Split Emergency Department: A Case Study

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Goal and Objectives Goal: Decrease overall emergency department length of stay. Three strategies are illustrated in the following table. The table includes the measurable objectives, role responsibilities, and resources associated with each tactic in addition to a timeline. The approaches described are: direct bedding paired with bedside registration, increasing Fast Track utilization via the Split Emergency Severity Index Patient Flow Model, and a Diagnostics, Radiologic, and Discharge lounge. Measureable Objective Responsibility Resources Needed Timeline for Completion of Objective 1. Implement a direct bedding/bedside registration process over the course of six-months with a goal of 65% of patients receiving direct bedding and bedside registration.…show more content…
Goal of complete implementation by April 19, 2016. 2. Increase utilization of Fast Track by implementing the “Split Emergency Severity Index 3 Patient Flow Model” (Arya et al., 2013, p. 1171). ED Fast Track is currently evaluating approximately 18-patients-day in a 10-hour period. Intent is to increase Fast Track volume to 25-patients-day in 6-months. ED Manager, ED Assistant Manager, ED Triage Team, Fast Track Medical Director, ED Educator, Quality Improvement Coordinator. Cost of RN training/education to the split ESI patient flow model. Average RN salary = $42/hr x 108 RNs x 8-hrs each =…show more content…
Implement a Diagnostic, Radiology, and Discharge lounge, with a fully functioning DRD staging area within 1-year of project inception. Goal=> 85% of the number of patients identified in the pre-implementation data as appropriate for the DRD are utilizing it. Pre-implementation data will be collected during the planning phase to evaluate the number of patients who would be appropriate for utilization of the DRD. Post-implementation data will be compared to pre-implementation to evaluate the effectiveness of the DRD. Data will be collected from the electronic medical record by the Quality Improvement Coordinator utilizing discharge acuity charge capture data pre-implementation. Post-implementation data will be collected by the staff who are manning the DRD utilizing a log recording patients who have utilized the DRD. This data will be collated by the Quality Improvement
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