PROCESS REDESIGN

Richard Winters MD FACEPChairman, Dept of Emergency Medicine

Saint Agnes Medical Center Fresno CA

Emergency Department

Improving ED Patient Experience Through Expedited Door to Doctor Time

49 k

52 k 53 k 54 k

59 k61 k

66 k

'01 '02 '03 '04 '05 '06 '07

ED Annual Volume

Results were Immediate.

200

Left Without Being Seen

13%

Left Without Being Seen

1%

84

14

16

10

Pre Post

Bed to MD

Arrival to Bed

Minutes to Provider90

24

14

1

3

5

1

11

1

Pre Post

Patient Satisfaction

Security Incidents

26month

Security Incidents

16month

Home1 hour 20 minutes

Faster

Admits2 hoursFaster

Redesign Process

Golden Rules of Intake

QUESTIONS?

Richard Winters MD FACEP

Saint Agnes Medical Center Fresno CA