A 13-hospital system in an urban market was in the middle of building a replacement hospital, but the replacement hospital was designed too small to meet growing market demand. Knowing the replacement hospital would struggle to accommodate projected volumes upon opening, health system leaders looked to the Catalyst Strategy team to identify ways to shift volumes between other hospitals in the system and optimize existing system capacity.
Catalyst evaluated the distribution of service lines across the system to identify any duplication of services or service gaps and sought stakeholder feedback on which service lines could be relocated and test possible consolidation scenarios. Patient origin maps identifying patient access preferences across the system helped Catalyst understand which patterns could be modified. Next, interactive dashboards were created for scenario testing of inpatient beds and operating room (OR) need relative to service line shifts.
Based on the analysis, key service lines were identified to shift service location. The Women’s and Infants service line was consolidated into one hospital to eliminate volume cannibalization, and the transplant program was consolidated at one hospital to concentrate clinical focus and conserve costs. Certain patient types and procedures, like complex orthopedic cases, were relocated to the new replacement hospital.
Even with service consolidation recommendations, the Catalyst team’s analysis highlighted the need for more surgical rooms across the system. An ambulatory surgery center was recommended to release current capacity constraints and absorb more inpatient surgical volume.