A community medical center with a high acuity patient mix, high percentage of admitted patients and unprecedented growth was experiencing multiple bottlenecks and delays in their Emergency Department, ICUs, ORs, and Interventional Cardiac Services. Growth was outpacing expansion and bottlenecks impeding throughput at such a rate, the hospital was continuously on diversion. Leadership needed to understand what short term solutions were needed strategically and operationally to meet current demand and what expansion plans were appropriate long term.
Working with hospital leadership, department leaders, physicians, nursing, performance improvement, and support staff, Catalyst conducted clinical, operational and financial analysis, process mapping events and integrated simulations to understand current state, identify various pressure points, bottlenecks, discharge delays, and test possible solutions, including staffing levels, hours of operation, physician discharge and travel times, centralized scheduling, and perioperative operations for their impact on overall hospital performance.
Catalyst identified gaps and opportunities in hospital and internal/external physician protocols, admissions and discharge times, scheduling, travel distances, resource inefficiencies, and physician practice opportunities that would alleviate many of the delays they were experiencing short term. Simulation testing highlighted ways to free up bed capacity while a more aggressive system strategy and expansion was being pursued.