Emergency/Hospital Medicine Integration Boosts Patient Flow at Nashville Hospital

Hospital Challenges

An Envision partner hospital suffered from poor communication between its EM clinicians and hospitalists, leading to a poor continuity of care between the two departments. This lack of organization also led to increased patient wait times and high rates of patients leaving without being seen.

Benefits of Contracting With Envision Physician Services

62% 35% 15%

62% drop 15% increase 35% decrease in boarding times in patient volume based on in left without being seen (LWBS) increased capacity

Solution Spotlight

Our Door-to-Discharge (D2D) service is designed to strengthen communication between EM clinicians and hospitalists, leading to improved workflow, increased efficiency and elevated quality of care. By positioning our EM and HM services as one team, we helped this partner hospital improve their operational efficiency, quality of care and patient satisfaction.

To discuss how Envision’s national resources and focus on providing patient-centric care can boost performance at your facility, leading to better patient outcomes and experience, call us at 888.288.9025. Emergency/Hospital Medicine Integration Boosts Patient Flow at Nashville Hospital

The Challenge A Nashville-area hospital faced challenges with their patient flow as a result of disjointed processes and inefficiencies between the emergency department and the inpatient units, including:

An average time of 3.5 hours to move the patient from the emergency department to the inpatient unit 62% Patients ready to be discharged in the morning still filled inpatient beds well into the afternoon, leaving no open beds for new admissions Process inefficiencies, breakdowns in communication and poor handoffs 62% drop Envision Physician Services’ goal was to improve patient flow by aligning in boarding times communication efforts between emergency medicine physicians and hospitalists from boarding time to discharge.

Solutions We implemented our Door-to-Discharge (D2D) service with Rapid Admission Process 15% and Gap Orders (RAP&GO) software to provide an integrated practice model that positions the emergency medicine and hospitalist physicians to work together. The 15% increase physicians collaborated to reduce Left Prior to Triage/Left Prior to Medical Screening in patient volume based on Exam (LPT/LPMSE) rates, reduce emergency department boarding time, improve increased capacity patient quality and satisfaction and open up needed emergency department beds.

Results The improved communication that our D2D with RAP&GO implemented led to improved patient flow and a 15 percent increase in patient volume. Envision also helped the 35% hospital achieve the following successes:

62 percent drop in boarding times, from approximately 210 minutes to 80 minutes 15 percent increase in patient volume based on increased capacity, 35% decrease from 38,940 to 46,043 in left without being seen (LWBS) 35 percent decrease in LWBS, from 0.99 percent to 0.64 percent

By strengthening the relationship between the hospital’s EM clinicians and hospitalists and improving their operational efficiency, Envision was able to help this partner hospital provide more patient-centric care.