Ruraltownville ED – Pat Sat/Value

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Presentation transcript:

Ruraltownville ED – Pat Sat/Value © 2015, X32 Healthcare, LLC, All Rights Reserved

Ruraltownville ED – Geography © 2012, X32 Healthcare, LLC, All Rights Reserved

Ruraltownville ED – Part 1 20,000 annual visits 11% LWOBS rate, peaks at 25% in the evenings Poor reputation in the community…and your own leadership, “You have the worst performing ED in the Province!” You have a boarding problem, only 8 treatment spaces and a very poor physical layout. 1 doc, 1 NP, 3 nurses and 1 triage nurse at peak times 20 minute group exercise – 10-15 min brainstorming, 5-10 min report out Problem Identification Approach – considerations, data, information, diagnostics Potential Solutions Brief report out from 3 randomly selected teams Print handout of this page and geography page Exercise: How would YOU approach this problem if it were YOUR ED?

Ruraltownville ED – Part 2

CTAS Distribution

Ruraltownville ED Acuity by HOD © 2011, Jody Crane, MD, MBA

Key Metrics Ruraltownville ED © 2012, X32 Healthcare, LLC, All Rights Reserved

Ruraltownville ED Capacity

Exercise – Ruraltownville ED During peak hours What is the triage nurse utilization if each patient takes 7.5 minutes to triage? (assume all patients are triaged) What is the Nurse Practitioner Productivity in patients per hour if the nurse practitioner is able to see all of the low acuity patients (CTAS 4 and 5)? Give some reasons for the actual productivity of the NP being only 1.4 patients per hr. Calculate the NP utilization in #2 above if he/she spends 20 minutes working on each patient. If the door to bed time was 20 minutes and all patients occupied a bed until they were discharged, calculate the bed utilization based on the current T&R LOS of 200 minutes (assume all patients are discharged) Kevin can go through the answers here

1. Triage Nurse Utilization – 1 RN 2. Nurse Practitioner Productivity

3. NP Utilization 4. Bed Utilization

Nurse, MLP and Physician © 2012, X32 Healthcare, LLC, All Rights Reserved

© 2012, X32 Healthcare, LLC, All Rights Reserved

Any Thoughts? Would you change any of your recommendations from your group exercise?