Development and Implementation of an Admission Process Performance Improvement Initiative

2.50
Hdl Handle:
http://hdl.handle.net/10755/162747
Type:
Presentation
Title:
Development and Implementation of an Admission Process Performance Improvement Initiative
Abstract:
Development and Implementation of an Admission Process Performance Improvement Initiative
Conference Sponsor:Emergency Nurses Association
Conference Year:2000
Author:Haines, Diana, RN, MSN, CS
P.I. Institution Name:Lehigh Valley Hospital - Muhlenberg
Contact Address:2545 Schoenersville Road, Bethlehem, PA, 18017, USA
Contact Telephone:(484) 884-2465
Co-Authors:Anne Panik, Diana R. Haines and Sharon Rabuck
Clinical Topic: The intent of this clinical project was to develop and complete a performance improvement initiative to significantly reduce the time from when a decision is made to admit a patient after being seen in the emergency department (ED), until the patient arrives on the unit (Admission Process Time - APT).

Implementation: Planning and implementation included the following steps: (1) establishment of a multidisciplinary team; (2) analysis of the former admission process; (3) brainstorming and integration of solutions; (4) formalization of "routine" admission processes; (5) development of an admission process tool; (6) education of all departments and staff involved in the admission process; and (7) evaluation of the process via utilization of a time measurement tool.

Outcomes: The process improvement project reduced the time from when a decision is made to admit a patient after being seen in the ED until the patient arrives on the unit. The process included: A) The transfer period (time from nurse giving report, to moving patient out of ED) went from 30.5 minutes to 16.2 minutes; 14.3 minutes of potential savings; and B) The Admissions Period (time ED unit clerk calls Admissions and bed is assigned) went from 58.9 minutes to 13.4 minutes; 45.5 minutes of potential savings. Secondary gains included: (1) improvement of collegiality among the involved departments; (2) clarification of role responsibilities; (3) heightened staff awareness, interest and involvement in process improvement initiatives; and (4) development of a successful Admission Process template that can be utilized for future process improvement initiatives.

Recommendations: Recommendations for the APT process improvement resulting from this initiative included: (1) on-going measurement of admission process times to assure maintenance of improvement; (2) future measurement of patient satisfaction to improve patient relations; and (3) future cost-savings analysis. [Clinical Poster Presentation]
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.titleDevelopment and Implementation of an Admission Process Performance Improvement Initiativeen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162747-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Development and Implementation of an Admission Process Performance Improvement Initiative</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">2000</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Haines, Diana, RN, MSN, CS</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Lehigh Valley Hospital - Muhlenberg</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">2545 Schoenersville Road, Bethlehem, PA, 18017, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(484) 884-2465</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Diana_Haines@lvh.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Anne Panik, Diana R. Haines and Sharon Rabuck</td></tr><tr><td colspan="2" class="item-abstract">Clinical Topic: The intent of this clinical project was to develop and complete a performance improvement initiative to significantly reduce the time from when a decision is made to admit a patient after being seen in the emergency department (ED), until the patient arrives on the unit (Admission Process Time - APT).<br/><br/>Implementation: Planning and implementation included the following steps: (1) establishment of a multidisciplinary team; (2) analysis of the former admission process; (3) brainstorming and integration of solutions; (4) formalization of &quot;routine&quot; admission processes; (5) development of an admission process tool; (6) education of all departments and staff involved in the admission process; and (7) evaluation of the process via utilization of a time measurement tool.<br/><br/>Outcomes: The process improvement project reduced the time from when a decision is made to admit a patient after being seen in the ED until the patient arrives on the unit. The process included: A) The transfer period (time from nurse giving report, to moving patient out of ED) went from 30.5 minutes to 16.2 minutes; 14.3 minutes of potential savings; and B) The Admissions Period (time ED unit clerk calls Admissions and bed is assigned) went from 58.9 minutes to 13.4 minutes; 45.5 minutes of potential savings. Secondary gains included: (1) improvement of collegiality among the involved departments; (2) clarification of role responsibilities; (3) heightened staff awareness, interest and involvement in process improvement initiatives; and (4) development of a successful Admission Process template that can be utilized for future process improvement initiatives.<br/><br/>Recommendations: Recommendations for the APT process improvement resulting from this initiative included: (1) on-going measurement of admission process times to assure maintenance of improvement; (2) future measurement of patient satisfaction to improve patient relations; and (3) future cost-savings analysis. [Clinical Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:33:27Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:33:27Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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