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BED MANAGEMENT A look into the Responder NET Solution

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Title: BED MANAGEMENT A look into the Responder NET Solution


1
BED MANAGEMENTA look into the Responder NET
Solution
2
Why the need for an efficient bed management
system?
  • Decrease in bed availability
  • Hospital beds down 18 since 1985 according to
    AHA1
  • Hospitals working at or over capacity
  • Average hospital occupancy rate is at 64, its
    highest since 19932
  • Some hospitals working at or over 100 capacity
    on busy days
  • American Hospital Association. Survey released
    April 9th, 2002
  • Kaiser Network After Years of Reducing
    Available Beds, Hospitals Struggle to Deal with
    Surprising Increase in Patients.
    http//www.kaisernetwork.org/daily_reports/rep_ind
    ex.cfm?hint3DR_ID10311 Mar 28, 2002

3
Why the need for an efficient bed management
system?
  • Staffing shortage
  • Hospital vacancy rates for RNs and radiology
    techs each exceed 10 according to AHA survey
  • Cause delays in admitting and discharging
    patients- slows bed turnover time
  • Leads to bottlenecks in patient flow in the ED

1. American Hospital Association. Promises
Under Pressure Strengthening the Workforce
April, 2002
4
Why the need for an efficient bed management
system?
  • Emergency Department Crisis
  • EDs are the primary gateways of Hospital revenue.
  • One third of U.S. EDs are so overcrowded they are
    having to periodically divert ambulances to other
    hospitals, diverting revenue.
  • 62 of hospitals surveyed said their EDs were
    operating at or over capacity
  • Beds are available, however inefficient
    processes/staffing shortage keeps patients in the
    waiting room
  • Kaiser Network One Third of Hospitals Divert
    Ambulances Because of ER Overcrowding.
    http//www.kaisernetwork.org/daily_reports/rep_ind
    ex.cfm?hint3DR_ID10521 April 9th, 2002
  • The Camden Group Hospital Emergency Departments
    in Crisis Aggressive Planning is Needed
    http//www.thecamdengroup.com/Pdf/Winter202003.pd
    f Winter 2003

5
Why the need for an efficient bed management
system?
  • Preventing a negative perception
  • Patients who are turned away are less likely to
    come back
  • Doctors who have patients turned away are less
    likely to send patients to that hospital
  • The results are lost market share and lost revenue

6
How do many hospitals manage their beds today?
  • The current options are all inadequate
  • Manual option
  • Time consuming- slow relay of information leaves
    beds open or uncleaned while patients pile up in
    the ED or admitting
  • Nurses do not actively seek to fill beds
  • Visual system
  • Maintenance issues
  • Limited to one area
  • Does not contact anyone directly
  • Telephone Tracking System
  • Low compliance due to complexity of system
  • The fact that it is being considered is an
    indication of the great need for a solution in
    this area.

7
What is theNET EFFECT?
8
Next Essential Tool
9
Responder NETsBed Management Solution
  • Automates the bed management process
  • Removes one more burden from nursing
  • Quick and easy-to-use
  • Instant notification- anytime, anywhere
  • Real-time information available on any networked
    PC
  • Could prevent ambulances from being diverted.
  • Prevent negative perception

10
Responder NETsBed Management Solution
  • Increases bed revenue
  • CEOs are looking for ways to increase patient
    throughput
  • Increasing throughput is increasing the number of
    admits at a hospital
  • The means of achieving this is through making
    processes in the hospital more efficient
  • The example of Southwest Airlines

11
Responder NETsBed Management Solution
  • Monitor and Remedy Bed Control Problems
  • Report Analysis Capability
  • Analyze speed of bed turnover over time
  • Identify problem areas
  • Where is the bottleneck?
  • Transport? Housekeeping?

12
Improvements to the Housekeeping/ Room Ready
Application
  • No longer need a dummy console!
  • Both priorities are momentary switches
  • Does not show up on the RIV system
  • No repeated pocket paging (OT)
  • Housekeeping Managers PC displays all rooms in
    need of cleaning
  • Real-time information displayed on any networked
    PC

13
ED ApplicationChristiana HospitalNewark, DE
  • SCENARIO Expanding to 75 total treatment rooms.
    Four Triage desks with each area requiring the
    knowledge of room status. Currently use Expediter
    (10 yrs. Old)

14
ED ApplicationChristiana HospitalNewark, DE
  • ISSUES
  • Maintenance nightmare (bulbs, wires)
  • Visual system does not notify staff directly
  • Only available in one area
  • One of the most active EDs in USA.
  • NEED
  • An automated, networked bed control system

15
ED ApplicationChristiana HospitalNewark, DE
  • THE SOLUTION CURRENTLY BEING IMPLEMENTED
  • Housekeeping instantly notified of rooms in need
    of cleaning
  • Faster turnover results in increased throughput.
  • NET solution enables seamless operation of 4
    triage desks over LAN.
  • Each desk knows what the other is doing and which
    beds are still available.
  • Enables immediate assignment of patient to bed
    without double-booking

16
In conclusion
  • Increased throughput equals increased revenue
  • Driving efficiency through automating processes
  • Instant notification anytime, anywhere
  • Increased throughput also decreases diversion
  • Ease of Use
  • No long codes to remember
  • Simple buttons pushed by transport and
    housekeeping- not nurses
  • Differentiation
  • No other nurse call system offers a solution to
    this growing problem!
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