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Agenda

The Perfecting Emergency Department Operations seminar will be held June 11–12, 2018, in Boston, Massachusetts at the Hotel Commonwealth​. All events will take place in the Fenway Ballroom, located on the second ​floor of the hotel.

​​Download​ the full pro​gram agenda​​.

Day One · Monday, June 11, 2018

Time

Topic

7:00 AM – 8:00 AM

Registration and Continental Breakfast

8:00 AM – 8:05 AM

Welcome and Introduction to IHI
Beth Harris, CMP, Senior Event Manager, Institute for Healthcare Improvement 

8:05 AM – 8:50 AM

 

The objectives and agenda for the seminar will be reviewed and the case will be made for focusing on ED O​perations.

Historically, waits and dissatisfaction have been considered an expected aspect of emergency department care. However, quality and staff and patient satisfaction suffer when patients do not flow efficiently and reliably through the ED.

This session will introduce the necessary ingredients for designing a highly reliable ED: IHI’s Model for Improvement, Lean and other foundational improvement strategies, queuing and flow principles, the theory of constraints, demand/capacity alignment, and analytics.

After this session, participants will be able to:
  • Understand the objectives of the seminar
  • Articulate the case for improving patient flow in the ED
  • Gain exposure to improvement methodologies
  • Realize the importance of data and analytics in driving ED improvement
​8:50 AM – 10:30 AMSimulation Exercise #1 and Debrief: ED Operations
Chuck Noon, PhD, Department Head, University of Tennessee Department of Business Analytics, Principal, x32 Healthcare

This session will employ an interactive simulation to baseline the performance of an ED.

After this session, participants will be able to:
  • Understand the technical inputs that ultimately define ED flow
  • Observe the effects of system variation on patient flow
10:30 AM – 10:40 AM

Break

10:40 AM –12:00 PM

Overview of Key Strategies and Concepts for Improving ED Operations
Chuck Noon, PhD

This session will provide a deeper dive into the science of flow and how decisions related to room capacity, staffing, segmentation, and process-design all play a significant role in ED performance.

After this session, participants will be able to:

  • Understand the immutable physics that govern flow and the practical countermeasures for making flow happen
  • Understand the connection between prevailing ED best practices and the underlying physics
12:00 PM –    12:45 PM

Lunch

12:45 P– 2:00 PM

 

 

An Interactive Case Study/Lecture: Front End: Kaiser Permanente South Sacramento: Door to Doc
Karen Murrell, MD, MBA, APIC, Process Improvement, ED & Hospital Operations, Kaiser Permanente Medical Center

This session will describe the improvement journey of Kaiser South Sacramento. The focus will be on the key interventions made and the results achieved. Attendees will be presented with the case and then have the opportunity to problem solve amongst themselves before hearing how Kaiser actually solved it.

After this session, participants will be able to:

  • Describe the execution strategies used at Kaiser South Sacramento to achieve results
  •  
    Identify a few ideas that could be tried in your ED
2:00 P–3:15 PM 

An Interactive Case Study/Lecture: Optimizing ED Flow: ED Throughput: Mary Washington Hospital
Jody Crane, MD, MBA

This session outlines and defines key challenges, opportunities, and leadership within the emergency department and the way successful principles can be designed into the ED. Attendees will be presented with the case and then have the opportunity to problem solve amongst themselves before hearing how Mary Washington actually responded.

  • After this session, participants will be able to:
    Describe the strategies used at  Mary Washington Hospital to achieve results
  • Identify a few ideas that could be tried in your ED
​3:15 PM – 3:30 PMBreak
​​3:30 PM – 4:15 PM Operational Strategies in Behavioral Health 

Karen Murrell, MD, MBA

This session will discuss how deploying an operations management approach applied to the special needs of the psychiatric patient, training staff to "see through the patient’s eyes", linking to community resources, and tracking improvements can enhance overall flow and improve the patient and ED staff experience.

After this session, participants will be able to:

  • Describe the real challenges of serving behavioral health patients and discuss countermeasures
  • Identify the opportunities to improve the flow of and service to behavioral health patients
4:15 PM –5:15 PM

Preparing for Simulation Exercise #2
Chuck Noon, PhD

5:15 PM 

Day 1 Adjourn

​5:15 PM –  6:15 PM​Networking Reception
Fenway Terrace

Day Two · Tuesday, June 12, 2018

Time

Topic

7:15 AM – 8:00 AM

Continental Breakfast

8:00 AM – 8:05 AM

Welcome Back and Introduction to Day 2
Jody Crane, MD, MBA
Karen Murrell, MD, MBA

Today’s agenda will be reviewed. Faculty will respond to burning questions from Day 1.

​8:05 ​AM – 9:05 AMSimulation Exercise #2: ED Operations

Chuck Noon, PhD​

This session will allow participants to practice what they’ve learned. Attendees will work in groups to make process and capacity decisions and then test them in the simulated environment.

  • After this session, participants will be able to:
    Understand the relative impacts of certain decisions on overall flow
  • Gain practice in identifying symptoms of hindered flow and targeting root causes 

9:05 AM –10:05 AM

An Interactive Case-Study/Lecture: Operational Strategies for Back End Flow
KP Case Study Part 2
Karen Murrell, MD, MBA

Attendees will be presented with the case and then have the opportunity to problem solve amongst themselves before hearing how KP actually responded.

After this session, participants will be able to:

  • Describe strategies used at Kaiser South Sacramento to decrease inpatient boarding and create ownership of patients
  • Consider best practices identified to reduce inpatient boarding
  • Identify a ideas that could be tried in any emergency department 
10:05 AM – 10:15 AM

Break                       

10:15 AM 11:15 AM

 

Operational Strategies for Observation Patients
Jody Crane, MD, MBA

Just as segmenting flow in emergency departments has transformed the patient experience, Observation Units and Clinical Decision Units are transforming inpatient flow, streamlining care and improving quality. This session will highlight the critical elements of successful observation strategies and explain the important role they play in hospital-wide flow.

After this session, participants will be able to:

  • Describe the elements of successful observation strategies
  • Identify opportunities to improve patient flow in your hospital through the use of Observation Units and Clinical Decisions Units

11:15​ AM 12:00 PM

Case Study: Jupiter Medical Center and the Critical Role of Nursing and C-Suite Leadership in the ED
Steve Seeley, Vice President, Chief Operating Officer, and Chief Nursing Officer, Jupiter Medical Center

Optimizing ED performance requires a strong partnership between physicians, nurses, and administrators, as they are highly interdependent. This session will highlight a case study of improvement at Jupiter Medical Center emphasizing collaboration between disciplines for throughput improvements. Hospital leadership and ED nursing leadership best practices will also be highlighted. 

After this session, participants will be able to: 

  • Describe strategies physicians, nurses and administrators can effectively implement to improve outcomes
  • Identify barriers and solutions to increase collaboration across the disciplines that impact throughout

12:00 PM 
12:45 PM

Lunch
and learn the results of the simulation! 

12:45 PM –   2:15 PM

​Execution for Improvement: Leading Change
Jody Crane, MD, MBA

Organizations can have good ideas and the will to make changes but fail in their improvement efforts due to the lack of skilled execution. Important components of leading change and executing projects will be discussed.

After this session, participants will be able to:

  • Share some thoughts on disciplines that can assist in execution
  • Use the portfolio of disciplines to make improvements in your ED
  • Identify at least three new tests of change to bring back to your ED.
​2:15 PM –   3:00 PM

Questions and Answers
All Faculty

Attendees are encouraged to challenge the faculty with the most difficult questions they can imagine. Participants who can, "stump" our experts with an unanswerable question will receive a special prize.

This is your last chance to pick the brains of our expert faculty! Learn from others in the room, and absorb the improvement knowledge buzzing around the room.

After this session, participants will be able to:

  • Gain learning to improve flow in your ED
  • Create sustaining contacts
​3:00 PMSeminar Adjourn





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