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

Personnel were rescheduled around peak hours, which also alleviated wait times. A by-product of the rescheduling was an increase in labor productivity. The shorter length of stay had the effect of reducing the number of patients who left without being seen (LWBS) to 2.72% by the end of the project."

The chest pain center, which was originally on another floor, was moved into the Fast Track area closer to the emergency department so that chest pain specialists could assist in the Emergency Department in case of a crisis. This improved physician productivity and eliminated the need for hiring more physicians. From physicians to housekeeping, the entire staff began to take responsibility for patient comfort and care.

As a result of improved throughput, patient volume grew from 132 to 151 patients per day. To handle the increase in the Emergency Department, more inpatient beds needed to be available during peak hours. Hospital staff from the inpatient units pitched in to help the Emergency Department. They implemented several processes including a process they named Code Consensus. During a Code Consensus, a signal or code is delivered throughout the facility to expedite patient discharge, housekeeping and bed availability.

Stickel added, "The current code is the theme to the Lone Ranger. The first time we played it, we opened up 20 -25 beds in the first 2 hours."

Contrary to hospital expectations, the elapsed time for patient admission from the Emergency Department to inpatient units had dropped by 50%. The goal for ED outpatients from door to discharge had been set at 4.5 hours. In January, the hours had dropped from 6.65 to around 4 hours, well below the hospital's target. As wait times dropped, patient satisfaction scores climbed from the 9th percentile to above 90th percentile ranking
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SOURCE Compirion Healthcare Solutions, LLC
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