Case Study: ED Split Flow

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CLIENT:

Inspira Health CASE STUDY

Mullica Hill, NJ

Testing variations of a newly designed process before implementation uncovers potential inefficiencies. Among the critical factors identified for rapid study was the need to right-size the building program to avoid constructing superfluous square footage. An optimized program was achieved by developing a patient flow that incorporates universal resources that could flex as demand fluctuates during the day.

CHALLENGE

EXECUTIVE SUMMARY

Explore different process designs to

When given the rare opportunity to design a greenfield hospital, our client knew right-

minimize the emergency department’s

sizing and process improvement was paramount. Their desire to improve applied to

waiting time and incorrect resource

the physical space and the processes performed within. Using process analysis and

utilization. Determine potential benefits of

design, we engaged a cross-functional team from the emergency department (ED) as

universal resources.

they explored the impact of multiple solutions. We began by observing current ED operations, exposing us to the process and revealing potential areas for improvement. Using process analysis, we worked with

SOLUTION

the team to map the current process. This mapping exercise allowed the team to

Process Design

impacted patient waiting times.

Using 15 months of patient data, Array

As the clinical team developed their desired future state, they began to realize how

built multiple variations of a discrete

different variables could affect waiting times for varied patient types. Many questions

event simulation model to show resource

surfaced, including the effects of providing dedicated pediatric care. Our Healthcare

utilization and waiting times for different

Systems Engineer developed a simulation model to test the impact of each potential

patient types. The simulation results

patient flow and demonstrate the effect of varying resource allocation strategies.

helped emergency department physicians,

Ultimately, the team chose a hybrid model that combined a specialized pediatric

see where reality deviated from expectations, and how their traditional triage model

who were concerned with the ability to

experience with universal flex beds. The new process includes quick triage to help

offer a specialized pediatric experience,

minimize patient waiting and improve the delivery of care.

see the benefits of operating under a universal model.

PROJECT HIGHLIGHTS

8

Patient Flow Variations Tested

15 mths Patient Data Driving Simulation Model

18%

Prototype team station developed


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Case Study: ED Split Flow by Array Advisors - Issuu