1. Ward Redesign Pilot Data Cycle 2
February 28, 2013

2. Methods
Dates covered: 2/17 at 7am – 2/23 at 7am (full call cycle) aka “Cycle 2”
Data sources:
Censuses printed at 7am every day
Questionnaire asked of teams in AM after day cycle complete
Admission Triage sheet used to track admission evaluations, admissions, teams to which patient admitted
Significant change during Cycle 2
As of 2/18, Night Accept Team and Gold switched positions regarding overnight admissions (Gold receives 4 patients first or up to 16 followed by Night Accept Team)

3. Daily Medicine Services Census
= weekend

4. Daily Team Censuses (Cycle 2)

5. Average Daily Team Censuses (Cycle 2)

6. Average Daily Team Censuses (Cycle 1)

7. Daily Censuses Based on Day in Call Cycle (Cycle 2)
= Gold and Night Accept switch

8. Average Daily Censuses Based on Day in Call Cycle (Cycle 2)

9. Average Daily Censuses Based on Day in Call Cycle (Cycle 1)

10. Daily Additions to Censuses (Cycle 2)
= Gold and Night Accept switch

11. Average Daily Additions to Censuses (Cycle 2)

12. Average Daily Additions to Censuses (Cycle 1)

13. Daily Admission Evaluations Performed (Cycle 2)

14. Average Daily Admission Evaluations Performed (Cycle 2)

15. Average Daily Admission Evaluations Performed (Cycle 1)

16. Daily Admissions Performed (Cycle 2)

17. Average Daily Admissions Performed (Cycle 2)

18. Average Daily Admissions Performed (Cycle 1)

19. Daily MICU Transfers Performed (Cycle 2)

20. Average Daily MICU Transfers Performed (Cycle 2)

21. Average Daily MICU Transfers Performed (Cycle 1)

22. Daily MICU Transfers + Admission Evaluations (Cycle 2)

23. Average Daily MICU Transfers + Admission Evaluations (Cycle 2)

24. Average Daily MICU Transfers + Admission Evaluations (Cycle 1)

25. Daily MICU Transfers + Admissions Performed (Cycle 2)

26. Average Daily MICU Transfers + Admissions Performed (Cycle 2)

27. Average Daily MICU Transfers + Admissions Performed (Cycle 1)

28. Daily Handoffs (Cycle 2)

29. Average Daily Handoffs (Cycle 2)

30. Average Daily Handoffs (Cycle 1)

31. Conclusions General numbers similar Cycle 1 and Cycle 2
Most team census around 8-12 patients
Gold and Night Accept Team switch has resulted in higher daily Gold census and more daily additions to Gold census
Night Accept Team still with highest AM census among teaching services
Hand offs still very low