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St. Francis Health Center Emergency Dept

St. Francis Health Center Emergency Dept. Emergency Department. 24 hour ED -22 bed capacity Occupational Medicine/Fast Track -8 bed capacity -Occupational Hours: 7:00am-5:00pm -Fast track hours: 9:00am-11:00pm Staff mix of RN and tech Contract ED physician group. Patient population.

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St. Francis Health Center Emergency Dept

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  1. St. Francis Health CenterEmergency Dept

  2. Emergency Department • 24 hour ED -22 bed capacity • Occupational Medicine/Fast Track -8 bed capacity -Occupational Hours: 7:00am-5:00pm -Fast track hours: 9:00am-11:00pm • Staff mix of RN and tech • Contract ED physician group

  3. Patient population • Adults • Pediatrics • Emergent to Nonemergent, includes but not limited to trauma, cardiac, stroke, abdominal pain 2009 Statistics • 45,662 patient visits • 5,749 were admitted (12%) • 970 left without being seen (2%)

  4. February 2010 • Patient visits- 3,225 • Admits- 461(14%) • Discharges- 2,737 • LWBS- 27

  5. Strengths • Strong community ties • 100 years • All Morning Star physicians are resident trained/board certified in Emergency medicine • Strong relationship with AMR • Accredited Chest Pain Center • Working on Stroke Certification • Physicians/nursing staff, highly skilled, dedicated

  6. Weaknesses • Proximity to Stormont Vail, Level II trauma center • Physician alignment with SFHC • Small in size compared to SV • Sharing space with Occupational Health • Functional but dated • SV recently built brand new ED

  7. Opportunities for Growth • No Wait ED • Physicians in triage • Pediatric ED • Streamline admission process • Trauma certification • Occupational Medicine • Cardiac-chest pain accreditation • Increase patient visits and admissions

  8. Key physicians • St. Francis Family Medicine • Tallgrass • Holton Hospital • St. Mary’s Hospital • Mercy Regional • Erwin Army • Sabetha, Hiawatha, Nemaha Valley, • Express Care • Sunflower Prompt, Express Care, Minor Meds, MedAssists

  9. Referring physician’s Concerns • Lack of feedback from ED physicians • Lack of full service line 24/7 coverage • Multiple call locations • Lack of trauma certification • Customer service -long waits for patients -poor communication -process not streamlined

  10. Action plan • Meet with physicians • Evaluate needs • Develop plan • Implement plan

  11. Roadblocks • Physician in triage • Renovation of ED • Occupational Medicine in ED • Limited physician referral • Trauma certification

  12. Metrics • LOS • Admits • Discharges • LWBS • Bed availability • Age population

  13. Business Development Team • Chest Pain Accredited • Board Certified ED physicians 24/7 • Stroke program

  14. Thank You

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