ECHO Collaborative: ED Door to Floor Turnaround Quality Improvement Module
- (8) One-Hour Webinar Sessions - Wednesday, 10:30 a.m. to 11: 30 a.m. We will stay open for an additional 30 minutes to allow time for questions and answers.
- Dates: Kick off Webinar will be two hours and run from 9:30 - 11:30 on 4/28.
- All other dates will be one hour and run from 10:30 - 11:30 on 5/26, 6/30, 7/28, 8/25, 9/29, 10/27, 12/1.
- ECHO-IHI ListServ: echoflow@ls.ihi.org
Outline:
- Session 1:
- Introduction and overview of the upcoming 8 months and review and discussion of measurement.
- ED flow simulation to reinforce the importance of the hospital-wide systems in improving ED door to floor time.
- Session 2:
- Provide a summary of the first session and key considerations for impacting door to doc time
- Session 3:
- Address key considerations and process improvement initiatives for impacting doc to decision time.
- Session 4:
- Summary of the Front End: door to decision to admit.
- Session 5:
- ED perspective – how do you begin in a parallel fashion to get the patient ready to transition to the floor.
- Floor perspective: how does the floor prepare to receive the patient in a timely fashion
- Session 6:
- Explore approaches to establishing effective communication and handoffs to ensure a safe patient transition.
- Session 7:
- Summary of Back End.
- Session 8:
- The final session will review overall progress and challenges with impacting “door to floor” with an emphasis on sustaining initial gains and key considerations for moving the work forward.
Faculty:
Jody Crane, M.D., M.B.A. Dr. Crane is an emergency physician practicing at Mary Washington Hospital in Fredericksburg, Virginia. He divides his time between clinical Emergency Department practice and serving as the business director of his group Fredericksburg Emergency Medical Alliance. In 2004, he graduated from the Physician Executive MBA Program (PEMBA) at the University of Tennessee where he is currently an Adjunct Professor teaching physician-led lean healthcare operations improvement. His work focuses on innovative approaches to Emergency Department and hospital-wide operational and lean patient flow improvement, specifically addressing the application of lean manufacturing concepts within the healthcare environment. He currently teaches Lean Healthcare courses for the University of Tennessee's Center for Executive Education. He is also a faculty member of the Institute for Healthcare Improvement's Collaborative, "Operational and Clinical Improvement in the Emergency Department."
Deborah J. Kaczynski, M.S. Administrative Director, Ancillary Services & Capacity Management, University of Pennsylvania Medical Center Health System, with over 18 years of experience in hospital operations. Ms. Kaczynski oversees quality and operational improvement efforts at UPMC Mercy, a 487 bed Level I Trauma Center in Pittsburgh, Pa. Her recent work has been mainly focused on patient flow initiatives and capacity management. She also oversees the UPMC Health System Patient Flow Community, a group of 12 system hospitals, in their effort to improve flow within their hospitals. Ms. Kaczynski has served as faculty for the Institute for Healthcare Improvement's Learning and Innovation Community on Improving Flow Through Acute Care Settings. She also taught one of our ECHO Collaborative Real-Time Demand Capacity Sessions in March, 2009.
Diane Jacobsen, M.P.H., C.P.H.Q., Director, Institute for Healthcare Improvement (IHI), is currently directing the Reducing Sepsis Mortality Collaborative and IHI Expeditions on Improving Stoke Care and Improving Flow in Key Areas. She serves as faculty for IHI's reducing mortality content and is the IHI content lead and improvement advisor for the California Healthcare-Associated Infection Prevention Initiative (CHAIPI). Ms. Jacobsen served as faculty for IHI's 100,000 Lives and 5 Million Lives Campaign, directed IHI's Improving Flow Through Acute Care Settings, Reducing Surgical Complications and Reducing Hospital Mortality Rates (HSMR) Learning and Innovation Communities and was co-Director of IHI's Spread Initiative. She is an epidemiologist with more than 20 years of experience in quality improvement, risk management, and infection control in specialty, academic, and community hospitals. A graduate of the University of Wisconsin, she earned her master's degree in Public Health-Epidemiology from the University of Minnesota.
Contact Information:
- Technical Support for Data Entry: Edward Curran, Senior Consultant/Software Support Specialist, HANYS - ecurran@hanys.org - (518) 431-7716
Sponsored by the New York State Assembly