State of the Art in Emergency Care Marilyn Margolis, RN, MN, Director of Nursing Operations
OUR WORLD
STATISTICALLY SPEAKING… 114, 000 million + 114, 000 million + 26% 26% 500, 000/year 500, 000/year , , , , , , million + 46 million + # of ED visits/year # of ED visits/year Growth in ED visits Growth in ED visits Diverted EMS pt. Diverted EMS pt. Decrease in hospitals Decrease in hospitals Decrease in EDs Decrease in EDs Decrease in Beds Decrease in Beds Nursing shortage 2008 Nursing shortage 2008 Nursing shortage 2020 Nursing shortage 2020 Number of uninsured Number of uninsured
YOUR WORLD
OUR REALITY
Our Problem Emergency Department
THE FUTURE
Penetrating Point Programs Lean technology for healthcare (Quality) eRescue EeMR, CPOE, Clin Doc, Physician Doc Data driven, evidenced based decisions Partnering with Ga Tech (WhooHoo) EBD Shared governess, Magnet, Quality Residency Programs TIME, Stroke Programs Patient and Family Centered Care
LEAN Value-Adding/Non-Value Adding Value-added: Any activity that contributes directly to satisfying the need of a customer (what is the customer willing to pay for) Non-value added: the reverse of value added. Consumes time and money. Value added Non-value added Airline Travel Actually Flying Checking in Clinic Visit Patient seeing Provider Waiting time in lobby
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