Intermountain Medical Center In Utah Improves Efficiency, Performance with Vertical Flow Model

By: Guest Author | Posted on: Nov 28, 2016
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Patient Flow, Emergency Room, ED, ER, Patient Satisfaction, Emergency Medicine, Emergency Physician, EMS, EMT

Patient flow now looks like this: A highly trained and experienced “greeter nurse” does rapid, abbreviated triage, mostly for the purpose of deciding whether patients are appropriate for the AcceleratED model or traditional bed placement. If criteria are met, patients are streamed to the AcceleratED area and “swarmed” by a team. Patients tell their story once, and the assessment and workup are begun in parallel. Patients may need to be briefly bedded for diagnostics, but most of their ED time is spent in a chair in a large, bright, open waiting room. There are two physicians and a nurse practitioner or physician assistant, five nurses, and three techs working in the AcceleratED area during the busiest hours of the day. During low-volume times, the emergency department operates under a pull-to-full traditional ED model.

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