Table of Contents Author Guidelines Submit a Manuscript
Journal of Healthcare Engineering
Volume 1, Issue 1, Pages 67-82
Research Article

Hospital Registration Process Reengineering Using Simulation Method

Qiang Su,1 Xiaoyun Yao,1 Ping Su,2 Jinghua Shi,1 Yan Zhu,3 and Lei Xue3

1School of Economics & Management, Tongji University, Shanghai 200092, China
2NCPC Worker’s Hospital, Shijiazhuang, Hebei Province 050011, China
3Research Center for Healthcare Management, SEM, Tsinghua University, Beijing 100084, China

Copyright © 2010 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


With increasing competition, many healthcare organizations have undergone tremendous reform in the last decade aiming to increase efficiency, decrease waste, and reshape the way that care is delivered. This study focuses on the operational efficiency improvement of hospital’s registration process. The operational efficiency related factors including the service process, queue strategy, and queue parameters were explored systematically and illustrated with a case study. Guided by the principle of business process reengineering (BPR), a simulation approach was employed for process redesign and performance optimization. As a result, the queue strategy is changed from multiple queues and multiple servers to single queue and multiple servers with a prepare queue. Furthermore, through a series of simulation experiments, the length of the prepare queue and the corresponding registration process efficiency was quantitatively evaluated and optimized.