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Rethinking Registration: Changing the Check-in Process for Emergency Departments

As EDs look for ways to improve efficiency, one possibility is to consider is the registration process. It’s an essential step in getting the patient into the workflow of the ED, yet in practice it can...

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A Balanced Approach to CMS Core Measures for Healthcare Providers

In 2013, CMS made reporting of certain emergency department statistics mandatory. In 2014 those reportable statistics were broadened. These ED core measures are reported as part of the Hospital Compare...

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Need To See More Outpatients and Reduce Wait Times but Can’t Build More Space?

Do these sound familiar? Patients must wait more than three weeks for an appointment for a non-urgent visit such as a yearly physical evaluation. There are no available appointments within 24 hours. If...

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There Are No Outliers in Healthcare Benchmarking … Only Real People

For emergency departments engaged in healthcare benchmarking, it might seem natural to focus on tracking median statistics for patient care — such as Time to Provider and Length of Stay for Discharged...

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Average Daily Census is a Myth

The old joke about how even a broken clock is right two times a day has a lesson for hospitals — and in particular, one of the time-honored metrics they use. The average daily census (ADC) is derived...

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Four Ways Emergency Physicians Can Improve Patient Flow

Emergency physicians can employ the following patient flow techniques to expand their capacity and evaluate more patients. USE OF SCRIBES Hospitals increasingly depend on physicians and nurses to...

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“We just moved in, it’s beautiful, but it doesn’t work!”

After every conference presentation we give, at least one clinical department director will approach us and proclaim,  “We just moved in, it’s beautiful, but it doesn’t work!” Common signs that a new...

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Three Ways ED Hallway Beds Make Your LOS Longer and Your Staff Less Productive

I’m on a campaign to remove hallway beds from emergency departments across the country. Perhaps this seems like an unorthodox idea, but three factors convinced me that hallway beds do not belong in the...

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What the Iphone Game “Diner Dash” Taught Me about Optimizing Emergency...

Like most people, within hours of purchasing my first Iphone, I discovered game apps. Since that time I have spent entirely too much time playing them. One game in particular, Diner Dash, has taught me...

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Was Your New ED Designed to Fit the Way You Work?

Maybe you have a new emergency department (ED) under construction, or work in a newly built ED. But what if it wasn’t designed in conjunction with your specific operational processes? Either way, you...

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