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Georgia Southern University

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Performance Improvement For Rural Hospitals: Front Line-Driven Change To Decrease Transfer Time From Ed To Inpatient Admission, Chasatie Whitley, Eddie Perez-Ruberte, Linda Kimsey, Bettye Apenteng Mar 2022

Performance Improvement For Rural Hospitals: Front Line-Driven Change To Decrease Transfer Time From Ed To Inpatient Admission, Chasatie Whitley, Eddie Perez-Ruberte, Linda Kimsey, Bettye Apenteng

Research & Practice Briefs

Highlights: A recent performance improvement project undertaken by a Georgia Critical Access Hospital (CAH) demonstrates the potential for use of Plan-Do-Study-Act (PDSA) techniques to improve operations in the area of patient transfers from Emergency Department (ED) to Inpatient Ward. Implemented process improvement, including visual tracking of inpatient hold in the ED and bedside handoff led to reductions in admission decision to ED departure time and delayed or omitted ED admission orders.

Background: The Georgia Southern Flex Team, funded by the Georgia State Office of Rural Health, assists the state’s CAHs in pursuing financial and operational excellence. Under an ongoing grant, …