SHM Converge Scientific Abstract ePoster Gallery-Reducing Length of Stay and Enhancing Discharge Efficiency Using a Double Emergency Department Admitter Model at a Tertiary Care Hospital.

Reducing Length of Stay and Enhancing Discharge Efficiency Using a Double Emergency Department Admitter Model at a Tertiary Care Hospital.

Back to course

Pdf Summary

This poster describes a quality-improvement intervention at INTEGRIS Health Baptist Medical Center in Oklahoma City: the introduction of a Double Emergency Department Admitter (DEDA) model. In this workflow, two hospitalist physicians were dedicated to ED admissions during peak hours so that rounding hospitalists could focus more on inpatient care and discharges.<br /><br />The study used a retrospective before-and-after analysis to assess the effect of the DEDA model on hospitalist and ED throughput metrics. Hospitalist outcomes included length of stay (LOS), observed-to-expected LOS ratio, geometric mean LOS (GMLOS), percentage of discharges by noon, and monthly discharge volume. ED outcomes included the percentage of admitted patients remaining in the ED longer than 120 and 280 minutes after an admit order, time from admission decision to ED departure, and total ED LOS for admitted patients. SPSS was used for descriptive statistics, with p < 0.05 considered significant.<br /><br />Results showed improved hospitalist performance after implementation. LOS decreased from 6.7 to 6.2 days, LOS O/E improved from 1.57 to 1.47, GMLOS decreased slightly from 4.29 to 4.19 days, discharges by noon rose from 13.5% to 15.2%, and monthly discharges increased from 1,287 to 1,493. ED metrics also improved, including fewer patients boarding in the ED, a shorter time from admission decision to ED departure, and reduced total ED LOS for admitted patients.<br /><br />Overall, the poster concludes that a dedicated admitting team during peak ED hours can improve inpatient efficiency, reduce ED boarding, and enhance patient flow and resource utilization in a high-volume tertiary care setting.

Asset Subtitle

Ahmed Ali Aziz

Meta Tag

Author List Ahmed Ali Aziz, Chelsey Gilbertson, FNU Rabel, Jonathan Schmitz, Kimberly Williams, Mobolaji Olulade, Tina Malone

Category Innovations

Concept Medical Poster Template

Concept Double Emergency Department Admitter Model

Concept Poster Format

Concept Conference Requirement

Concept Image Quality

Distinguished Finalist

Presenter Organization INTEGRIS Health Baptist Medical Center, Oklahoma City, Oklahoma & Oklahoma State University College of Osteopathic Medicine, Stillwater, Oklahoma

Presenting Author Ahmed Ali Aziz

Track Quality Improvement

Keywords

quality improvement

Double Emergency Department Admitter

DEDA model

hospitalist workflow

emergency department throughput

ED boarding

length of stay

patient flow

admission efficiency

inpatient care

Medical Poster Template

Double Emergency Department Admitter Model

Poster Format

Conference Requirement

Image Quality