BOARDING SOLUTIONS INCREASE PROFITS BY ENDING ER GRIDLOCK © COPYRIGHT 2011 VIRGINIA COLLEGE OF EMERGENCY PHYSICIANS Emergency Medicine Summit 5/4/2011.

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Presentation transcript:

BOARDING SOLUTIONS INCREASE PROFITS BY ENDING ER GRIDLOCK © COPYRIGHT 2011 VIRGINIA COLLEGE OF EMERGENCY PHYSICIANS Emergency Medicine Summit 5/4/2011

BRIDGE ORDERS: DECREASE TIME TO DEPART FOR ADMITTED PATIENTS TAMERA BARNES, MD, FACEP © COPYRIGHT 2011 VIRGINIA COLLEGE OF EMERGENCY PHYSICIANS

How to start a Bridge Order initiative How do Bridge Orders affect ED Operations Monitoring for Continued Success (C) COPYRIGHT 2011 VIRGINIA COLLEGE OF EMERGENCY PHYSICIANS OBJECTIVES

BUILD CONSENSUS © COPYRIGHT 2011 VIRGINIA COLLEGE OF EMERGENCY PHYSICIANS MEET WITH YOUR ADMISTRATOR TO GET THEIR SUPPORT MEET WITH HEAD OF HOSPITALIST GROUP MEET WITH ED PHYSICIANS IRON OUT SPECIFICS OF THE PROGRAM DEVELOP A HAND-OFF TOOL TO ENSURE INFORMATION EXCHANGE IS MAXIMAL FOR PATIENT SAFETY MEETING BETWEEN ED PHYSICIANS AND HOSPITALISTS MONITOR DATA; INTERMITTENT MEETINGS

HAND-OFF TOOL © COPYRIGHT 2011 VIRGINIA COLLEGE OF EMERGENCY PHYSICIANS PATIENT’S NAME/PCP DIAGNOSIS/CHIEF COMPLAINT VITAL SIGNS SIGNIFICANT POSTIVE AND NEGATIVE TESTS TESTS STILL PENDING ED COURSE TYPE OF BED (I.E. TELEMETRY, ICU, ETC.) INPATIENT VS. OBSERVATION

WHEN NOT TO WRITE BRIDGE ORDERS © COPYRIGHT 2011 VIRGINIA COLLEGE OF EMERGENCY PHYSICIANS IF PATIENT UNSTABLE IF CONTROVERSY WHETHER PATIENT MEETS INPATIENT CRITERIA

DASHBOARD DATA © COPYRIGHT 2011 VIRGINIA COLLEGE OF EMERGENCY PHYSICIANS BEFOREAFTER ED VISITS ARRIVAL TO TRIAGE ARRIVAL TO GREET LWBS %0.6%0.85% ADMITS24.8%23.7% DISPO TO DEPART (ADMITTED PTS)

WHAT DOES THAT MEAN FOR YOUR HOSPITAL? © COPYRIGHT 2011 VIRGINIA COLLEGE OF EMERGENCY PHYSICIANS MIN SAVED 23.7% ADMIT RATE = 530 ADMITS THAT MONTH 530 X MIN SAVED/ADMIT = 54,855 MINUTES SAVED OR 915 HRS AVG LOS FOR ALL ED PATIENTS MINUTES CREATES CAPACITY FOR MORE PATIENTS WITH SAME STAFF, NO ADDED BEDS $100/PT. = AVG COLLECTION FOR ED MD = $30,000/MONTH $350/PT = AVG COLLECTION FOR HOSPITAL = $122,500/MONTH OR $1.4 MILLION PER YEAR $4000 HOSPITAL REVENUE/ADMITTED PT X 78 MORE ADMITTED PATIENTS/MONTH = $312,000/ MONTH OR $3.7 MILLION PER YEAR ON ADMISSIONS FROM ED TOTAL INCREASED REVENUE = $5.1 MILLION

QUESTIONS? © COPYRIGHT 2011 VIRGINIA COLLEGE OF EMERGENCY PHYSICIANS