Case Study

Improving Emergency Department Throughput and Labor Expenses

March 2, 2022


A hospital emergency department (ED) within a recognized Magnet™ center of nursing excellence had exhibited longer than-desired lengths of stay (LOS) and a higher-than-desired worked hours per patient visit (wHPPV) rate. The ED had 28,000 annual visits with growing volumes.

Approach and Solution

A department performance improvement team was formed alongside BRG professionals as part of a systemwide initiative to right-size the organization for optimum quality care at the most efficient cost and to focus on improving both LOS and staffing practices.

Key initiatives included:

  • Implementation of real-time performance analytics tools for leaders to use in making informed decisions
  • Implementation of a streamlined arrival-to-provider process with documentation standardization across the system
  • Implementation of changes to permanent staffing plans based on patient historical arrival patterns and LOS metrics
  • Staff education and subsequent implementation of real-time staffing-to-demand tools

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Paul Osborne

Managing Director