1. Improving Access to Care by Admission Process Redesign in a Veterans Affairs Skilled Nursing Facility 
Amy W. Baughman, MD, MPH, Gilda Cain, RN, Marcus D. Ruopp, MD, Carmen Concepcion, MSA, MHA, RN, Caitlin Oliveira, LICSW, Robyn O'Toole, LICSW, Stephanie Saunders, MSW, LICSW, Shivani K. Jindal, MD, MPH, Manuela Ferreira, MBA, Steven R. Simon, MD, MPH 
Joint Commission Journal on Quality and Patient Safety 
Volume 44, Issue 8, Pages (August 2018)
DOI: /j.jcjq
Copyright © 2018 The Authors Terms and Conditions

2. Figure 1
This model provided an essential structural framework that forced early planning and prioritization, followed by ongoing and iterative improvement work during the implementation phase. Adapted from Langley GJ, et al. The Improvement Guide: A Practical Approach to Enhancing Organizational Performance, 2nd ed. San Francisco: Jossey-Bass, QI, quality improvement.
Joint Commission Journal on Quality and Patient Safety  , DOI: ( /j.jcjq )
Copyright © 2018 The Authors Terms and Conditions

3. Figure 2
The number of monthly admission requests and patients admitted both increased over the 13-month project period from September 2015–September 2016.
Joint Commission Journal on Quality and Patient Safety  , DOI: ( /j.jcjq )
Copyright © 2018 The Authors Terms and Conditions

4. Figure 3
This run chart shows the average number of days from admission request to patient admission, including a baseline period (October 2014–August 2015) and an intervention period (September 2015–September 2016). Improved response time is seen during the intervention period, as indicated by several data points falling under the baseline median of 3.3 days (calculated using the baseline period). The timing of four major events is also shown. QI, quality improvement; NM, nurse manager; SW, social worker; SOP, standard operating procedure.
Joint Commission Journal on Quality and Patient Safety  , DOI: ( /j.jcjq )
Copyright © 2018 The Authors Terms and Conditions