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Elements of E.D. Success:

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E.D. Throughput Scorecard

Excellent throughput times in an emergency department (E.D.) help to improve the patient experience, reduce malpractice risk and improve the hospital’s financial performance by making it possible to serve more patients. Is your E.D. implementing the practical tactics that are fundamental to success?

Using a scale of 1 to 5 with 1 being “Poor” and 5 being “Excellent,” complete this simple scorecard to help you determine if your E.D. is maximizing patient throughput.

Factors

Score

The patient is greeted by a nurse first in E.D. entry or waiting area:
Lean methods are used to direct flow, reduce redundancy and unnecessary steps, and standardized processes.:
Expectations, policies and protocols for E.D. arrivals are clear and observed:
Bedside registration and a "pull 'til full" process is hardwired. Fast track available when prudent:
Processes and data reports have buy-in from senior management as well as the department's team:
Onsite clinical leadership is engaged, effective and proactive on improving metrics:
Physicians and nurses are trained in professional clinical communication using evidence-based methods such as Studer Group's AIDET® technique and interactions are organized and efficient:
Left Without Treatment (LWOT) rates are 2 percent or less and diversion time is less than 30 minutes per week on average:
The E.D. has a flow coordinator, or a similar role, to monitor wait times, implement a surge plan, coordinate bed assignments and work to improve the metrics that impact the patient experience:
A focus is placed on dashboards and visible data on meaningful E.D. metrics (such as wait times of less than 30 minutes). Daily or real-time reports are viewed by the team and leadership:

Scoring:

If your total was 35 points or less, it may be time to take a look at the elements that impact E.D. throughput.

Achieving excellent patient throughput times in the E.D. improves patient care for time-sensitive clinical processes, enhances the patient experience, reduces stress on physicians and nurses, reduces malpractice risk and increases the number of patients being seen and services being delivered. Improvement starts with identifying and addressing the real issues that affect throughput, and determinants can be different for each facility setting.

Need Help?

To help hospitals improve, EmCare focuses on these basic indicators for tracking throughput.

  • Percent and number of E.D. patients who left without being seen
  • Average E.D. length of stay (LOS) (overall, admitted and released)
  • Average number of minutes from patient E.D. arrival-to-greet by the clinician, greet-to-disposition, disposition-to-exit

In addition, overcrowding is often a result of many factors in the hospital system and cannot be resolved completely within the E.D. EmCare’s experienced clinical and operational professionals understand that and address processes at a local level. They work to break down silos and focus attention on the availability of inpatient/ICU beds, spikes in arrival, diagnostic turnaround times and more.

Contact EmCare

EmCare can help hospitals achieve improved metrics, clinical outcomes and patient experiences. For more information, contact us at (877) 416-8079.