Avera Marshall Regional Medical Center Cuts ED Decision-to-Admit Time 27%

Avera Marshall (Minn.) Regional Medical Center reduced its emergency department decision-to-admit time by 12 minutes per patient by implementing a process to engage physicians and staff in improvement efforts,  according to a report in Robert Wood Johnson Foundation’s online library, “Promising Practices.”

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Avera Marshall Regional Medical Center has 25 beds; its ED has approximately 600 visits and 100 admissions per month. To improve care and efficiency, the hospital instituted a new kind of meeting — “quick hits” — to solicit improvement ideas from ED physicians. Leaders share these ideas during regular ED staff meetings to engage all staff and develop solutions.

Through this process, the hospital reduced its decision-to-admit time from 44 to 32 minutes, a reduction of approximately 27 percent. The “quick hits” process has also improved patient care, job satisfaction and productivity, according to the report.

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