Leading Pediatric & Adult Regional Medical Center
Enterprise-Wide Hospital Operations Redesign
The Challenge
Regional Medical & Children's Hospital (the Hospital) experienced what they believed were challenges limited to the ED: low patient satisfaction, ambulance diversion, a lack of inpatient functional capacity, low reimbursement rates, and a large volume of patients with uncompensated care. The scope of systemic dysfunction, however, extended across the enterprise.
The Solution
Enhance Hospital-Wide Operations & Performance. Michael Hill, MD and Associates' team were engaged to perform a broad-scale, multi-year ED, inpatient, and perioperative hospital redesign with front-line staff. The engagement introduced innovative technology systems to increase hospital operations transparency and accountability across all service lines.
The Results
With the MHMDAA operational framework in place, hospital performance improved across the enterprise. Time from ED patient arrival to exam-by-physician was cut in half. Ambulance diversion was virtually eliminated and ED patients that left before treatment decreased by 94%, all while ED visits per month increased by 33%.
Hospital length-of-stay decreased by nearly a full day, increasing functional bed capacity by 40 beds. Perioperative room utilization increased by 28%. Patient experience scores rose from the 19th percentile to top quartile nationally.