IHI.org - A resource from the Institute for Healthcare Improvement
Header Image






Focus on Variation:
Improve Predictions

Plans, forecasts, and budgets are based on predictions. For many situations, predictions are built from the ground up each time a prediction is required and historical data is not used. The study of variation from past predictions can lead to alternative ways to improve the predictions. There are six basic approaches to developing predictions:

  • Base them on research when results cannot be seen for a long time (e.g., school curricula).
  • Use leading indicators (e.g., use housing starts to predict demand for flooring material).
  • Develop time series models to take advantage of auto-correlation in historical data.
  • Make real-time updates of predictions as new information comes available.
  • Use simple averages of historical data.
  • Anticipate special causes (e.g., airlines change cutoffs for loads when a large group books a flight).



Examples of Tests of this Change

Nursing salaries are a big expense for hospitals. But it is crucial to have nurses available when they are needed. A large hospital collected data on the demand for nursing services under varying conditions in the hospital. The hospital daily census (number of patients) was the most important variable affecting staffing demands. Since the census could be predicted precisely, the hospital developed a model to predict staffing demands based on the predicted census for the week and for the day. The model was run weekly to develop staffing plans for the week and then run every day at 5:00 PM to make adjustments to the weekly plan. After implementing this model, the hospital’s total outlay for nursing salaries dropped 15 percent.


What others are saying
Post your comments about this item.
View All Comments
Post Your Comments