Medicine

Reengineering Inpatient Flow for Improved Quality, Safety and Throughput


Greater Baltimore Medical Center, Towson, Maryland (Phase III)

  • Savings of approximately $2million in avoided capital expenditures by opening needed medical beds rather than building telemetry beds
  • Savings of more than $1million per year in staffing costs

CentraState Healthcare System, Freehold, NJ (Phase III)

  • Telemetry beds required decreased from 54 to 42 while providing adequate clinically appropriate access
  • Inappropriate telemetry admissions decreased from 18% to 1%
  • Average waiting times for incoming patients (i.e. ED boarding) decreased from 18.2 hours to about 9 hours
  • Telemetry length of stay decreased 31% from 4.4 days to just under 3 days
  • Delays in discharging patients out of telemetry decreased from 8.3 hours to 3.5 hours on average
  • Patient satisfaction increased from 56% to 73%

Ocean Medical Center, Brick, NJ (Phase III)

      

  • Telemetry ALOS decreased by 6%
  • Patient waiting time (i.e., average ED boarding time) decreased 56%
  • $1.07 million cost reduction

Newark Beth Israel Medical Center, Newark, NJ (Phase III)

  • Eliminated 26 telemetry beds, resulting in a savings of over $18 million per annum while reducing cost of care and improving quality of care
  • Decreased ALOS of telemetry patients by one full day leading to fewer hospital-acquired infections

Overlook Medical Center, Summit, NJ (Phase III)

      

  • ED boarding time for ICU admissions decreased by 21%
  • ICU ALOS decreased by over 14% from 3.5 to 3 days
  • 40% reduction in mortality
  • Waiting time of discharge- and transfer-ready patients in the ICU decreased by 34% and 84% respectively