This comment thread is making me realize we don't have a good word to distinguish between efficiency as in "we only have 7 hospital beds because that's all we need on 99% of each day" and efficiency as in "we replaced steps X,Y,Z with just step X', because we found that X' could accomplish everything that XYZ could accomplish but it's faster, more accurate, and cheaper". One makes a tradeoff by reducing overheads and…
We do have a word, it's efficiency and productivity. Efficiency produces the same output with less input. Productivity produces more output with the same input. So efficiency is a measure of input to target output, and productivity is a measure of output to target input. To make a process more efficient, you figure out how to get to some X output while using as little input as possible. To make a process more product…
So if you fix some goal, say, "we want to be over capacity 1% of the time," then the most efficient way of doing that is probably to have the minimum number of beds that you need according to your predictions about utilization. But you can't really talk about efficiency when you're deciding what your goal is, e.g. whether you're okay being over capacity 10% of the time versus 1% of the time.