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The health care organization is an important resource for the continued functioning of a community. An organizations ability to deliver care, treatment, or services is threatened when it is ill-prepared to respond to an epidemic or infections likely to require expanded or extended care capabilities over a prolonged period.
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The Joint Commission on Accreditation of Healthcare Organizations and the Centers for Medicare & Medicaid Services (CMS) have been working to align their common national hospital performance in the areas of acute myocardial infarction, heart failure, pneumonia, and surgical infection prevention.
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Eventually, hospitals will develop geriatric EDs, just as many now have pediatric EDs, predicts Lowell Gerson, PhD, professor of epidemiology at Northeastern Ohio University College of Medicine in Rootstown.
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A new report from the Urgent Matters Learning Network, Bursting at the Seams: Improving Patient Flow to Help Americas Emergency Departments, identifies best practices from 10 hospitals selected as participants in an initiative to help hospitals eliminate ED crowding. Each participating hospital developed and implemented strategies to improve patient flow through the ED and to reduce overcrowding. EDM looks behind the results to the strategies and methods that achieved them. With this issue, we begin a series of articles that will examine just what made these programs special and successful.
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It may seem logical to blame your overcrowding problems on understaffing, but as the ED staff at the 302-bed North Shore University Hospital at Forest Hills in Queens, NY, found out, that may not always lead you to the root of your problems. Learning that lesson, and finding the real cause of their problems, enabled them to slash their average cycle time from 187 minutes to 118 minutes.
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As the ED staff at Lehigh Valley Hospital in Allen-town, PA, have learned, its how you respond to benchmarking data that determines success. For example, to speed up admissions, it was necessary to address virtual capacity issues.
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A new planning guide funded by the Agency for Healthcare Research and Quality (AHRQ) is designed to help communities make sure they have needed drugs and vaccines in the event of a natural epidemic or bioterrorist attack.
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If several patients with severe acute respiratory syndrome (SARS) started coming into your ED, would you be prepared to separate them? Could you triage to alternative off-site areas, if needed? As of Jan. 1, 2005, youd better be prepared.
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As EDs have grown and become overcrowded, environment of care issues also have grown, particularly security concerns, says Dean Samet, associate director/senior engineer of accreditation operations/Standards Interpretation Group at the Joint Commission.
