Patient Flow Software Blog

A recent study of hospital CEOs¹ showed that financial challenges remain their biggest concern. Much of the concern relates to continuing systemic changes resulting from healthcare reform.
The financial benefits derived by the significant increase in insurance coverage of previously uninsured patients is potentially offset by reduced government payment levels under Medicare and Medicaid, pressures to move toward a value-based care model, and collection issues resulting from high deductible insurance plans.
These changing currents emphasize the essential need for hospitals to continually improve the efficiency of their operations. One increasingly important area of operations is the emergency department because of its growing role as the primary entry portal for inpatient treatment, the main source of revenue for most hospitals.
A RAND Corporation study² found that the combined effects of steady growth of ED visits and fewer inpatient beds have caused: 

What Are They and How Can You Navigate Them?

Is setting standards and measuring your patient placement performance a top priority? If you

work in hospital administration, we bet (and hope!) your answer is a confident “Yes.”

As you know, the goal for efficient patient placement is to reduce or eliminate delays in transferring patients from clinical intake areas, such as the ED and PACU, to nursing unit beds, thus improving medical care (by avoiding extended stays in the ED beds or in the hall in a nursing unit) for the patients and freeing up needed beds in the ED.

But there are challenges that have to be overcome in order to meet this goal. First, there must be easy access to real-time operating data about patients and beds for clinical and bed access staffs throughout the process. Second, management must make decisions as to how to handle several difficult issues that arise during the process, and those decisions are better made with real-time data. And third, management must also find a way to accurately measure the performance of clinical and bed access staffs in completing their segments of the process.

The Affordable Care Act, commonly known as Obamacare, is a law that, according to the Department of Health and Human Services: “Puts consumers back in charge of their health care… [and] gives the American people the stability and flexibility they need to make informed choices about their health.” Media coverage concerning the ACA has been focused on the effects for consumers, or patients. But, what about hospitals? How will the ACA effect health care providers?
The vision of Bernard Tyson, president and CEO of the Kaiser Permanente Health System, may help shed some light on these questions. According to Tyson, the current goal of health care providers, given the Affordable Care Act, is:

Saving You Money & Time, So You Can Save Lives

Patient care is largely about getting people into the hospital to receive treatment and initiate their recovery process so they can continue healing after discharge. Unfortunately, individualized patient work flows are often interrupted, which has the potential to delay treatments, lower clinical staff efficiencies and extend the length of stay. This is costly to hospitals since labor and space are the top two most expensive resources of a hospital’s budget.

But hospitals equipped with technology used for tracking and optimizing patient and equipment transport, as well as managing housekeeping duties that impact bed availability, have the opportunity to reduce a patient’s length of stay, improve the quality of care, reduce the average cost per procedure, increase bed utilization, and improve patient satisfaction. What could this look like for a medium sized hospital? How about a $34,500 savings for every 50 occupied beds? So, for a hospital that has a census of 150 transportable patients*, we are looking at $100,000 annual savings in clinical labor. Continue reading if you’re interested in why getting from Point A to Point B can be so expensive and how Patient Flow Technology helps that journey run much more smoothly (and cheaply).

Making Your Emergency Department Admissions Efficient & Predictable

In our first blog post we promised future entries, and we intend to follow through with this promise, beginning with this next post on Emergency Department admissions and patient placement.

Studies show that between 40 and 60 percent of hospital admissions come through the emergency department, with a similar percentage of hospital revenues being generated from those patients. Now, this is the Emergency Department we’re talking about, so it is easy to assume that these admissions are unscheduled and therefore unable to predict. In actuality, the level of ED admissions can be predicted, but many hospitals remain unequipped to process these admissions efficiently, resulting in interrupted patient flow right at the beginning.

We have compiled some issues that have been reported to us relating to ED admissions that cause frustration for both staff and patients.

• Although the ED has an electronic system to record the admission order, the admitting department only receives a text page, fax, paper printout, or phone call about the admission order. While the admitting staff knows where this patient should go it has limited information as to status and availability of beds resulting in multiple calls with one or more nursing units to update the bed information. That’s a three or four step process, between various departments, for the admission of a single patient.