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QI in ED

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by

Tai Nguyen

on 7 May 2014

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Transcript of QI in ED

Challenge
Strategies
Quality Improvement & Wait Time
in the Emergency Department

Define Quality Improvement
Need For Improvement
AIM
FOCUS
STEEEP
Team-Development Model
Fish Bone Diagram
Patient Connect
PDSA
Run Chart
Outline
Presented by:

Eric Escamilla,
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
Customer Satisfaction
Advances in Medical Services
Growing of Healthcare
What factors contribute to the need for quality improvement?
Organize Team
Admitting
Triage nurse
Director of ED
Treating physician
Discharge
Ambulatory Services
Allied Health Services/Diagnostics Director
EHR Expert
QI department
AIM
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
Overcrowding
Employee overworked
FOCUS
FISHBONE Diagram
PDSA
QUESTION:
What is a possible cause of these long ED wait times?
OBJECTIVE:
To reduce patient waiting time before getting them into treatment room
PLAN:
Inform patient about expected waiting time and delays
Prediction:
To reduce ED wait times by 15 minutes to meet the national average in 3 months
Plan
Do
Add a wait time tracker to website and mobile application.
Study
Repeat the cycle and continue to post the wait time and analyze the data.
Act
Study and analyze the data to evaluate the improvement
STEEEP
Safe:
avoid harm
Avoid injury to patients due to excessive wait time
Timely:
care is provided on time when patient need its
Reduces wait times
Effective: avoid underuse and overuse
Measurable outcomes through surveys

Efficient:
waste, equipment, supplies , ideas, and energy, should be avoided
Reduces labor hours
Fluid workflow
Equitable:
care should be provided to everyone
Not patient-specific; accessible to anyone with a mobile device
Patient-centered:
care should be respectful and responsive to individual’s needs
Targeting, satisfying, and communicating with the patient directly


Patient Connect


Mobile app that provide with medical & financial records

FEATURES:
-Virtual sign in
-Wait time tracker
- Complete up-to-date background information (HIPPA -secure)
- Video consultations via Facetime, Skype, and email capabilities
- Med Rx
-medical instructions/reminders
- E-prescribing


Why should ED wait time be improved?
Long wait times
Increase risk for patients
Costly
Decrease patient satisfaction
Compromise community trust

Non-Profit Hospital
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

Intervention
Full transcript