How We Improved LOS, Volume, Census & Budget in the ED
ED Optimization – Patient Experience & Flow
What we did…
- Simulation directed improvement efforts for maximum impact operationally, financially and for the best benefit of the patient:Patient Flow impacts:
- Reduced ED length of stay (LOS) by 7%
- Increased ED monthly volume 5%
- Increased Inpatient daily census 20%
- Improved hospital net operating margin 1.3% above budget
- Half the improvements were realized within the first three months of implementation
- Successfully implemented a No-Divert policy earlier than planned
- Total first year savings more than $14,000,000
The hospital wanted to redesign their current work processes to maximize the capacity and patient flow of their new Emergency Department. They also needed to comply with a county-wide initiative to eliminate diversion entirely.
How we did it…
After the model was built, during experimentation, Adept began by removing space-related bottlenecks from the end of the process and moves bottlenecks forward to the process beginning. The methodology then introduced process improvements to ultimately find the best scenario combinations. This structure drove implementation teams in a highly successful endeavor.
Carondelet St Mary’s, a 393-licensed bed acute care hospital, Ascension Health Operations Resource Group and the Adept team worked collaboratively to improve hospital flow and increase access to care by implementing process improvements based on simulation to reduce ED LOS, increase monthly volume in the ED and inpatient house units, and implement a No-Divert policy and in general, improve patient flow. All process improvements would be incorporated.