At MU Health Care, our emergency department (ED) is maxed out and we are in the middle of an expansion project. We must streamline care and transitions within the ED to minimize patients leaving without being seen and deliver better outcomes.
Therefore, in collaboration with Cerner’s Emergency Medicine group, Tiger Institute developed the National Emergency Department Overcrowding Score (NEDOCS) component for display on the ED Real Time Dashboard.
The NEDOCS algorithm provides an overcrowding score based on factors in the ED, including number of waiting patients, free beds in the institution, and ED patients on ventilators — among others.
We can solve overcrowding and improve patient experience by sending alerts to providers and hospital administration when the ED patient volume begins to surge. The surge plan is designed to provide methods for floor and ED staff to mitigate the factor(s) contributing to department overcrowding, and to get patients seen and moved to the appropriate level of care more quickly.
Hospital administrators, floor personnel, and ED staff proactively implement the part of the surge plan which fits their area — all with the goal of decreasing the load on the ED. By managing surges well, we predict better outcomes and improved patient satisfaction scores.
The development work done at Tiger Institute is available to the broader Cerner ED Dashboard client base. The NEDOCS component and alerting system now provide value to more than 15 health systems.
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