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Patient Flow Scorecard

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Top Ten Factors for Success

Rate the patient flow from your hospital’s emergency department (E.D.) waiting room to the inpatient stay against the following elements of smooth patient flow.

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 emergency and hospital medicine physicians are aligned and these critical departments are operating most effectively.

Factor

Score


Metric goals are being met and the time from patient disposition to arrival on the inpatient floor is typically one hour or less.:


Policies for admission are mutually agreed upon by the E.D. and inpatient units expectations for management of patient flow are clear to all.:


Conflicts about patient disposition are rare.:


E.D. physicians and hospitalists work collaboratively.:


Goals and compensation of E.D. physicians and hospitalists are aligned.:


Clinical leaders from both units meet regularly to ensure ongoing collaboration.:


Physicians are trained in clinical communication using evidence-based methods and interactions are professional, organized and efficient.:


The patient hand-off from E.D. to hospitalist includes patient assessment and PORT score.:


Key parties (E.D. nurse manager, bed manager, house supervisor, E.D. physician, hospitalist, etc.) are simultaneously notified of patient flow events (admission accepted, bed assigned, etc.).:


Both the emergency and inpatient units are using Lean/Six Sigma or other methods of continuous process improvement to increase efficiency and maximize value to the patient.:


 

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