Patient Flow

1
Patient Flow An End to End Approach June 2006
Frank Oprandy Director Process Management East
Alabama Medical Center
2
Topics

• Why FLOW?
• Process Framework
• Centralized Bed Management
• Identify, Monitor Improve
• Specific projects
• Take Home today

3
Process Management
Inputs
Production Processes
Outputs
4
Process Framework
5
Process Framework
6
Why do we have a Flow Initiative?
Create efficient and effective flow of patients
and resources to enable excellent care

• Good Patient Care

7
How EAMC Approaches Patient Flow

• Understand it
• Where we are
• Map it make the complex simple
• Measure it
• Improve It
• Where you are going
• Select good projects
• Set targets progress schedules
• Monitor it
• How we are doing
• Establish key metrics
• Volunteer an owner

8
Patient FLOW Across the Hospital A Complex
System the Continuum of Care

Respiratory
Lab
MD Offices
Rehab
IP Unit
ER
Direct Admit
IP Unit
LTC Facility
ADM Unit
SNF
PCU
Home
Bldg 17/ADI
Cath Lab
ICU
IP Unit
Assisted Living
Referring Hospitals
OR
CSC
Hospice
Radiology
Pharmacy
9
Selecting good projects how?
We are trying to make our music sound better
To get the best sound What knobs should we care
about? What should each knob be set at?
10
Ysound quality xtune xbass xtone
xbalance xequalizer
11
What knobs and settings for Pt Flow
We are trying to make our flow more efficient
To get the most efficient Pt Flow What knobs
we should focus on? What are the settings for
each knob
12
What knobs and settings for Pt Flow

• Knobs
• Come from gathering data across your continuum
• Where are things most broken?
• Settings
• What can you handle?
• BP, benchmarking, your goals
• Experimenting
• Simulation modeling

13
Yturns xER xBCC xAncillary Svc xSurgery
xStepdown xTelemetry
14
Emergency Room Flow
15
Emergency Room Flow
16
BCC the Bed Assignment Process
17
BCC the Bed Assignment Process
18
BCC the Bed Assignment Process
19
BCC Centralized Bed Management
EVS
/Transportation Coordinator
Pt Flow Coordinator (RN)
Huddle Area
Staffing Coordinator
Electronic Bed Board

• Teletracking
• Transport Tracking
• Pre Admit (Bed Board) Tracking
• Bed Tracking (EVS)

20
IP Discharge Process
21
Ancillary Services
22
Ancillary Services
23
Helping People Care
24
(No Transcript)
25
(No Transcript)
26
What does modeling/simulation do for us?

• Model the end to end processes of the business
• Move from static drawings to dynamic data
  generating models
• Hot Spot evaluator
• Optimizer
• What if scenario building
• Compare models
• Can incorporate our data into model
• Data repository
• Tie cost/expense to model activity

27
Project Timeline (Roadmap)
28
Project Timeline (Roadmap)
29
Questions?
frank.oprandy_at_eamc.org 334.528.1130