Hello all
I'm interested in your thoughts on improving throughput.
I'm on a hospital and hospital system wide committee that is interested in improving "landing day" efficiency. The biggest aspect being admit order being placed ie "care complete," to the time they are upstairs in their inpt bed.
Some numbers
-small community hospital affiliated with big academic center
-36k Ed volume
-19 beds total 5 are fast track
-22% admission rate
-admitted pt arrival in Ed to in their bed upstairs 300 minutes (arrival to departure for admitted pts)
-admit order placed to in their bed upstairs 115 minutes (care complete to departure for admitted pts)
One of the ideas proposed was to have an admit hold area, with an "admitting team."
Consisting of case management, 2 nurses, and the house physician.
Theory is
-admit order placed pt immediately taken to admit hold area(only for remote tele, no drips or icu pts), which is out of Ed, nurse does admission intake, house doc writes order, case Managment determines inpt vs obs, it goes to inpt bed when it opens up.
This is to cut down on the 115 min time of admitted pt sitting in our Ed.
Are there benchmark numbers out there that are easily accessible?
Does this idea seem feasible?
What are your thoughts it suggestions?
Thanks for your input
I'm interested in your thoughts on improving throughput.
I'm on a hospital and hospital system wide committee that is interested in improving "landing day" efficiency. The biggest aspect being admit order being placed ie "care complete," to the time they are upstairs in their inpt bed.
Some numbers
-small community hospital affiliated with big academic center
-36k Ed volume
-19 beds total 5 are fast track
-22% admission rate
-admitted pt arrival in Ed to in their bed upstairs 300 minutes (arrival to departure for admitted pts)
-admit order placed to in their bed upstairs 115 minutes (care complete to departure for admitted pts)
One of the ideas proposed was to have an admit hold area, with an "admitting team."
Consisting of case management, 2 nurses, and the house physician.
Theory is
-admit order placed pt immediately taken to admit hold area(only for remote tele, no drips or icu pts), which is out of Ed, nurse does admission intake, house doc writes order, case Managment determines inpt vs obs, it goes to inpt bed when it opens up.
This is to cut down on the 115 min time of admitted pt sitting in our Ed.
Are there benchmark numbers out there that are easily accessible?
Does this idea seem feasible?
What are your thoughts it suggestions?
Thanks for your input