Improving the Efficiency of Hospital Based Gastroenterology Departments That Perfom Advanced

CS-73 5/24/2016 10:30:00 AM - 5/24/2016 11:30:00 AM

Improving the efficiency of hospital based gastroenterology departments that perfom advanced endoscopy

The advanced therapeutic endoscopy doctors at Henry Ford Hospital perform multiple complex and high risk procedures to diagnose and treat multiple diseases of the GI tract. In addition to performing ERCP and EUS to diagnose and treat pancreatobiliary diseases and stage GI tract cancers, the advanced therapeutic endoscopy doctors at Henry Ford Hospital also perform lumenal dilation and stenting, endoscopic fluid and necrosis drainage, complex polyp resection, endomucosal resection of esophageal cancers, and radiofrequency ablations of precancerous lesions. Because of the diversity and complexity of the procedures, delicate nature of the instrumentation and the high risk of complications, including perforation, pancreatitis, bleeding, and infection, particularly in a patient population that tends to be sicker, procedure times are variable and may run longer than anticipated. Hospital based units, like Henry Ford Main, treat inpatients and outpatients on the same unit. Patient volumes have increased to the point where they have outgrown the limited and aging available space to meet the demand, thereby causing bottlenecks in patient flow. Bottlenecks in patient flow increase patient wait times and staff overtime. When wait times increase patient satisfaction decreases. Increased overtime creates decreased employee satisfaction and creates unpredictable operating budgets. Rebuilding an appropriate sized unit takes time and resources, and immediate needs will not be met for an unspecified amount of time. Operational changes in the use of manpower can be implemented immediately until structural changes can be made. I propose to address this problem by forming an advanced interventional consult team consisting of the advanced endoscopy fellow, advanced endoscopy attending, gastroenterology consult fellow, CRNA, anesthesiologist and advanced procedure RN and assistants.

Objective Content Time Frame Presenter GI Not GI Define the charateristics of a hospital Outpatients 20 Jason Sims based endoscopy unit and be able to Inpatients with high acuity and BSN define causes of bottlenecks in emergent needs for treatment hospital based endoscopy units that Multiple pre assesment layers and also perform advanced therapeutic coordination of care endoscopy with limited working Design of unit space. Collection, analyzing and Presenting how data was collected 20 Jason Sims interpretation of data collected Identifying team members who are BSN regarding bottlenecks and planning factors that effect patient flow interventions. Presentation of the advanced endoscopy team model used for pilot project Identifying optimal design of the ASGE Standards of Practice 10 Jason Sims endoscopy unit BSN Assessing the results of the pilot Results of the pilot study 10 Jason Sims project conducted at Henry Ford BSN Hospital Gastroenterology Unit Total