision-making support. Mr Casadevall has extensive knowledge of data storage and analytics software.

Citation

Vega, Josep Lluís and Casadevall, Ricard (2020, June 1). MALO (more activity, less overcrowding): A bed management model as a high-impact solution to the problem of hospital overcrowding. In the Management in Healthcare: A Peer-Reviewed Journal, Volume 4, Issue 4. https://doi.org/10.69554/TFDO9808.

Options

  • Download PDF
  • Share this page
    Share This Article
    Messaging
    • Outlook
    • Gmail
    • Yahoo!
    • WhatsApp
    Social
    • Facebook
    • X
    • LinkedIn
    • VKontakte
    Permalink
cover image, Management in Healthcare: A Peer-Reviewed Journal
Management in Healthcare: A Peer-Reviewed Journal
Volume 4 / Issue 4
© Henry Stewart
Publications LLP

The Business & Management Collection

  • ISSN: 2059-7177
  • Contact Us
  • Request Free Trial
  • Recommend to Your Librarian
  • Subscription Information
  • Match Content
  • Share This Collection
  • Embed Options
  • View Quick Start Guide
  • Accessibility

Categories

  • Finance, Accounting & Economics
  • Global Business Management
  • Management, Leadership & Organisation
  • Marketing & Sales
  • Strategy
  • Technology & Operations

Librarian Information

  • General Information
  • MARC Records
  • Discovery Services
  • Onsite & Offsite Access
  • Federated (Shibboleth) Access
  • Usage Statistics
  • Promotional Materials
  • Testimonials

About Us

  • About HSTalks
  • Editors
  • Contact Information
  • About the Journals

HSTalks Home

Follow Us On:

HS Talks
  • Site Requirements
  • Copyright & Permissions
  • Terms
  • Privacy
  • Sitemap
© Copyright Henry Stewart Talks Ltd

Personal Account Required

To use this function, you need to be signed in with a personal account.

If you already have a personal account, please login here.

Otherwise you may sign up now for a personal account.

HS Talks

Cookies and Privacy

We use cookies, and similar tools, to improve the way this site functions, to track browsing patterns and enable marketing. For more information read our cookie policy and privacy policy.

Cookie Settings

How Cookies Are Used

Cookies are of the following types:

  • Essential to make the site function.
  • Used to analyse and improve visitor experience.

For more information see our Cookie Policy.

Some types of cookies can be disabled by you but doing so may adversely affect functionality. Please see below:

(always on)

If you block these cookies or set alerts in your browser parts of the website will not work.

Cookies that provide enhanced functionality and personalisation. If not allowed functionality may be impaired.

Cookies that count and track visits and on website activity enabling us to organise the website to optimise the experience of users. They may be blocked without immediate adverse effect.