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Compirion Healthcare Cuts Emergency Department Throughput by 50% at the Medical Center of Central Georgia
Date:5/26/2009

anteed agreed goals would be met. Goals included: reduced length of stay from 16 hours to 8 for admitted patients and from 6.65 hours to 4.5 for discharged patients; increased patient volume from 132 to 150 per day; and elimination of diversion hours. Reducing the percentage of patients who left without treatment was also high on the list.

In June 2008, the Compirion team of three consultants arrived and began observing staff behavior and the day-to-day processes in the Emergency Department. After review, the Compirion team worked together with hospital personnel from management, Emergency and inpatient departments to set performance goals, identify pilot initiatives and to build Core Teams around these initiatives. Daily management, triage and bed control were identified early on as areas in need of improvement.

Compirion worked side-by-side with the core teams providing daily mentoring and coaching while allowing hospital personnel to do their own problem solving. The Compirion team supplied tools to aid in the collection and tracking of data. A constant process of piloting, implementing and evaluating became part of the daily regimen. Every Monday at 4:00pm the steering team met and reviewed the progress.

Doyle commented, "We realized we had to change our core processes. Triage became 'triage and treatment,' all in the front of the ED. We utilized unused areas as treatment areas. Patients can appreciate that we are trying to see them."

According to Lisa Bodell, Compirion Project Manager, "The front line management really took ownership. They retooled triage so that patients were being seen by a physician's assistant, nurse practitioner or a physician up front. This was the most significant step toward reducing door to admittance time. It also allowed non-critical patients to be treated, given a prescription and to leave quickly, effectively increasing billable patient volume and revenue."
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SOURCE Compirion Healthcare Solutions, LLC
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