The scope of this project was to understand and map the current state of the processes in the emergency department at Thibodeaux Regional Medical Center(TRMC); Check and Validate the data that we were receiving in the daily files from hospital by doing physical data collection and run statistical tests; identify root causes for bottlenecks and delays in patient’s stay and provide recommendations to improve throughput.
Our contract at TRMC started in November 2016 and PEMM leadership decided to conduct the evaluation similar to what we had done at St. Tammany Parish Hospital and present our findings with recommendations to the hospital management.
This case study was performed in the emergency department at Thibodeaux Regional Medical Center in Thibodeaux, Louisiana from March’17 to May’17. At the time of this study, ED was seeing on average 120 pat/day and Median LOS around 160 minutes. ED had 23 beds in total but only 16 on main side were available for 24 hours and other 7 on treat side for 12 hours (10a -10p). The principles of this study were established in line with lean thinking and a proven continuous improvement six sigma methodology called PDCA. We followed the same structure for this project and started our analysis by interviewing medical staff and observe how patients are moved through ED. The we created various value stream maps to calculate value added and nonvalue added activities. At the end of our analysis, we categorized the bottlenecks with recommendations into different groups as shown below and presented it to the hospital management to take further action.
With our constant involvement in ED and with help of our VPO and Providers team, we were able to achieve following results:
Our goal at Emergency Care Partners (ECP) is to improve patient experience and satisfaction by optimizing Emergency Department (ED) throughput, highlighting areas of opportunities that yield the biggest improvements, and assist in change management and implementation. If you would like to learn more about our approach with data or if you would like to discuss how we can help your emergency department, contact our team of experts.