2.50
Hdl Handle:
http://hdl.handle.net/10755/162930
Type:
Presentation
Title:
No Bypass Week-When There is a Will There is a Way
Abstract:
No Bypass Week-When There is a Will There is a Way
Conference Sponsor:Emergency Nurses Association
Conference Year:2002
Author:Skoglund, Patricia, RN, MICN, CEN
P.I. Institution Name:Scripps Mercy Hospital of Emergency Medicine
Contact Address:4077 5th Avenue, Suite 1011, MER 49, San Diego, CA, 92103, USA
Co-Authors:Sheri Mankin, RN, BSN, CEN; Janis Offret, RN, MSN, CEN; Ronett Lev, MD; and Charles Simmons, MD
Project: Emergency department (ED) bypass has been an increasing problem in the state of California. At the study hospital, the number of ED bypass hours increased from 607 to 1,695 per year between 1998 and 2000. The study hospital developed a project termed "No Bypass Week." The purpose was to study the financial and clinical effects of increased resources spent on minimizing ED bypass. Implementation: One week in November 2000 was assigned as "No Bypass Week." A neighboring ED made a commitment to stay off ED bypass to avoid overwhelming the study hospital with ambulance patients during the test period. The project was conducted in an urban Level II Trauma Center, Base Station, and teaching facility in a Southern California medical center. Annual patient volume is 47,000. The following departments participated in no bypass: Emergency Services, Intensive Care Unit, Medical Surgical Units, Radiology, Trauma, Security, and Behavioral Health Departments. The study hospital had defined commitments from all key hospital departments to expedite ED and inpatient bed availability, including increased staffing. Specific clinical and financial outcome were measured during "No Bypass Week" and compared to an average of the week before and the week after. Outcomes: During the study period ED bypass hours decreased from 30 to 1.43 hours, patients bypassed decreased from 24 to 2 patients, the ED volume increased from 883 to 936 patients, the number of hospital admissions from the ED increased from 217 to 243 patients. Hospital revenue increased with increased patient volume, outweighing the additional staffing costs. A survey of patients, community physicians and hospital staff showed a high satisfaction with the no bypass project. Recommendations: No bypass week was a success. The project required a very intense coordinated effort throughout the entire hospital. The increased resources spent by the hospital and physicians were economically beneficial due to increased patient volume. No adverse clinical outcomes were evident. The project demonstrated that such efforts are productive and cost effective. Further study should be conducted within one year identifying outcome measures with new processes required to support No Bypass permanently. [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.titleNo Bypass Week-When There is a Will There is a Wayen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162930-
dc.description.abstract<table><tr><td colspan="2" class="item-title">No Bypass Week-When There is a Will There is a Way</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">Skoglund, Patricia, RN, MICN, CEN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Scripps Mercy Hospital of Emergency Medicine</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">4077 5th Avenue, Suite 1011, MER 49, San Diego, CA, 92103, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Skoglund.Patty@scrippshealth.org</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Sheri Mankin, RN, BSN, CEN; Janis Offret, RN, MSN, CEN; Ronett Lev, MD; and Charles Simmons, MD</td></tr><tr><td colspan="2" class="item-abstract">Project: Emergency department (ED) bypass has been an increasing problem in the state of California. At the study hospital, the number of ED bypass hours increased from 607 to 1,695 per year between 1998 and 2000. The study hospital developed a project termed &quot;No Bypass Week.&quot; The purpose was to study the financial and clinical effects of increased resources spent on minimizing ED bypass. Implementation: One week in November 2000 was assigned as &quot;No Bypass Week.&quot; A neighboring ED made a commitment to stay off ED bypass to avoid overwhelming the study hospital with ambulance patients during the test period. The project was conducted in an urban Level II Trauma Center, Base Station, and teaching facility in a Southern California medical center. Annual patient volume is 47,000. The following departments participated in no bypass: Emergency Services, Intensive Care Unit, Medical Surgical Units, Radiology, Trauma, Security, and Behavioral Health Departments. The study hospital had defined commitments from all key hospital departments to expedite ED and inpatient bed availability, including increased staffing. Specific clinical and financial outcome were measured during &quot;No Bypass Week&quot; and compared to an average of the week before and the week after. Outcomes: During the study period ED bypass hours decreased from 30 to 1.43 hours, patients bypassed decreased from 24 to 2 patients, the ED volume increased from 883 to 936 patients, the number of hospital admissions from the ED increased from 217 to 243 patients. Hospital revenue increased with increased patient volume, outweighing the additional staffing costs. A survey of patients, community physicians and hospital staff showed a high satisfaction with the no bypass project. Recommendations: No bypass week was a success. The project required a very intense coordinated effort throughout the entire hospital. The increased resources spent by the hospital and physicians were economically beneficial due to increased patient volume. No adverse clinical outcomes were evident. The project demonstrated that such efforts are productive and cost effective. Further study should be conducted within one year identifying outcome measures with new processes required to support No Bypass permanently. [Leadership Challenge - Research Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:36:36Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:36:36Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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