Cath Lab Re-Engineering Service | Hospital Workflow Optimization

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Reduction in waiting times for placement in an inpatient bed for elective Cath Lab patients thereby reducing overall hospital LOS
Increase in percentage of patients placed in the preferred unit based on their condition
Improving access to telemetry beds
Additional increases in Cath Lab procedure throughput
Additional decreases in Cath Lab overtime
Reduction in refusals of transfers requiring Cath Lab access
Improvements in inpatient quality of care and patient safety
Greater patient and provider satisfaction

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Time	Segment	Presenter	Key Focus / Talking Points
0:00–0:05	Welcome & Strategic Framing	Julia Krol	ED overcrowding, nurse burnout, surgical bottlenecks are symptoms, not causes Artificial variability in elective admissions drives peaks Surgery = hospital financial blood flow
0:05–0:12	IHO Patient Flow Methodology	Eugene Litvak	Level elective admissions to stabilize census Align staffing & beds Visual: before/after flow chart Closing: “If solution exists, why not implement?”
0:12–0:22	Surgeon Perspective	Shaf Keshavjee	Limited timely OR access Forced overtime Post-op patients in non-preferred units Reduced cancellations & improved surgical case volume Cultural resistance explained
0:22–0:32	ED Perspective	Peter Viccellio	Boarding is a system failure Impact on mortality & LWBS How smoothing elective admissions relieves ED pressure Misconception: “ED must absorb variability”
0:32–0:42	Nurse Perspective	Linda Laskowski Jones	Staffing ratios distorted by peaks Burnout & moral distress Reduced turnover with stable flow Staffing models fail due to artificial peaks in census
0:42–1:00	Live Q&A	Julia Krol	First question pre-prepared: “If you were CEO today, what is the first step?” Audience questions (C-suite & frontline)

Cath Lab Re-Engineering