Emergency Nursing 2024 Conference
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Nick Chmielewski presented alongside Alison Harmon, MSN, RN, CEN, director of Nursing for the Department of Emergency Medicine and Transport Services and director of Nursing for the Crisis Stabilization Unit at the University of Iowa Hospitals & Clinics (UIHC).
They presented their project “Better Teamwork, Better Care: LWBS Improvement at University of Iowa” as part of the PI Mash Up Session on September 6.
Visit Emergency Nursing 2024 or reach out to Dr. Chmielewski at nchmielewski@thinkbrg.com for more information.
Ms. Harmon also recently joined Dr. Chmielewski in an episode of BRG’s Nurse Executive Podcast:
They discuss a recent collaborative performance improvement project that yielded nearly $3 million in additional revenue by reducing emergency department left-without-being-seen (LWBS) rates.
As part of their presentation, Ms. Harmon and Dr. Chmielewski will discuss their recent engagement on “Streamlining AMC ED Care: Improved Flow, Fewer Walkouts.”
UIHC is an 811-bed public teaching hospital and level 1 trauma center. UIHC found that in 2022, its main campus emergency department (ED) had 3,892 patients (7.55 percent) leave without being seen (LWBS), representing more than $5 million in lost revenue. Nearly 10 percent of these LWBS ED patients were deemed high priority, defined as a level 2 patient according to the Emergency Severity Index triage tool.
In response to this and other system throughput challenges, UIHC launched a large, coordinated effort to improve patient throughput and resource allocation. UIHC engaged BRG to develop a change management framework to help measure and improve performance.
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