BED MANAGEMENT A look into the Responder NET Solution

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BED MANAGEMENTA look into the Responder NET
Solution
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Why the need for an efficient bed management
system?

• Decrease in bed availability
• Hospital beds down 18 since 1985 according to
  AHA1
• Hospitals working at or over capacity
• Average hospital occupancy rate is at 64, its
  highest since 19932
• Some hospitals working at or over 100 capacity
  on busy days

• American Hospital Association. Survey released
  April 9th, 2002
• Kaiser Network After Years of Reducing
  Available Beds, Hospitals Struggle to Deal with
  Surprising Increase in Patients.
  http//www.kaisernetwork.org/daily_reports/rep_ind
  ex.cfm?hint3DR_ID10311 Mar 28, 2002

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Why the need for an efficient bed management
system?

• Staffing shortage
• Hospital vacancy rates for RNs and radiology
  techs each exceed 10 according to AHA survey
• Cause delays in admitting and discharging
  patients- slows bed turnover time
• Leads to bottlenecks in patient flow in the ED

1. American Hospital Association. Promises
Under Pressure Strengthening the Workforce
April, 2002
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Why the need for an efficient bed management
system?

• Emergency Department Crisis
• EDs are the primary gateways of Hospital revenue.
• One third of U.S. EDs are so overcrowded they are
  having to periodically divert ambulances to other
  hospitals, diverting revenue.
• 62 of hospitals surveyed said their EDs were
  operating at or over capacity
• Beds are available, however inefficient
  processes/staffing shortage keeps patients in the
  waiting room

• Kaiser Network One Third of Hospitals Divert
  Ambulances Because of ER Overcrowding.
  http//www.kaisernetwork.org/daily_reports/rep_ind
  ex.cfm?hint3DR_ID10521 April 9th, 2002
• The Camden Group Hospital Emergency Departments
  in Crisis Aggressive Planning is Needed
  http//www.thecamdengroup.com/Pdf/Winter202003.pd
  f Winter 2003

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Why the need for an efficient bed management
system?

• Preventing a negative perception
• Patients who are turned away are less likely to
  come back
• Doctors who have patients turned away are less
  likely to send patients to that hospital
• The results are lost market share and lost revenue

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How do many hospitals manage their beds today?

• The current options are all inadequate
• Manual option
• Time consuming- slow relay of information leaves
  beds open or uncleaned while patients pile up in
  the ED or admitting
• Nurses do not actively seek to fill beds
• Visual system
• Maintenance issues
• Limited to one area
• Does not contact anyone directly
• Telephone Tracking System
• Low compliance due to complexity of system
• The fact that it is being considered is an
  indication of the great need for a solution in
  this area.

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What is theNET EFFECT?
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Next Essential Tool
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Responder NETsBed Management Solution

• Automates the bed management process
• Removes one more burden from nursing
• Quick and easy-to-use
• Instant notification- anytime, anywhere
• Real-time information available on any networked
  PC
• Could prevent ambulances from being diverted.
• Prevent negative perception

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Responder NETsBed Management Solution

• Increases bed revenue
• CEOs are looking for ways to increase patient
  throughput
• Increasing throughput is increasing the number of
  admits at a hospital
• The means of achieving this is through making
  processes in the hospital more efficient
• The example of Southwest Airlines

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Responder NETsBed Management Solution

• Monitor and Remedy Bed Control Problems
• Report Analysis Capability
• Analyze speed of bed turnover over time
• Identify problem areas
• Where is the bottleneck?
• Transport? Housekeeping?

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Improvements to the Housekeeping/ Room Ready
Application

• No longer need a dummy console!
• Both priorities are momentary switches
• Does not show up on the RIV system
• No repeated pocket paging (OT)
• Housekeeping Managers PC displays all rooms in
  need of cleaning
• Real-time information displayed on any networked
  PC

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ED ApplicationChristiana HospitalNewark, DE

• SCENARIO Expanding to 75 total treatment rooms.
  Four Triage desks with each area requiring the
  knowledge of room status. Currently use Expediter
  (10 yrs. Old)

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ED ApplicationChristiana HospitalNewark, DE

• ISSUES
• Maintenance nightmare (bulbs, wires)
• Visual system does not notify staff directly
• Only available in one area
• One of the most active EDs in USA.
• NEED
• An automated, networked bed control system

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ED ApplicationChristiana HospitalNewark, DE

• THE SOLUTION CURRENTLY BEING IMPLEMENTED
• Housekeeping instantly notified of rooms in need
  of cleaning
• Faster turnover results in increased throughput.
• NET solution enables seamless operation of 4
  triage desks over LAN.
• Each desk knows what the other is doing and which
  beds are still available.
• Enables immediate assignment of patient to bed
  without double-booking

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In conclusion

• Increased throughput equals increased revenue
• Driving efficiency through automating processes
• Instant notification anytime, anywhere
• Increased throughput also decreases diversion
• Ease of Use
• No long codes to remember
• Simple buttons pushed by transport and
  housekeeping- not nurses
• Differentiation
• No other nurse call system offers a solution to
  this growing problem!