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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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Presentation Transcript

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.


Primary Action Plan

Isolate primary factors to be investigated using:

  • Outside literature

  • Resources

  • Researchers' familiarity with ER visits


Hypothesis

  • Four specific internal factors that will be analyzed:

  • Acuity Level

  • Patient Quality Care Process flow (wait time to see a physician)

  • Staffing

  • Boarding




Literature review
Literature Review

Press Ganey 2010 ED Pulse Report


Literature review1
Literature Review

Pomerene Hospital Top Performer

981 Wooster Road • Millersburg, Ohio


Literature review2
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)


Literature review3
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


Method procedures

Point of Service Surveys (anonymous)

Zoomerang Surveys (anonymous)

Survey Monkey Surveys (anonymous)

One-on-One Interviews

Focus groups.

Method & Procedures




Method procedures3

One-on-One Interview Questions

Method & Procedures


Data analysis
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.


Six sigma factors
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


Study limitations
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.


Significance of study
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).


Outcomes
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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