1. St. Francis Health Center Emergency Dept

2. 2 Emergency Department  24 hour ED -22 bed capacity  Occupational Medicine/Fast Track -8 bed capacity -Occupational Hours: 7:00am-5:00pm -Fast track hours: 9:00am-11:00pm  Staff mix of RN and tech  Contract ED physician group

3. 3 Patient population  Adults  Pediatrics  Emergent to Nonemergent, includes but not limited to trauma, cardiac, stroke, abdominal pain 2009 Statistics  45,662 patient visits  5,749 were admitted (12%)  970 left without being seen (2%)

4. 4 February 2010  Patient visits- 3,225  Admits- 461(14%)  Discharges- 2,737  LWBS- 27

5. 5 Strengths  Strong community ties  100 years  All Morning Star physicians are resident trained/board certified in Emergency medicine  Strong relationship with AMR  Accredited Chest Pain Center  Working on Stroke Certification  Physicians/nursing staff, highly skilled, dedicated

6. 6 Weaknesses Proximity to Stormont Vail, Level II trauma center Physician alignment with SFHC Small in size compared to SV Sharing space with Occupational Health Functional but dated SV recently built brand new ED

7. 7 Opportunities for Growth  No Wait ED  Physicians in triage  Pediatric ED  Streamline admission process  Trauma certification  Occupational Medicine  Cardiac-chest pain accreditation  Increase patient visits and admissions

8. 8 Key physicians  St. Francis Family Medicine  Tallgrass  Holton Hospital  St. Mary’s Hospital  Mercy Regional  Erwin Army  Sabetha, Hiawatha, Nemaha Valley,  Express Care  Sunflower Prompt, Express Care, Minor Meds, MedAssists

9. 9 Referring physician’s Concerns  Lack of feedback from ED physicians  Lack of full service line 24/7 coverage  Multiple call locations  Lack of trauma certification  Customer service -long waits for patients -poor communication -process not streamlined

10. 10 Action plan  Meet with physicians  Evaluate needs  Develop plan  Implement plan

11. 11 Roadblocks  Physician in triage  Renovation of ED  Occupational Medicine in ED  Limited physician referral  Trauma certification

12. 12 Metrics  LOS  Admits  Discharges  LWBS  Bed availability  Age population

13. 13 Business Development Team  Chest Pain Accredited  Board Certified ED physicians 24/7  Stroke program

14. 14 Thank You