Emergency Department - Hospital Compare Data as of July 2017

Emergency Department - Hospital Compare Data as of July 2017

More recent data is also available reporting discharges from July 2016 through June 2017.


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Created
new Rapid Assessment Team for faster triage;  team educated on visual metrics (Computer Tracking System) with emphasis on patient status changes. Implementation of
hospital-wide throughput committee with key departments working on reducing turnaround times to improve overall throughput. When at capacity, the hospital ensures that ED or Inpatient
Nurses are responsible for providing care for all patients that are boarding in the ER (waiting for an Inpatient bed).  NBH
has begun construction on a brand new ED providing 28 beds; which will be completed in December 2017. Phase 2 will provide an
additional 15 bed observation unit that will provide more flexibility to Inpatient admissions. Protocols are started by nursing on every patient
in an effort to reduce the time waiting for results.  Patients are immediately taken to a bed if available
to begin triage and decrease wait time.  Additional medical staff hours have been added.  The charge nurse role has
been modified to allow more time to address ER volume. Created admission units to move patients out of the ED to
increase patient flow Implementation of bridge orders by ED physicians.
Teletracking monitoring and updating attribute forms in a timely manner. Initiation of admission orders within one hour of
status change to inpatient The ED team has been
educated on Visual Metrics (Computer Tracking System);patient status changes are reviewed to optimize patient throughput. When at capacity, the hospital ensures that ED or
Inpatient Nurses are responsible for providing care for all patients that are boarding in the ER (waiting for
an Inpatient bed).  NBH has begun construction on a brand new ED providing 28 beds; which will be completed in
December 2017. Phase 2 will provide an additional 15 bed observation unit that will provide more flexibility to Inpatient admissions. Created admission units to move patients out of the ED to
increase patient flow. Teletracking monitoring and updating
attribute forms in a timely manner. Hospital wide plan to implement an admission holding unit for
patients waiting for a bed. The Rapid
Assessment Team addresses patient triage more quickly.  A Fast Track Area provides additional access for patients and to improve patient flow. Daily
nursing communication & education; P.A. in Triage to initiate orders. Patients treated 'vertically' in
waiting room as appropriate. Opened new vertical hold treatment area for
additional access to care. In final phases of ED Expansion Planning and Approval Process. Reporting daily metrics on key quality measures. 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. Created admission units to move patients out of
the ED to increase patient flow. Created an adult Vertical Patient review
group. They are creating processes to increase daily volumes to 100 and decrease avg TIDs to 90 minutes. Implementation of direct bedding and vertical bed area. Education
of team members to remove patients from tracking board in a timely manner. ED coordinator monitors discharge orders. Implemented new Smart Track model with physician present in triage.  Times are tracked and presented daily to the team as well as Administration. Emergency Department is in final stage of facility
update/expansion for improved flow. Patients bypass the triage area and placed directly into the patient care area whenever
open beds are available. Lower acuity patients triaged and seen quicker using a designated Implemented new
processes (rapid triage), Reporting
daily metrics on key quality measures and working on ED Expansion and Vertical Hold Plans. 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. Created admission units to move patients out of the ED to increase
patient flow Created Fast Track Unit to move patients out of the ED to increase
patient flow Implementation of direct bedding and vertical bed area. New protocol implemented for Triage Nurse in coordination with the Triage Physician,  to administer pain medication as soon as seen in Triage. Triage to work on process to identify patients with broken bones and
notify PA so pain medication can be ordered.  Daily metrics are being reported and initiative to decrease door to doc time is
in effect. Education
and awareness of the measure took place. Implemented triage
protocols to address pain management  and updated white boards to improve pain management and communication.