Below is an infographic shared by the MHA program at the George Washington University Milken Institute School of Public Health.
There’s some interesting data there… my comments:
The data on ED wait times shows only two data points (2003 and 2009). I’d like to see more data to draw a more valid conclusion about trends. It’s unclear what the “wait” start and stop times are (since the average length of stay in the E.D. is usually a few hours). Billboards that advertise “average wait times” for the E.D. are also unclear… wait time until triage? Wait time until seeing a doctor?
Of course the average wait time in an E.D. “with boarding” is going to be longer, since boarding (keeping an admitted patient in the E.D.) is a sign of poor end-to-end patient flow (caused by not having inpatient beds available, through no fault of the E.D.)
Where it says “solutions,” I’d argue that “reduce E.D. boarding” is a goal. The exact solution or solutions would take a lot of root cause analysis, problem solving, and implementation of ideas.
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What issues do you see in your hospital related to E.D. overcrowding. What are you doing about it?
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