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Emerging Content

Patient Flow

Because content in this area is still being developed, it is posted in "document" form — and these documents will be updated as the innovation work progresses.

 

Hospitals are increasingly challenged to reduce waits and delays in moving patients into and out of inpatient beds. Thus far, most attempts to improve patient flow have focused on the emergency department (ED). However, flow is a property of the entire system and can only be optimized at the system level.

 

IHI is currently working with organizations in the Learning and Innovation Community on Improving Flow Through Acute Care Settings. The work of this Community focuses on increasing patient throughput and minimizing delays while ensuring that high performance in flow is not achieved at the expense of quality. Participating organizations are implementing strategies targeted at increasing throughput/bed turns, optimizing the use of existing capacity, decreasing delays, and reducing length of stay.

 

As IHI learns more with organizations participating in this Communities, we will post the newest thinking about improving flow through acute care settings to this Emerging Content section. The ideas in this section are promising but are still being tested and refined.

Measures
Changes
Tools
Other


Measures

Hospital flow can be measured at five levels: patient and community; hospital throughput; hospital activity; hospital performance; and unit performance.


Changes

This DRAFT change package offers some promising changes for improving flow through the acute care setting.


Over the past several months, hospitals in IHI's Flow Collaborative have implemented several changes in surgical scheduling. One particular change — smoothing the demand for elective surgery — has yielded results that are so significant that we want to bring them to your immediate attention.


Tools

The Hospital Flow Diagnostic describes a method for measuring hospital throughput and hospital activity based on bed turns.


Other

These slides, presented at a June 2004 meeting of faculty and teams involved in the IHI Improving Flow Through Acute Care Settings Innovation Community, include some very early thinking about a hospital flow diagnostic tool which may lead to accelerated learning about flow.



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Operational and Clinical Improvement in the Emergency Department

 

Organizations participating in IHI's Learning and Innovation Community on Operational and Clinical Improvement in the Emergency Department are focused on improving operations, service, and clinical outcomes in the emergency department.

 

 

Learn more about Emerging Content from this Community