The Institute of Medicine’s call for action affirmed the need for a “Business Excellence” approach in the delivery of emergency care

Business Excellence Commitment to performance improvement Key areas of focus –People –Processes Improvement tactics –Define best practices for each benchmark –Establish award for top-performers –Tap the competitive drive of stakeholders

The Seven Pillars of Emergency Care “Balanced Scorecard” Safety … quality, outcomes, commitment Satisfaction … reputation for excellence Solvency … lean processes, coding, UM Space … facility/equipment function Staff … staffing, credentials, retention Support … administration/medical staff Systems … processes, care paths, technology

EmEx’s Universal ROI Improved Safety –Maximize care quality –Decrease malpractice claims Increased Efficiency –Maximize revenue (LWBS lower) –Minimize turnaround times (more cases per existing space) –Decrease costs (ED staff more motivated) Enhanced Reputation and Goodwill –patients more satisfied –staff more professionally satisfied –medical staff more likely to refer cases

EmEx-Compare –Benchmarking EmEx-Award –Excellence recognition EmEx-Consult –Performance improvement EmEx-Contact –Satisfaction improvement –Risk Mitigation EmEx Services

EmEx-Compare Tangibles Easy data acquisition –No HIPAA-sensitive data transmitted –ED leader worksheet –Stakeholders receive brief, web-based survey 240 page benchmark report –Over 100 discrete emergency care measures –Benchmarked to similar EDs –Discussion and references with hyperlinks Emergency Center of Excellence eligibility for top performers ED Toolkit access

EmEx Compare Report

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EmEx-Compare Investment Benchmarking and Stakeholder Surveys Price: $4,500 Staff engagement –Your ED leaders spend a few hours collecting necessary information –Hundreds of your ED stakeholders each spend several minutes completing web-based survey Satisfaction assured –Money-back guarantee

EmEx-Award offers EDs with superior performance the opportunity to be designated as an Emergency Center of Excellence –superiority based on EmEx-Compare performance On-site verification is required to protect the integrity of the Emergency Center of Excellence designation Our emergency nurse reviewer will visit your ED and review ED processes, systems, charts, etc. and speak with ED staff to verify previously submitted performance indicators EmEx-Award Emergency Center of Excellence

Benefits Build goodwill with your patients and your community –Your improved reputation will increase your ED volume Recognize performance excellence Enhance staff morale Improve performance through the spirit of competition by creating a tangible goal

Pricing $5,000 (plus reasonable travel expenses) –Half the revenue supports the Foundations of our sponsoring organizations –The rest covers administration costs for the program (EmEx derives no profit from EmEx-Award) Designation endures for two years Our design team can assist your marketing department in the creation of individualized, print- ready materials as well as a press release EmEx-Award Emergency Center of Excellence

EmEx-Consult Rapid Improvement Plan

EmEx-Consult provides on-site consulting services to create a rapid improvement plan for your ED

Our Philosophy Identify high-value ED improvement opportunities Relay solutions that satisfy all stakeholders –nurses, physicians, administrators, medical staff Use LEAN methodology to improve efficiency and reduce waste, especially regarding ED throughput Identify best practices for implementation EmEx-Consult Rapid Improvement Plan

Consulting Team Emergency physician with ED operations expertise Emergency nurse, process engineer, or second EP At least 30 total on-site hours over 2 days

Benefits Improve ED performance Identify practice gaps Prioritize solutions Implement best practices Optimize ED throughput Enhance relationships between ED stakeholders EmEx-Consult Rapid Improvement Plan

Differences from Other Consultants EmEx-Compare, our benchmarking/survey service, is used to obtain a 360-degree pre-engagement review An emergency physician with ED operations expertise is always on the consulting team We have no relationship with corporate ED staffing companies, which introduce the possibility of recommendation biases EmEx-Consult Rapid Improvement Plan

2009 Pricing $40,000 (plus reasonable travel expenses) Must also participate in EmEx-Compare EmEx-Consult Rapid Improvement Plan

Improving Performance Recognizing Excellence EMEX