Lenox Hill Hospital Case Study

Improved Essays
Emergency departments provide twenty-four hour care for life threatening, chronic and acute conditions. However, the increase utilization of emergency departments lead to overcrowding and an increase in the number of individuals that leave without being seen (LWBS) by a physician. “According to a Center for Disease Control and Prevention report on ED use in the United States in 2000, at least 1.8 million patients left emergency departments without being seen” (Johnson et al., 2009). This is a patient safety concern due the miss opportunity to catch possible life threatening conditions. The evidence reveals that a large number of these individuals are disproportionately patients with lower acuity for the visit, young, low income, uninsured, …show more content…
Data collected from January 2014 to October 2014 show average of 9% of patients left without being seen by a physician, and the door-to-provider time at 93 minutes. Add LOS data The aim of this paper is to provide a recommendation for a new triage process for the fast track patients that would affect the frequency and occurrence of patients who leave without being seen at Lenox Hill hospital emergency room. This is a concern for the department because the emergency department accounts for half of the admission to the hospital, and high volume of patients LWBS cause a loss of revenues for the hospital.
The emergency room at Lenox Hill
…show more content…
It promulgates a system that delivers a teachable, auditable method of assigning clinical priority in emergency settings (Aacharya et al., 2013). Currently, the emergency room at Lenox Hill uses the Level 5 emergency severity index to categorize patients. The patients are assessed by the registered nurse and then given an ESI level. Patients with an ESI level of 1,2,3 (3 can go either way) are higher acuity patients and are taken to the acute side of the ED, while 4 and 5 are lower acuity or less urgent are triaged and then taken to the fast track area where they wait to be seen by a doctor. Frequently, these patients would have to wait for 3 hours or more before the doctor could see

Related Documents

  • Improved Essays

    The authors suggested that a large portion of HF patients who were admitted could be avoided as the patients commonly suffer from congestion and require diuresis; yet they are often admitted due to an unclear plan of care at discharge. The authors also cited that HF patients who were admitted had a high rate of post-discharge events and complications within 60 to 90 days at 20% - 30%, and patients discharged from the ED had even higher rates, but there were no indication that hospitalization would decrease such events or complications from…

    • 1011 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    According to the previously mentioned study done by the Deloitte Center for Health Solutions, 65% of doctors believe there will be a reduction in the quality of care given to patients. With more patients in the system, (approximately and 30 million new patients ) there will be an immense amount of work and pressure on medical staffs around the country. Because of this influx of patients, a few things will happen to make healthcare worse. One of these things is that doctors will have less time to spend with each patient. For example, after CHIP (Children’s Health Insurance Program) the probability of spending less than 10 minutes with a doctor increased.…

    • 797 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    According to the Agency for Healthcare Research and Quality (2013), approximately 900,000 cases of falls are reported every year from hospitals around the country. Some of these fall are with serious life threatening injuries. Unfortunately, the hospital is responsible to take on all these extra charges that frankly could have been prevented if all the strategies were in place. As healthcare providers, more can be done to keep patients safe. Implementing the fall prevention strategies is guarantee to decrease fall by 70% by the first…

    • 944 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    The most concrete manifestation is waiting times for treatment is too long and medical equipment is too old. For example, according to statistics from in Siciliani and Michael (2013) report from OCED, in 2011, only 70% British patient can meet doctors or nurses in the day or the next day, 19% British patient need to wait longer than two months when make an appointment with specialist physicians. Also, as Siddique argues, patients who waiting for hospitalize to reach the top number compare to past years in 2015. About 34 million patients are queuing up to hospitalize. NHS legal longest waiting period is 18 weeks.…

    • 1405 Words
    • 6 Pages
    Superior Essays
  • Superior Essays

    Pros Of Vaccines

    • 1203 Words
    • 5 Pages

    Immunization coverage for pertussis has fell down 60 percent in just five years after 1974. The drop in vaccination resulted in an epidemic involving “more than 13,000 cases and 41 deaths” (“Vaccination Programs”). Even in these highly developed countries, outbreaks of disease were inevitable when people had stopped vaccinating themselves. Many diseases are highly contagious or very easily caught, such as measles. There is a 90 percent chance that a person left unvaccinated would catch the measles if it were apparent in their environment (“Vaccination Programs”).…

    • 1203 Words
    • 5 Pages
    Superior Essays
  • Improved Essays

    This paper will analyze complications caused by hospital-acquired conditions (HAC), objectives for this problem, and the government’s role in the solution. What is the Problem? HAC is a problem because of the economic, physical, and psychological issues resulting from it. Records of 1999 estimated 98,000 people dying from unanticipated complications in American hospitals with another million injured (Landrigan et al., 2010). These figures may be an extreme underestimation with the Journal of Public Safety estimating 440,000 deaths per year since the initial data collection began in 1999 (Binder, 2013).…

    • 919 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    Additionally, amid a similar era, staffing from the genuine rationally sick had diminished by 31%. The medication and liquor medicines which are a standout amongst the most essential for those veterans looking for help with PTSD had fallen by 54%. The quantity of more established veterans looking for some type of psychological wellness treatment has ascended lately because of the Iraq and Afghan wars being appeared on TV which has set off their anxiety (Barton A1). Specialists still cannot concur on what number of Vietnam veterans that have submitted suicide. The Center for Disease Control appraises the suicides among veteran 's ranges from 9,000 to 100,000.…

    • 2288 Words
    • 10 Pages
    Great Essays
  • Improved Essays

    Nurse Staffing Ratios

    • 1176 Words
    • 5 Pages

    Every year, JCAHO publishes national patient safety goals such as decreasing falls, preventing medication errors and infections, etc. Core Measures have also been instituted by JCAHO in an effort to provide the best evidence based practices to patients who are admitted to the hospital with specific illnesses such as heart failure or pneumonia. Hospitals are no longer getting reimbursed from Medicare for adverse patient outcomes sustained in the hospital setting such as the development of pressure ulcers or core measure fallouts. Medicare is also not paying hospitals if patients with certain diseases are being re-admitted within 30 days of their previous discharge. These restrictions are costing hospitals billions of dollars a…

    • 1176 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    However, according to Treseder, recently there is a gridlock at Capitol Hill, as they have passed fewer laws in favor of veterans since record keeping began. Another weakness in policy development regarding veterans is the systemic weakness. In the article, It’s Not Just the VA: Systemic Weaknesses Plague Government Agencies Across the Board, Jones discussed how in April 2014, 40 veterans died waiting for appointments at the Pheonix Veterans Affairs Health Care System. Jones attributed this to outdated information systems, lack of workplace force, and the benefits taking the form of entitlements, ultimately reducing the discretion that policy makers can exercise when adjusting benefits to accommodate emerging needs and changing costs…

    • 704 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Hospital Readmissions

    • 1017 Words
    • 4 Pages

    CHF and Hospital Readmissions Congestive heart failure is a growing chronic condition in the United States that accounts for approximately 11 million physician office visits and 875,000 hospitalizations (Heart Failure Statistics). Further complicating the issue, 25% of these patients are readmitted within 30 days of discharge and at least 50% are readmitted within six months (Cost considerations in the treatment of heart failure). The intensity of the disease process poses a financial strain on both the patient and the payers, especially Medicare, as 3.6 million of these patients are 60 years or older and therefore a Medicare beneficiary. Consequently, in order to gain control over this chronic disease and its cost burden, the government…

    • 1017 Words
    • 4 Pages
    Improved Essays