Emergency Department Redesign

CHLA’s Emergency Department is a thirty-seven bed department who see about 80,000 visits a year. The high volume of visits and inefficient operational processes coupled with many other factors created a disorganized ED which began impacting the community and organization in areas such as long wait times and patients leaving without being seen. Rather than acutely increase operational costs and inhibit the daily functionality of the ED with a complete renovation, the ED team took a more innovative approach to the operational and capacity issues. During the environmental scan and workshops, the ED team identified challenges which were impacting the ED’s performance and created low-cost, high-impact solutions that could be implemented almost immediately. The patient process was completely transformed from triage to discharge. Even the admission process was redesigned. The main priority of the redesign was to get patients seen by a doctor quicker.

ED Update

CHLA Redesign Final

CHLA Current Final

30-Day Summary

Publication Date: 
2017
Hospital: 
Children's Hospital Los Angeles
Toolkit Category: 
Arrival
Bed Placement
Clinician Initial Evaluation
Disposition Decision
Exit from ED
Clinical Areas Affected: 
Ancillary Departments
Emergency Department
Fast Track
Inpatient Units
Registration
Respiratory Therapy
Triage
Staff Involved: 
Administrators
Ancillary Departments
Charge Nurses
Clerks
ED Staff
IT Staff
Nurses
Pharmacists
Physicians
Registration Staff
Social Workers/Case Managers
Technicians