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And it is simple...

Calculate the bed turnover against the waiting patients. Make sure you account for the ICU turnover, telemetry needs, working around normal inflow , available beds (you didn’t realize hospitals lease those, did you), available isolation rooms, available hospitalists, extra infection control. Also include transport. Housekeeping. Suuply chain, and friggin laundry. Oh yeah...feed them all.

AND every friggin thing you touch is hazardous material. Oh man...you know how to get rid of that right?

Now..double your flow with a continually diminishing staff.

And keep your records straight, families informed, and networks working.

And, required maintenance for that machine is happening four times as fast. You got people for that?

And, your lab is short this week. And the reagent that does all those tests, you just ran out. Sorry.

Now calculate your flow for the next two weeks.

Simple enough for you?