Reducing Length of Stay at the Wilford Hall Medical Center Emergency Department Using Computer Simulation
Abstract
A computer simulation was used to study the effects of various improvement initiatives on length of stay (LOS) at the Wilford Hall Medical Center (WHMC) Emergency Department (ED). The WHMC ED recently moved into a promising new facility. The new facility is three times the size of the old structure; it has more treatment areas, a collocated Minor Care Clinic (MCC), and in-house ancillary capabilities. All of these represent vast improvement over the old operation. However, there are inefficiencies associated with operating in the new environment. This study analyzed various local and national initiatives and their potential impact WHMC ED average LOS. Specifically, it examines the following initiatives: reduce consult response times, reduce x-rays by implementing the Ottowa knee and ankle rules, reduce lab tests ordered, reduce admission delays, and order ancillary tests more timely. The outcome of the study is promising; all initiatives reduced LOS, indicating improved efficiency and enhanced patient care.
Document Details
- Document Type
- Technical Report
- Publication Date
- Apr 01, 1999
- Accession Number
- ADA421173
Entities
People
- Steven P. Van De Walle