Engineering a High-Performance Emergency Department
The list of real challenges to emergency department improvement includes the fact that the ED is open 24 hours a day to treat anything from a scratch to a stroke, requires a multi-disciplinary team of doctors and nurses to work together quickly and efficiently, and for good or bad often represents the patient's impression of the hospital as a whole.
The leadership team at Massachusetts-based Cambridge Health Alliance faced the same challenges as any ED but with a few of its own, including its mission as an urban safety-net provider. Capital for expansion and renovation was limited.
Case Study: Creating a High-Performance Emergency Department
Learn how Cambridge Health Alliance, a Harvard teaching affiliate, restructured and significantly improved emergency department flow, communication, and outcomes—all without spending extra capital.
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So the team undertook a series of operational and clinical initiatives, including a review of throughput, a new staffing model for ED nurses, and boosting compensation along with accountability for physician performance.
In a new HealthLeaders Media Rounds case study, Create Your High-Performance, Patient-Centered Emergency Department the physician, nurse and executive leaders dive into specific steps they took to dramatically improve key ED performance metrics, including ambulance diversions, wait times, door-to-admit times and others.
As with any performance turnaround, the specific steps are enabled under a protective cover from leadership, including:
- Providers Prep for New Payment Models as Population Health Grows
- Transforming Decision Support and Reporting
- CMS Mulls Income-Adjusting MA Stars
- 3 Ways to Rev Employee Development Programs
- Nurse Ethics Comes to a Head at Guantanamo Bay
- In Lakeport, CA, a Population Health Laboratory is Born
- Providers' Push to Consolidate Roils Payers
- As Retail Clinics Surge, Quality Metrics MIA
- No Employee Satisfaction, No Patient-Centered Culture
- Aligning Executive Compensation with Provider Mission