2. State of the Art in Emergency Care Marilyn Margolis, RN, MN, Director of Nursing Operations

4. OUR WORLD

5. STATISTICALLY SPEAKING… 114, 000 million + 114, 000 million + 26% 26% 500, 000/year 500, 000/year 703 703 425 425 198,000 198,000 120, 000 120, 000 800,000 800,000 46 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

6. YOUR WORLD

9. OUR REALITY

10. Our Problem Emergency Department

15. THE FUTURE

16. 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

17. 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

23. QUESTIONS ???? QUESTIONS ????