The Front Lines Introduction 1 in 100 20% to 50% admitted will - PowerPoint PPT Presentation

Healthcare Crisis From The Front Lines

Introduction 1 in 100 20% to 50% admitted will die from a medical mistake diagnostic procedures are unnecessary 6 in 100 5% to 10% will be permanently disabled acquire a nosocomial infection 1 in 2 3 in 100 (50%) will suffer some preventable harm have incorrect ID band All of these mistakes are 15 of 100 preventable! diagnoses are incorrect Lean Six Sigma for Hospitals - Jay Arthur

2012 Performance 134 MINS 88 MINS ED request to occupy EVS total turn time >4 HOURS 63 MINS ED hold times request to assign for bed 4.25% 9.25 HOURS Left Without Treatment (LWOT) discharge window 34 MINS $4M~/YR internal transport pending to in progress dead bed time All numbers in average

What Are The Priorities?

Process Steps Set expectations and Conduct value Streamline responsibilities by stream analysis documentation Identify and eliminate waste service provider

Drive To Excellence The EMR doesn’t have a robust Our Electronic Medical Record (EMR) doesn’t have capability to provide report writing application to push required throughput metrics out metrics to the care team

Operational Platform TeleTracking allowed true data analysis We built over 200 reports in Customized Reporting Solutions (CRS) Driving daily accountability Real time notification to best practice metrics upon non-performance

Care Traffic Control Registration Direct Admissions Case Management Transfer/Access Center Bed Placement Helicopter Dispatch Electronic ICU (EICU)

Real-Time Dashboards

Emergency Department Outcomes Request to assign time 12% increase Reduction in ED wait reduction of 81% in ED visits times >70% (33K hours) (57 mins to 10 mins) Hospital acquired Reduction in Left conditions reduced by Without Treatment 15% without rebound (LWOT) to less than .25%

Hold Time In Dollars In The Emergency Dept $180,000 $3.8M/YR $160,000 $140,000 UCL $121,281 $120,000 $100,000 Dollars $1.3M/YR $80,000 CL $61,867 $60,000 $40,000 $20,000 LCL $2,452 $0 1 5 9 13 17 21 25 29 33 37 41 45 49 53 57 61 65 69 73 77 81 85 89 93 97 101 105 109 113 117 121 125 129 133 137 141 145 149 153 157 161 165 169 173 177 181 Week

Discharge Kaizen 11.11 10.11 9.11 DC 8.11 Kaizen 7.11 Hours 6.11 5.11 4.11 IMPROVEMENT PROCESS DEFINE 3.11 MEASURE ANALYZE IMPROVE CONTROL 2.11 1.11 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 Month

Questions & Answers

The Front Lines Introduction 1 in 100 20% to 50% admitted will - PowerPoint PPT Presentation

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The Front Lines Introduction 1 in 100 20% to 50% admitted will - PowerPoint PPT Presentation

Healthcare Crisis From The Front Lines Introduction 1 in 100 20% to 50% admitted will die from a medical mistake diagnostic procedures are unnecessary 6 in 100 5% to 10% will be permanently disabled acquire a nosocomial infection 1 in 2

Translational Research at CHCI Informing Practice with Research on the Front Lines of Primary

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Parallel lines They are lines whose distance between then does not change along their

When things get messy: QI on the front lines David Frost MD FRCPC Site Director, CTU Director,

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About the guy in front Conservation Biology BSC3052 About the guy in front About the guy in

V 3 lines maximum size of equi lines in IR Question 23 41 42 6 7 14 3 4 5 2 h 6 10 16 28

10Hz Spectral Lines Joschua Dilly 10Hz Spectral Lines 2 Introduction Ions 50cm Protons 30cm

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assay for use with next generation PoC diagnostic devices Dr Evangelia Piperaki & Dr Henry M.