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INSIGHT Emergency Increases Productivity with 19%

Written by Jakob E. Bardram.

By introducing the Cetrea technology, productivity in terms of patient throughput was increased by 19% in the A&E department at the regional hospital of Horsens, Denmark. This is the main conclusion from an independent study funded by the Danish Welfare Technology Foundation.

The quantitative effects amounted to a 19% increase in production between the first half of 2009 and the second half of 2010. At the same time, an analysis at micro-level indicates that the improvements to efficiency achieved in 2010 corresponded to the workload of four full-time positions. The analysis is based on 21 specific assignments for which the patient flow system has provided a number of benefits.

In addition to these quantitative productivity gains, the report also concludes that the Cetrea technology had significant qualitative benefits:

The qualitative benefits materialise in the form of increased security for the patient and improved patient treatment quality, which is also based on the assessment provided by the parties involved. Patients were not asked to participate as they have no knowledge of the patient flow system, as the system is used only by the hospital staff. However, the hospital staff has assessed the indirect effects and their assessments are concordant.


Read the full report here

Case Background

The Danish Public Welfare Technology Fund (Danish: ABT-fonden) is a government initiative, administered by the Danish Agency for Digitisation – an agency under the Danish Ministry of Finance.


Denmark is facing a number of challenges relating primarily to demographic developments in the coming years: The population is aging and the workforce is shrinking as more people retire than those entering the labour marked - not least in the public service sector.


Further, public expenses to health care and health services are increasing as more and more people are diagnosed with a chronic disease or having age-related heath ailments. In addition, the international financial crisis has imposed the Danish government with an imminent challenge in terms of keeping public spending down.

Key Messages

  • INSIGHT Emergency was evaluated in the period from June 2009 to January 2011 (19 months)
  • 9.3% reduction in clinical staff during the period
  • 7.03% increase in production (no. of patients)
  • Overall, clinicians became 19% more productive
  • In total, 6,400 hours saved, equivalent to 4 FTE
  • Return on Investment (ROI) in 2 years
  • Improving patient safety
  • Better overview of patient flows
  • Reduction of stress, interruptions, and noisy calls
  • Better management information
  • Better location of people

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