Manual Advance Your Emergency Department: Leading in a New Era

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Skip Navigation. I Want To I Want to Find Research Faculty Enter the last name, specialty or keyword for your search below. Apply for Admission M. Sowers, a distinguished clinician, educator and academic health care leader, will become president of the Johns Hopkins Health System and executive vice president of Johns Hopkins Medicine as of Feb. JohnsHopkins Medicine also comprises several suburban health care and surgery centers; more than 40 outpatient primary health care sites; a full-service home care provider; managed care plans; and hospital management, consulting and clinical education services around the world.

Sowers earned his bachelor of science degree from Capital University School of Nursing and a master of science degree from Duke University School of Nursing.


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Align behaviors: There are certain behaviors and tactics that drive results in the correct direction. Expecting ED staff to change patterns or habits can be hard. Teams will not see the full results of these changes without ensuring each are hardwired have become habits. Align processes: Using the observed patterns and existing ED flow metrics vs. Splitting the flow of patients and processing them based on their assessed acuity level will ensure that every patient receives excellent care in as timely a manner as possible.

Key metrics may indicate prolonged door-to-provider intervals or longer-than-average lengths of stay. Analysis of staffing to match arrival patterns must be considered as well as the efficiency of key interdependent departments. Align goals: Setting goals for improvement might include reducing the overall percentage of patients leaving without being seen and also the return-on-investment resulting from captured revenue.

Leaders can then formulate specific action plans to focus their attention on the goals. Align behaviors: Our approach and communication to patients as they wait to be evaluated by a provider will directly and positively affect their willingness to wait and their overall satisfaction. Aligned processes: Implementing best practices for expedited triage and direct bedding can reduce the time interval of arrival to being seen by a provider.

Other process tactics to implement could include placing a provider in triage or use of a results pending model. Reducing left-without-being-seen LWOBS will improve patient safety and satisfaction, increase revenue, and reduce risk when patients leave without evaluation. The results of this approach are staggering.

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High-performing EDs have mastered efficient patient flow using foundational behavioral goals and behaviors. As EDs are the front door to most hospitals, our patients deserve an evidence-based approach to their clinical care that is based on a diagnostic workup.

Additionally, patient flow through the ED is also positively influenced by evidence-based processes that are part of a comprehensive treatment plan based on diagnosis. ED providers and staff make a difference every day in the lives of patients and families. By putting these steps into place, the life you save may someday be your own! American College of Emergency Physicians, May 4, As a Certified Emergency Nurse and a Nurse Executive — Board Certified, she maintains an expertise in emergency care and nursing administration recognized by professional organizations.

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Prior to joining Studer Group, Karen served in clinical staff roles for many years in both a Level-1 trauma center and community hospital settings. Her 10 years of direct leadership experience were at a Magnet hospital within a major hospital system in Rhode Island. During these leadership years, Karen coached staff to improve the patient experience, achieving patient satisfaction scores for nurse measures consistently in the 90th percentile or better.

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As an emergency department consultant, she held numerous emergency department leadership positions where she implemented measures to improve the patient experience, reduce numbers of patients leaving without being seen, and reduce door-to-provider intervals among other throughput measures. By Josh Kosowsky, M. While healthcare organizations are expanding the roles of APPs, patients' understandings of these roles has not evolved as quickly.

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As leaders, we can't afford to wait for public perception to catch up. It's up to us to manage patient expectations, and in turn the patient experience, by leveraging proven communication techniques. While the scope of practice for a nurse practitioner or physician assistant will vary depending on the ED, APPs play an increasingly significant role in emergency departments big and small, rural and urban, academic and community-based.

Because they often tend to see lower acuity patients, APPs have an outsized impact on the perceptions of patients who end up being discharged from the ED. How can APPs make patients feel confident they are in good hands? For a lot of patients, there is confusion and apprehension around the role of APPs within the ED care team. Who is here with you today? I've been a physician assistant - or PA -in this Emergency Department since I'll be the provider taking care of you today. If working alongside a medical doctor, either directly or indirectly, the PA would continue: "I'm working with a fabulous team, including Dr.

Meltzer, the attending physician on duty today.


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  5. However, many healthcare professionals are moved into leadership roles without the skills needed to succeed. The purpose of these training events is to develop new, current and future leaders in the organization. The curriculum aligns to the goals of the organization and focuses on the skills and knowledge leaders need to be successful in meeting such goals.

    What we typically find, however, is that front line leaders, those who may not hold traditional leadership titles such as manager or director , are often not included in these trainings. Charge nurses or department supervisors are prime examples. Do your front line leaders have basic knowledge regarding the external environment?

    What about strategies and techniques to effectively communicate with peers, staff and providers?

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    The Front Line Leadership Educational Boot Camps were designed to provide front line leaders training in four key areas: understanding the external environment, foundational leadership skills, how to coach performance, and how to conduct difficult conversations. Goodreads helps you keep track of books you want to read.

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    Want to Read saving…. Want to Read Currently Reading Read. Other editions. Enlarge cover. Error rating book. Refresh and try again. Open Preview See a Problem? Details if other :. Thanks for telling us about the problem. Return to Book Page. Get A Copy. Paperback , pages. Published November 1st by Fire Starter Publishing. More Details Other Editions 1. Friend Reviews.