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Slide Presentation from the AHRQ 2007 Annual Conference

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Flowchart of Door to Doc Care Process..

  • Quick Registration
  • Quick Look (ESI)
  • Split Patient Flow
  • Intake area for Less acute patients
  • Joint medical screening
  • Patient moves to testing and treatment
  • Informed discharge
  • IP care for admitted patients


Along the way, We visited several other facilities and learned about a design that split the patients into "sick" and "not so sick" groups.
With our less sick patients, we decided to keep them moving through the system to make room for more patients...this is our "bed ahead" concept. In our sicker area, we designated space for patients who were waiting for testing or needed longer treatments. By this continuous movement of patients we were able to continue seeing patients regardless of our volume...or so we thought. When admitted patients were not moved to the inpatient areas, we felt the pain of being unable to bring more patients in so we designed space for this group of patients and decided best practice would dictate nurses who are best trained to care for them would be assigned to the inpatients.

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