st. francis health center emergency dept. 2 emergency department 24 hour ed -22 bed capacity ...

St. Francis Health Center

Emergency Dept

2

Emergency Department

24 hour ED

-22 bed capacity

Occupational Medicine/Fast Track-8 bed capacity-Occupational Hours: 7:00am-5:00pm-Fast track hours: 9:00am-11:00pm

Staff mix of RN and tech

Contract ED physician group

3

Patient population

Adults

Pediatrics

Emergent to Nonemergent, includes but not limited to trauma, cardiac, stroke, abdominal pain

2009 Statistics

45,662 patient visits

5,749 were admitted (12%)

970 left without being seen (2%)

4

February 2010

Patient visits- 3,225

Admits- 461(14%)

Discharges- 2,737

LWBS- 27

5

Strengths

Strong community ties

100 years

All Morning Star physicians are resident trained/board certified in Emergency medicine

Strong relationship with AMR

Accredited Chest Pain Center

Working on Stroke Certification

Physicians/nursing staff, highly skilled, dedicated

6

Weaknesses

Proximity to Stormont Vail, Level II trauma center

Physician alignment with SFHC

Small in size compared to SV

Sharing space with Occupational Health

Functional but dated

SV recently built brand new ED

7

Opportunities for Growth No Wait ED

Physicians in triage

Pediatric ED

Streamline admission process

Trauma certification

Occupational Medicine

Cardiac-chest pain accreditation

Increase patient visits and admissions

8

Key physicians

St. Francis Family Medicine

Tallgrass

Holton Hospital

St. Mary’s Hospital

Mercy Regional

Erwin Army

Sabetha, Hiawatha, Nemaha Valley,

Express Care

Sunflower Prompt, Express Care, Minor Meds, MedAssists

9

Referring physician’s Concerns

Lack of feedback from ED physicians

Lack of full service line 24/7 coverage

Multiple call locations

Lack of trauma certification

Customer service

-long waits for patients

-poor communication

-process not streamlined

10

Action plan

Meet with physicians

Evaluate needs

Develop plan

Implement plan

11

Roadblocks

Physician in triage

Renovation of ED

Occupational Medicine in ED

Limited physician referral

Trauma certification

12

Metrics

LOS

Admits

Discharges

LWBS

Bed availability

Age population

13

Business Development Team

Chest Pain Accredited

Board Certified ED physicians 24/7

Stroke program

14

Thank You