Emergency Department

(April 2018 reporting is based on different discharge periods between July of 2016 and June of 2017 depending on the measure)

More recent data is also available reporting discharges from April 2017 to March 2018.


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Reduce Lab Turnaround time by improving order to collect times. 
Charge nurse helps to prevent bottlenecks and oversees movement within the department. When at capacity, 
assure that patients receive continuous care in the ED while waiting for their inpatient bed. Patient experience committee reviews reasons for 
delays in inpatient bed availability. A throughput
committee has been developed to reduce ED times. Also, a ZIP process has been newly implemented to move patients with specific symptoms from
the ED to the hospital floors and reduce waiting times. A team is also being led by the Director of Nursing to improve hospital-wide
turnaround times. We have improved our patient flow processes to decrease time and have opened a Discharge 
Hospitality center which allows patients to be moved to a safe location while waiting for last minute discharge details such as 
medications or rides home. Winter Haven hospital is opening a new medical observation unit that will help us expedite your admission process by providing an 
increased number of beds to serve our community. Identify potential sites for alternative  beds.  ED Department to move patient 
in registration system upon leaving the department.  Charge nurse helps to prevent bottlenecks and oversees movement within the department. Utilize 'Divert Alert' to prevent a backup of ready to transport admitted patients due to lack of personnel. When at capacity, assure that patients receive care in the ED while waiting for their inpatient bed. Committee 
reviews reasons for delays in inpatient bed availability. Daily nursing communication and education is provided 
and efforts are being made to improve times to obtain lab/radiology tests.  Created 'vertical bed area' to facilitate non-emergent care. We have improved our patient flow processes to decrease time and have opened a Discharge Hospitality center which allows patients 
to be moved to a safe location while waiting for last minute discharge details such as medications or rides home. This frees up beds for patients waiting to be admitted. Winter Haven hospital is opening a new medical observation unit that 
will help us expedite your admission process by providing an increased number of beds to serve our community as well as increasing the 
number of inpatient beds for our community. Separation of less severe patients and 
higher severity patients allows more efficient treatment. Charge nurse helps to prevent bottlenecks and oversees movement within the department. Daily nursing communication and education. Efforts to improve times to obtain lab/radiology 
tests.  Created 'vertical bed area' to facilitate non-emergent care. ED Expansion
will be finalized within 2 weeks.  Daily reporting of throughput measures within department. New ED will have a new results pending area for
lower acuity patients.  Positions have been opened to staff a 4
bed admission unit, which will free up additional ER beds for patient evaluation and treatment.  Additional
medical staff hours have been added. The charge nurse role has been modified to allow more time to address ER volume. We have opened more beds in the area for patients with less emergent needs. Improved our patient 
flow processes to decrease time and opened a Discharge Hospitality center which allows patients to be moved to a safe 
location while waiting for last minute discharge details such as medications or rides home. Winter Haven ER has 
implemented many process to expedite each piece of your visit to the Emergency Room.  Taking you back directly to an ER bed is our first priority 
to provide you fast efficient care. Implemented new Smart Track model with
physician present in triage.  Times are tracked and presented daily to the team. Lower acuity patients triaged and seen quicker using a designated Reporting daily metrics on key quality measures.  Physician staffing has been increased. Positions
have been opened to staff a 4 bed admission unit, which will free up additional ER beds for patient evaluation and
treatment.   Additional medical staff hours have been added.  The charge nurse role has been modified to allow more time to address ER volume. We have changed patient flow processes which allows the patient to be seen in triage by a provider. Implemented a direct bedding process
where staff move patients to treatment rooms as soon as possible, which may include doing registration at the patient's bed. Winter Haven ER has implemented many process to expedite each piece of your visit to the 
Emergency Room.  Increasing the number of physicians that work in the ER and physician support to provide efficient and excellent service. Patients are
asked if they want pain medication: if yes, patient receives the ordered medication within 30 minutes of arrival. If no, documentation of
refusal is entered in the chart. Pain is very important to us and we have put processes in place to quickly identify fractures and pain associated with 
it to provide pain relief as quickly as possible.  A new pre-hospital stroke alert process has recently been implemented.  Emergency
Medical Service (EMS) providers provide notification when a stroke is recognized in the field.  Upon hospital arrival, a rapid assessment by the ED
physician is preformed, and if appropriate, the patient  is transported directly to the CT scanner, bypassing the ED bed,  for
initial neurologic examination and brain imaging.