{
  "abstract": "Description Carilion Clinic (Roanoke, VA) operates over 1,000 inpatient beds across nine inpatient facilities in Southwest Virginia via its groundbreaking Carilion Transfer and Communications Center (CTaC), an integrated operations center that optimizes inpatient capacity and demand flow processes. Additionally, Carilion sees nearly 7000 visits per day across ambulatory settings over a greater than 250-mile geographic radius. This session will explore the creation of an expanded, unprecedented system operations center for the coordinated throughput of patients across these ambulatory settings. We analyze diverse stakeholder engagement, leadership of key personnel and processes, predictive analytics, and other applications of best practices in improvement science through a ‘team of teams’ approach. Specific examples include urgent care telemedicine integration, ambulatory referral coordination, and outpatient schedule optimization and resource allocation. Design of the physical plant builds on established principles of distributive situational awareness and multidisciplinary cross-collaboration (Industrial Systems Engineering, Human Factors). We will present time-ordered data related to ambulatory flow delays and failures, demonstrating the value gained via increased visibility and situational awareness across the ambulatory enterprise.",
  "authors": [
    {
      "affiliations": [
        "NHS Education for Scotland"
      ],
      "name": "Nick Tsipis"
    }
  ],
  "title": "36 All doors open, together: designing a system-wide ambulatory operations center",
  "uid": "c955a6bd-3960-596f-bf27-bf4555c0acf0"
}