Solving ED Throughput is Simple When Caregivers Can See Their Own Data

SITUATION 

ED boarding times impact quality. In 2011, CMS published a set of performance measures that highlighted the ED. “ED-1, Admit Decision Time to ED Departure Time for Admitted Patients” was an important measure. As the measure stated, “Reducing the time patients remain in the emergency department can improve access to treatment and increase quality of care. Reducing this time potentially improves access to care specific to the patient condition and increases the capability to provide additional treatment.” 

Yet most ED’s still struggle with managing the boarding process. The single biggest reason? Lack of instant access to their own data. Simply put: You can’t change what you can’t see. 

In fact, before Providence Medford Medical Center Director of Emergency Services, Alisia Howard, RN, BSN made some changes, their process was typical: 

  • Patients who needed to be admitted from the ED often waited for inpatients to be discharged
  • The only way ED leaders could ascertain whether enough discharges would take place to accommodate new patients was via daily “bed board” huddles
  • ED leadership did not have an accurate ETA on discharges in order to expedite the process.  They would place numerous calls throughout the shift to find out when inpatient patients were being discharged 

SOLUTION 

The Connect-ED product dramatically simplified the process for Alisia. Today Alisia and her manager can instantly see the data they need to streamline ED boarding. It’s now as simple as looking at "IP Discharges by Hour" to see when beds become available in real-time.

 

CONNECT–ED USERS VIEW PATIENT FLOW/INPATIENT DISCHARGES BY THE HOUR IN REAL TIME

discharges-hour@2x.png
 

BENEFITS 

  • Fast: Immediate workflow feedback

  • Efficient: Zero click reporting

  • Accurate: Trusted results 

INTERESTING FACTS 

  • Hospital cost: Between $290-$7,400 for patients that leave the ED before being seen

  • Patients who are boarded over 2.5 hours have an increased LOS as well as higher complication and mortality rates 

OUTCOME 

Before this level of detail, Alisia and her team would call each unit to see if a patient had left so they could anticipate when their boarded patients might be ready to leave the ED. Stopping to place, sometimes, multiple calls to understand whether the patient has left is very disruptive to the fast-paced ED environment. This is the first time they have had any transparency into the patient flow on the inpatient units. All of this is possible because the Connect-ED product replicates all EHR source data and moves it to a secure cloud. This creates a data access breakthrough. All data, streaming as-it-happens, is instantly available to Alisia so she can keep operations running smoothly. 

We’re betting that her team is happier, and no doubt her ED patients are too. 

Molly Maron