|
Is my overcrowded ED caused by crowding in the rest of the hospital, leading to "boarders" who are held in the ED until a bed opens up in an inpatient unit? What if admission processing time was reduced by one hour? By 2 hours?
Are my physicians underutilized because there aren't enough beds? Would adding one bed decrease patient time-in-system and increase physician utilization? What about two beds?
What's my expected loss in revenue if we have to divert patients because of overcrowding? What would I have to change to reduce/ eliminate diversion? Lab or X-ray turnaround time? Physician scheduling? Specialist on- call response times?
If I have the physician perform the initial triage, I may reduce the metric of "time to see a doctor", but what is the effect of total patient time-in- system? Shorter? Longer? Would I have to increase the number of scheduled physicians? What about the metric "time to assessment?"
|