The results of the change package have impressed the hospital leadership, the stakeholders, and the community (see Table 1).
The “door-to-doc” times, which had been cut in half with the “Pull to Full” initiative, were reduced even further with the change package. These wait times are settling in at under 20 minutes, something that is hard to do without putting a physician in triage. The overall LOS has come down, particularly the LOS of the RTU, which is consistently well under the 90 minutes goal that was set. The left-without-being-seen rate is now averaging less than 0.5 percent, down from 1.41 percent. Further, the RTU is managing 18 percent of the volume, or 26 patients per day in five treatment spaces. While low acuity patients spent more than two hours in the lower level C Pod, they are now typically in and out in just over one hour.