Impact of a Planned Workflow Change: Super Track Improves Quality and Service for Low-Acuity Patients at an Inner-City Hospital.

Abstract:

:ED volume and acuity were anticipated to increase at an inner-city hospital. A strategy to mitigate the impact was needed. METHODS:A multidisciplinary team facilitated a workflow modification project implementing a Super Track to treat low-acuity patients. A literature review led to the creation of an evidence-based framework. Staff education regarding the change process and the results of an analysis in the strengths, weaknesses, opportunities, and threat format, along with simulation exercises and a pilot project, supported implementation of this strategy. RESULTS:Simulation exercises demonstrated that the proposed workflow with a Super Track had the potential to reduce the length of stay among level 4 and 5 patients coming to the emergency department. Implementing a Super Track reduced the patient arrival-to-provider time for low-acuity patients, but length of stay was not affected. After implementation, the number of patients who left without being seen decreased by 40%, and patient satisfaction increased by 36%. IMPLICATIONS FOR PRACTICE:A modified front-end workflow process produced a statistically significant, sustainable improvement in patient flow of low-acuity patients in our emergency department. Use of an evidence-based, multidisciplinary team approach supported the change process.

journal_name

J Emerg Nurs

authors

Bonalumi NM,Bhattacharya A,Edwards C,Fasnacht A,Mazzone L,Stephens K,Whiteman K,Swanson-Bierman B

doi

10.1016/j.jen.2016.03.029

subject

Has Abstract

pub_date

2017-03-01 00:00:00

pages

114-125

issue

2

eissn

0099-1767

issn

1527-2966

pii

S0099-1767(16)30011-3

journal_volume

43

pub_type

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