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Problem Statement

Problem Statement. Why is there an extended wait time for patients seeking medical attention at in the Emergency Department of Doctors Hospital in Columbus, Ohio?. Purpose of Study. To improve service and patient care, which will ultimately save lives, at Doctors Hospital Emergency Department.

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Problem Statement

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Presentation Transcript

  1. Problem Statement Why is there an extended wait time for patients seeking medical attention at in the Emergency Department of Doctors Hospital in Columbus, Ohio?

  2. Purpose of Study To improve service and patient care, which will ultimately save lives, at Doctors Hospital Emergency Department.

  3. Primary Action Plan Isolate primary factors to be investigated using: • Outside literature • Resources • Researchers' familiarity with ER visits

  4. Hypothesis • Four specific internal factors that will be analyzed: • Acuity Level • Patient Quality Care Process flow (wait time to see a physician) • Staffing • Boarding

  5. Timeline

  6. Contingency Plan

  7. Literature Review Press Ganey 2010 ED Pulse Report

  8. Literature Review Pomerene Hospital Top Performer 981 Wooster Road • Millersburg, Ohio

  9. Literature Review Stormont Vail Regional Health Center Top Performer 1500 SW 10th Ave • Topeka, Kansas Emergency Room Visits: 49,496 (Kilmartin , Stanek, & Massey, 2011, pg. 2)

  10. Literature Review A Multi-Class Queuing Network Analysis Methodology For Improving Hospital Emergency Department Performance Hospital applies Six Sigma method and cuts wait time for its ED patients Hospital Emergency Departments. Crowding Continues To Occur, And Some Patients Wait Longer Than Recommended Time Frames

  11. Point of Service Surveys (anonymous) Zoomerang Surveys (anonymous) Survey Monkey Surveys (anonymous) One-on-One Interviews Focus groups. Method & Procedures

  12. Point of Service Surveys (Associate) Method & Procedures

  13. Point of Service Surveys (Physician/CNP) Method & Procedures

  14. One-on-One Interview Questions Method & Procedures

  15. Data Analysis Tabulation Migrating to cross-tabulation Triangulation Incorporate a correlation matrix in order for us to report noted and observed correlations between multiple variables.

  16. Six Sigma Factors • LWOT times can be reduced by over 10% • Sigma cert. staff have developed specific skill sets • Sigma staff approach workers, gather their input • Workers processes are quantified; teams then look for waste • Research must determine the % of Six Sigmas at Doctors

  17. Study Limitations Honest responses and interviews from Doctors Hospital Associates. Resolution: Allow ample time to gain survey participants trust and ensure anonymity. Be respectful of privacy during interviews. Additionally, gaining permission to distribute surveys could prove a challenge.

  18. Significance of Study Recommendations will be multi-fold: Implemention in a manner that enables the ER staff and patients to experience improved throughput during the initial stages of urgent care. Continue gaining feedback from well-designed patient comment forms and exit questionnaires; we believe Doctors Hospital will want to remain involved in the Press Ganey Pulse Reports (Press Ganey, 2010).

  19. Outcomes • Management receives details of patient flow • Managers highlight underlying issues not previously discussed • Split Patient Flow (SPF) is a major factor & affects studied further

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