Change the Work Environment
Decrease and Smooth Variation
General Tools
IHI Conference Presentation
Improve the Workflow
Match Capacity and Demand
Measurement and Feedback
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Change the Work Environment
A job description for a bed manager; developed by William Beaumont Hospital (Troy, Michigan, USA)
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A job description for a Supervisor of Bed Operations; developed by William Beaumont Hospital (Troy, Michigan, USA)
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Trigger Point Guidelines assist with efficient bed control; developed by Scottsdale Healthcare (Scottsdale, Arizona, USA)
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A worksheet used to facilitate sharing of information during AM Bed Huddles; developed by Owensboro Mercy Health System (Owensboro, Kentucky, USA)
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Decrease and Smooth Variation
Established criteria to help emergency department (ED) staff determine which patients are appropriate to send through the ED Fast Track — that is, patients with less serious conditions who can be treated more quickly and then released.
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A set of guidelines for prioritizing bed assignments for patient admissions; developed by Baptist Memorial Hospital – Memphis (Memphis, Tennessee, USA)
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General Tools
A glossary of common patient flow and general improvement terms; developed by the Institute for Healthcare Improvement (Cambridge, Massachusetts, USA)
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IHI Conference Presentation
Bon Secours Venice Hospital (Venice, Florida, USA) used this PowerPoint presentation at the Institute for Healthcare Improvement's IMPACT Learning Session to explain changes they made to improve flow within their organization.
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Improve the Workflow
This tool details the policy used to ensure the appropriate utilization and resources of the intensive care unit and staff, including specific admission, transfer, and discharge criteria; developed by Peace Health–St. Joseph Hospital (Bellingham, Washington, USA).
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This tool details the policy used to provide standardized care for critically ill patients admitted to the critical care unit, including specific admission criteria; developed by Virginia Mason Medical Center (Seattle, Washington, USA).
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This tool documents the responsibilities of and services provided in the adult intensive care unit, including specific admission and discharge criteria based on the Milliman Guidelines; developed by Wheaton Franciscan Healthcare–St. Joseph Hospital (Milwaukee, Wisconsin, USA).
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This tool describes specific admission, transfer, and discharge criteria to ensure the appropriate utilization of beds in the adult intensive care unit; developed by St. Joseph Hospital (Orange, California, USA).
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This tool provides an example of specific admission and discharge criteria for the accurate identification of patients requiring critical care services; developed by OSF St. Francis Medical Center (Peoria, Illinois, USA).
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A form used to transfer information about patients to receiving units; developed by OSF Saint Anthony Medical Center (Rockford, Illinois, USA)
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Match Capacity and Demand
The Queueing ToolPak (QTP) is a Microsoft Excel add-in that performs basic calculations for waiting line analysis.
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The Surgical Admissions Case Demand Mapping Tool helps identify capacity and demand trends and helps in planning for needed beds for elective surgical admissions; developed by the Institute for Healthcare Improvement (Boston, Massachusetts, USA)
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This tool helps identify patterns in the time of day of arrivals and admissions to the emergency department; developed by Luther Midelfort – Mayo Health System (Eau Claire, Wisconsin, USA)
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Measurement and Feedback
An Excel form used to track the time it takes to transfer a patient from the ICU to the next level of care, the type of bed assigned, and a reason code if the transfer time is greater than two hours; developed by Scottsdale Healthcare (Scottsdale, Arizona, USA)
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