2.50
Hdl Handle:
http://hdl.handle.net/10755/162682
Type:
Presentation
Title:
Defining Our Future: An Agenda for Change
Abstract:
Defining Our Future: An Agenda for Change
Conference Sponsor:Emergency Nurses Association
Conference Year:2008
Author:Anderson-Lawson, Sarah L., PhD, RN, CEN, SANE-A
P.I. Institution Name:University of Virginia Emergency Department
Title:Clinician IV/Assistant Research Professor
Contact Address:P.O. Box 801458, Charlottesville, VA, 22908-1458, USA
Contact Telephone:(434) 982-0741
Co-Authors:Paige Williams; Edward Meyers, MSN, RN, CEN, CCRN; Leslie Buchanan, RN, ENP
Purpose: Emergency departments (ED) across the nation are struggling with problems such as overcrowding, boarding admitted patients, and lengthy wait times which have been shown to lower patient and staff satisfaction. The initial goal to improve patient and employee satisfaction has evolved into a vision of becoming one of the finest ED in the country.

Design: As part of a department wide reorganization and performance improvement project, staff was invited to participate in town meetings to determine concerns most pressing that the department staff had the ability to change. During the meetings, concerns were identified and prioritized. Following synthesis of information, four workgroups were identified and charged with developing action plans to address the following issues: Patient Flow; Communication; Staffing and Retention; and Boarders. An 18 month timeline and mission statement were developed and signed by all staff to symbolize a commitment to attaining the goal.

Setting: An ED at an academic Level 1 Rural Trauma Center

Participants/Subjects: All staff, (Registered Nurses, ED Technicians, Attendings, Residents, Registration, Management, and Administration) employed in the ED.

Methods: In 2006, the ED embarked upon a project with several goals including developing an overall mission statement and then established work groups to address the following issues: limited number or no available inpatient beds available for ED admissions; staffing vacancies; a large of number of newly hired nurses and technicians to be oriented; resistance to change from some staff; and wait times for radiology and other ancillary services.

Results: Since the implementation of the project, the Press Ganey quarterly overall patient satisfaction scores increased from 77.2 to 82.9. The ED went from being ranked 17th to 55th percentile when compared to other Level 1 Trauma Centers. In addition, there was a 23 minute reduction in waiting room times; a 93% reduction in patients who waited greater than 4 hours; and a 65% reduction of patients who left without being seen resulting in an estimated increase gross revenue of $892,755 (4th quarter 2006). The ED had the highest return (82%) for the hospital wide employee engagement survey.

Recommendations: Based on the initial data collected, the Agenda for Change is making a difference in patient and staff satisfaction, improved throughput, and an increase in gross revenue. The ED leadership is committed to focusing efforts on achieving the vision of becoming one of the finest ED.
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleDefining Our Future: An Agenda for Changeen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162682-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Defining Our Future: An Agenda for Change</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2008</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Anderson-Lawson, Sarah L., PhD, RN, CEN, SANE-A</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Virginia Emergency Department</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Clinician IV/Assistant Research Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">P.O. Box 801458, Charlottesville, VA, 22908-1458, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(434) 982-0741</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">slm9r@virginia.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Paige Williams; Edward Meyers, MSN, RN, CEN, CCRN; Leslie Buchanan, RN, ENP</td></tr><tr><td colspan="2" class="item-abstract">Purpose: Emergency departments (ED) across the nation are struggling with problems such as overcrowding, boarding admitted patients, and lengthy wait times which have been shown to lower patient and staff satisfaction. The initial goal to improve patient and employee satisfaction has evolved into a vision of becoming one of the finest ED in the country. <br/><br/>Design: As part of a department wide reorganization and performance improvement project, staff was invited to participate in town meetings to determine concerns most pressing that the department staff had the ability to change. During the meetings, concerns were identified and prioritized. Following synthesis of information, four workgroups were identified and charged with developing action plans to address the following issues: Patient Flow; Communication; Staffing and Retention; and Boarders. An 18 month timeline and mission statement were developed and signed by all staff to symbolize a commitment to attaining the goal.<br/><br/>Setting: An ED at an academic Level 1 Rural Trauma Center<br/><br/>Participants/Subjects: All staff, (Registered Nurses, ED Technicians, Attendings, Residents, Registration, Management, and Administration) employed in the ED.<br/><br/>Methods: In 2006, the ED embarked upon a project with several goals including developing an overall mission statement and then established work groups to address the following issues: limited number or no available inpatient beds available for ED admissions; staffing vacancies; a large of number of newly hired nurses and technicians to be oriented; resistance to change from some staff; and wait times for radiology and other ancillary services.<br/><br/>Results: Since the implementation of the project, the Press Ganey quarterly overall patient satisfaction scores increased from 77.2 to 82.9. The ED went from being ranked 17th to 55th percentile when compared to other Level 1 Trauma Centers. In addition, there was a 23 minute reduction in waiting room times; a 93% reduction in patients who waited greater than 4 hours; and a 65% reduction of patients who left without being seen resulting in an estimated increase gross revenue of $892,755 (4th quarter 2006). The ED had the highest return (82%) for the hospital wide employee engagement survey.<br/><br/>Recommendations: Based on the initial data collected, the Agenda for Change is making a difference in patient and staff satisfaction, improved throughput, and an increase in gross revenue. The ED leadership is committed to focusing efforts on achieving the vision of becoming one of the finest ED.</td></tr></table>en_GB
dc.date.available2011-10-27T10:32:22Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:32:22Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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