Centralized Bed Hub Enhances Flow While Decreasing Nursing Time Spent on Administrative Tasks

2.50
Hdl Handle:
http://hdl.handle.net/10755/183125
Category:
Abstract
Type:
Presentation
Title:
Centralized Bed Hub Enhances Flow While Decreasing Nursing Time Spent on Administrative Tasks
Author(s):
Becker, Michael
Author Details:
Michael Becker, RN, MSN, Penn Presbyterian Medical Center, email: Michael.Becker@uphs.upenn.edu
Abstract:
While electronic bed management systems are prevalent across the country, many hospitals struggle to leverage them to create efficiency and reduce nursing time spent on bed coordination. Likewise, it is not unusual for nurses to spend significant time coordinating transport and environmental services (EVS). The purpose is to create a process to decrease RN time spend on patient flow and increase direct RN care to patients as well as to streamline communication and effectively manage inflow and outflow house-wide through the use of a centralized bed Hub.

Method

At PPMC, we redesigned our processes and tools to optimize the management of beds, transport and EVS. In partnership with Stockamp Consulting Group, we implemented a centralized bed hub to serve as the "air traffic control center" for the hospital. While centralized models are not unique, what makes our model different is the staff roles, empowerment and accountability enforced through performance metrics and incentives.
FINDINGS
Initial performance after 6 months: additional data supplied at 6 month intervals. In addition patient satisfaction has significantly increased as a result of increased direct nursing care.
Table titles: Baseline, 8/1/08, 2/1/09, 8/1/09.
EVS data: Response Time - 0:45, 0:34, 0:27, 0:21.
Bed Turnaround Time - 1:21, 1:07, 0:59, 0:41.
Nursing STAT Requests - 110, 6, 2, 0.
Transport data: % of Total Discharges Comp. By Transport (instead of Nursing) - null, 25%, 33%, 41%. Bed Mgmt: % of Prolonged ED Placements (6-24 Hours) - null, 13.7%, 8.5%, 5%. ED Divert- 986 hours, 6, 12, 21.

Discussion
With the addition of a centralized bed hub RN are able to dedicate more time to patient specific care as compared to administrative bed flow functions. This process allows for a more patient centered care model that compliments our relationship based care model. This model also dramatically reduced our ED divert hours and maintained our commitment to the community.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2010
Conference Name:
7th Annual Florida Magnet Research Conference
Conference Host:
University of South Florida College of Nursing; Sigma Theta Tau International; Florida Organization of Nurse Executives
Conference Location:
Naples, Florida, USA
Description:
7th Annual Florida Magnet Research Conference - Theme: Research at the Point of Care. Held 11-13 February 2010 at the Naples Grande Beach Resort, Naples, Florida, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleCentralized Bed Hub Enhances Flow While Decreasing Nursing Time Spent on Administrative Tasksen_GB
dc.contributor.authorBecker, Michaelen_US
dc.author.detailsMichael Becker, RN, MSN, Penn Presbyterian Medical Center, email: Michael.Becker@uphs.upenn.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/183125-
dc.description.abstractWhile electronic bed management systems are prevalent across the country, many hospitals struggle to leverage them to create efficiency and reduce nursing time spent on bed coordination. Likewise, it is not unusual for nurses to spend significant time coordinating transport and environmental services (EVS). The purpose is to create a process to decrease RN time spend on patient flow and increase direct RN care to patients as well as to streamline communication and effectively manage inflow and outflow house-wide through the use of a centralized bed Hub. <br/><br/>Method<br/><br/>At PPMC, we redesigned our processes and tools to optimize the management of beds, transport and EVS. In partnership with Stockamp Consulting Group, we implemented a centralized bed hub to serve as the &quot;air traffic control center&quot; for the hospital. While centralized models are not unique, what makes our model different is the staff roles, empowerment and accountability enforced through performance metrics and incentives. <br/>FINDINGS<br/>Initial performance after 6 months: additional data supplied at 6 month intervals. In addition patient satisfaction has significantly increased as a result of increased direct nursing care. <br/>Table titles: Baseline, 8/1/08, 2/1/09, 8/1/09.<br/>EVS data: Response Time - 0:45, 0:34, 0:27, 0:21.<br/>Bed Turnaround Time - 1:21, 1:07, 0:59, 0:41.<br/>Nursing STAT Requests - 110, 6, 2, 0.<br/>Transport data: % of Total Discharges Comp. By Transport (instead of Nursing) - null, 25%, 33%, 41%. Bed Mgmt: % of Prolonged ED Placements (6-24 Hours) - null, 13.7%, 8.5%, 5%. ED Divert- 986 hours, 6, 12, 21.<br/> <br/>Discussion <br/>With the addition of a centralized bed hub RN are able to dedicate more time to patient specific care as compared to administrative bed flow functions. This process allows for a more patient centered care model that compliments our relationship based care model. This model also dramatically reduced our ED divert hours and maintained our commitment to the community.en_GB
dc.date.available2011-10-28T16:15:37Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T16:15:37Z-
dc.conference.date2010en_US
dc.conference.name7th Annual Florida Magnet Research Conferenceen_US
dc.conference.hostUniversity of South Florida College of Nursingen_US
dc.conference.hostSigma Theta Tau Internationalen_US
dc.conference.hostFlorida Organization of Nurse Executivesen_US
dc.conference.locationNaples, Florida, USAen_US
dc.description7th Annual Florida Magnet Research Conference - Theme: Research at the Point of Care. Held 11-13 February 2010 at the Naples Grande Beach Resort, Naples, Florida, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.