Waiting time management
This business planning guide is designed to assist community clinics and health centers (CCHCs) and clinic consortia as they consider developing networks to share specialty services. The guide walks the reader through the relevant planning questions and assists in evaluating and implementing each step. At the guide’s core is a series of examples, worksheets, checklists, and sample documents that provide practical information to support the planning process. It is designed to be of use both...
This guide, for hospital administrators and emergency department leaders, provides step-by-step instructions for planning and implementing patient flow improvement strategies to ease emergency department crowding.
The information and resources are organized into the following sections:
- The need to address emergency department crowding
- Forming a patient flow team
- Measuring emergency department performance
- Identifying strategies
The Emergency Severity Index (ESI) is a simple to use, five-level triage instrument that categorizes emergency department (ED) patients by evaluating both patient acuity and resources. The algorithm provides clinically relevant stratification of patients into five groups from 1 (most urgent) to 5 (least urgent). ED educators, clinicians, and managers can use this practical guide to develop and conduct an ESI educational program, implement the algorithm, and design an ongoing quality...
The Hospital Overcrowding Web site includes resources on overcrowding, including the “full capacity protocol,” which guides the movement of patients when the hospital is full, addressing high hospital census in a distributive and safe fashion. This information may be helpful in changing the culture that surrounds the issues related to hospital overcrowding.
- Overcrowding PowerPoint presentation—contains information on length of stay, nurse–...
The Queueing ToolPak (QTP) is a Microsoft Excel add-in that performs basic calculations for waiting line analysis. The functions allow integration of queueing performance measures into spreadsheet models without the limitations imposed by templates with fixed input and output areas that are commonly used for analysis of waiting lines.
Door to Doc is a patient flow redesign process that improves the safety of care for patients in the emergency department (ED) by reducing the time patients wait to be seen and by expediting admission to the most appropriate hospital unit.
The method for implementing the Door-to-Doc process flow in diverse emergency departments was based on a change model that recognizes the need for robust technical solutions along with acceptance of the change by those affected. It involved two...
This 24-page report outlines recommendations for a manageable number of performance measures that States can use to assure the quality of integrated care in their contracts with special needs plans, which offer significant new opportunities to integrate Medicaid and Medicare coverage for beneficiaries who are dually eligible.
This report addresses the following topics:
- Overview of performance measurement for integrated care programs
- Center for Health Care Strategies...
This report provides the basis for governments to accelerate their timetable for the adoption of wait-time for health services benchmarks, the setting of targets, and the implementation of strategies to meet the targets. It addresses the following:
- Defining wait-time benchmarks
- When does the clock start ticking
- “First principles” to guide development of wait-time benchmarks
- The Waiting Time Alliance’s (WTA’s) proposed wait-time benchmarks...