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QI in ED
Transcript of QI in ED
Quality Improvement & Wait Time
in the Emergency Department
Define Quality Improvement
Need For Improvement
Fish Bone Diagram
Laura Kim, Karissa Ngo,
Tai Nguyen, Stephanie Pan
"Quality of care is the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge
Health Care Quality
Longer Life Expectancy
Advances in Medical Services
Growing of Healthcare
What factors contribute to the need for quality improvement?
Director of ED
Allied Health Services/Diagnostics Director
Decrease wait time for patients in the Emergency Department by 15 minutes to meet the national average in 3 months
Factors that Influence Patient Satisfaction in the Emergency Department
Length of Waiting Time
What is a possible cause of these long ED wait times?
To reduce patient waiting time before getting them into treatment room
Inform patient about expected waiting time and delays
To reduce ED wait times by 15 minutes to meet the national average in 3 months
Add a wait time tracker to website and mobile application.
Repeat the cycle and continue to post the wait time and analyze the data.
Study and analyze the data to evaluate the improvement
Avoid injury to patients due to excessive wait time
care is provided on time when patient need its
Reduces wait times
Effective: avoid underuse and overuse
Measurable outcomes through surveys
waste, equipment, supplies , ideas, and energy, should be avoided
Reduces labor hours
care should be provided to everyone
Not patient-specific; accessible to anyone with a mobile device
care should be respectful and responsive to individual’s needs
Targeting, satisfying, and communicating with the patient directly
Mobile app that provide with medical & financial records
-Virtual sign in
-Wait time tracker
- Complete up-to-date background information (HIPPA -secure)
- Video consultations via Facetime, Skype, and email capabilities
- Med Rx
Why should ED wait time be improved?
Long wait times
Increase risk for patients
Decrease patient satisfaction
Compromise community trust
Our Hospital CA Average National Average
Team Development Model
1.Forming Stage: goals and tasks are established
2.Storming: period of competition & discourse
3.Norming: agreement on team expectations, norms and roles
4.Performing: time spent on substantive work
F = Find a problem
O = Organize a team
C = Clarify the problem
U = Understand a problem
S = Select an intervention