Sunday, February 26, 2017

Regains Lost Patient Flow Efficiencies

ACEPNow - By Shari Welch - February 13, 2017
"The Miriam Hospital is a 247-bed community hospital affiliated with the Warren Alpert School Medical School of Brown University in Providence, Rhode Island. The emergency department sees 68,000 visits annually in its 61 treatment spaces, which include 21 lounge chairs for vertical flow. The emergency department has had a long reputation for efficiency and service quality. The ED physicians and staff have always been proud of their performance metrics and empty waiting room. However, after crossing the 60,000-visit volume band, the department began to falter operationally, and its wait times increased. The new normal included an often full waiting room. The emergency department, which effectively operates as a geriatric emergency department (more than 30 percent of its patients being older than age 65), often found itself with Emergency Severity Index (ESI) 2 patients being placed back in the waiting room, a situation that did not please staff...
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