Rising patient volume and emergency department overcrowding can harm efficiency, communication and the patient experience, and can lead to patient safety events and negative outcomes. White Plains Hospital implemented a comprehensive ED redesign to improve patient flow and efficiency in the ED while reducing length of stay.
The ED leadership team implemented four main change concepts:
These process changes helped improve efficiency by getting patients to the care team quicker, sorting patients based on acuity and overall decreasing time spent in the department. The team used the Plan-Do-Study-Act method on a weekly basis to review efficiency data, which were then shared with staff.
Before the initiative, baseline data showed an average door-to-provider time of 22 minutes and a door-to-department time of 205 minutes. The door-to-provider time significantly improved from 2019 to 2020, with the 2020 average decreasing to 12 minutes. The door-to-department time fell from 197 minutes in 2019 to 175 minutes in 2020.
For more information, contact Dean Straff, MD, medical director, emergency department, at firstname.lastname@example.org or 914.681.1158.