Decreasing Door-to-Doctor Time and Increasing Patient Satisfaction with Bedside Registration

2.50
Hdl Handle:
http://hdl.handle.net/10755/162929
Type:
Presentation
Title:
Decreasing Door-to-Doctor Time and Increasing Patient Satisfaction with Bedside Registration
Abstract:
Decreasing Door-to-Doctor Time and Increasing Patient Satisfaction with Bedside Registration
Conference Sponsor:Emergency Nurses Association
Conference Year:2002
Author:Dilts, Mary Kate, RN, MSN
P.I. Institution Name:Southern Ohio Medical Center
Contact Address:1805 27th Street, Portsmouth, OH, 45662, USA
Project: In 1996 to 1997, door-to-doctor time was 90 to 100 minutes and patient satisfaction per Press Ganey was at the 9th percentile. Driven by patient satisfaction feedback and third party payors, a multidisciplinary team embarked on decreasing turnaround time by 50%. Implementation: Using a focused process improvement model, PDCA (Plan-Do-Check-Act), and rapid cycle testing, we changed the physician plant and patient flow process during triage and registration. This project was conducted at a 200 bed, rural, non-profit, teaching hospital in a Southern Ohio medical center. The Emergency Services Department is a two campus Emergency Department that includes 23 beds at one Campus and 14 beds at the other Campus, located one mile apart. During FY2001, more than 69,000 patient visits were recorded. In January 2000, using a wireless computer named "Rosie," 37 patients were registered at the bedside. During July 2001, more than 1100 patients were bedside registered through collaborative efforts of Nursing and Registration. Outcomes: The door-to-discharge time averaged 90 minutes on one campus and 2-5 hours on the other. Recommendations: Using a multidisciplinary team, staff was involved in trying and revising the processes to improve upon triage and registration. Continued efforts today are aimed to decrease door-to-doctor time to 15 minutes on the average. The ED computer log produces daily, monthly and doctor specific turnaround time data. During the time that we have decreased door-to-doctor time, which is currently at 37 minutes, we have also increased Press Ganey patient satisfaction to the 87th percentile. Currently, ED Registration Press Ganey patient satisfaction has reached the 99th percentile. Bedside registration practices have the ability to decrease door-to-doctor time and increase patient satisfaction in the emergency department environment. [Leadership Challenge - Research 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.titleDecreasing Door-to-Doctor Time and Increasing Patient Satisfaction with Bedside Registrationen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162929-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Decreasing Door-to-Doctor Time and Increasing Patient Satisfaction with Bedside Registration</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">2002</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Dilts, Mary Kate, RN, MSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Southern Ohio Medical Center</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">1805 27th Street, Portsmouth, OH, 45662, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">DiltsMK@somc.org</td></tr><tr><td colspan="2" class="item-abstract">Project: In 1996 to 1997, door-to-doctor time was 90 to 100 minutes and patient satisfaction per Press Ganey was at the 9th percentile. Driven by patient satisfaction feedback and third party payors, a multidisciplinary team embarked on decreasing turnaround time by 50%. Implementation: Using a focused process improvement model, PDCA (Plan-Do-Check-Act), and rapid cycle testing, we changed the physician plant and patient flow process during triage and registration. This project was conducted at a 200 bed, rural, non-profit, teaching hospital in a Southern Ohio medical center. The Emergency Services Department is a two campus Emergency Department that includes 23 beds at one Campus and 14 beds at the other Campus, located one mile apart. During FY2001, more than 69,000 patient visits were recorded. In January 2000, using a wireless computer named &quot;Rosie,&quot; 37 patients were registered at the bedside. During July 2001, more than 1100 patients were bedside registered through collaborative efforts of Nursing and Registration. Outcomes: The door-to-discharge time averaged 90 minutes on one campus and 2-5 hours on the other. Recommendations: Using a multidisciplinary team, staff was involved in trying and revising the processes to improve upon triage and registration. Continued efforts today are aimed to decrease door-to-doctor time to 15 minutes on the average. The ED computer log produces daily, monthly and doctor specific turnaround time data. During the time that we have decreased door-to-doctor time, which is currently at 37 minutes, we have also increased Press Ganey patient satisfaction to the 87th percentile. Currently, ED Registration Press Ganey patient satisfaction has reached the 99th percentile. Bedside registration practices have the ability to decrease door-to-doctor time and increase patient satisfaction in the emergency department environment. [Leadership Challenge - Research Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:36:35Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:36:35Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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