title: From a project to transformation: how "going against the flow" led to improved access and patient flow in an academic hospital.
abstract: A results-driven approach to optimizing patient flow, grounded on quality improvement, change management and organizational learning principles, is described. Tactics included collaborative governance, performance management, rapid process improvements and implementation toolkits. Results included an 83.1% decrease in emergent volumes waiting for greater than 24 hours and a 49.1% improvement in emergency department length of stay for admitted patients. There were no adverse outcomes on other key indicators. Sustainability remains the challenge but early results are encouraging.
authors.affiliation: Corporate Patient Flow Performance.
authors.forename: L Miin
authors.initials: LM
authors.lastname: Alikhan
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Howard
authors.forename: Richard
authors.initials: R
authors.lastname: Bowry
mesh_terms: D000046:Academic Medical Centers / Q000458:organization & administration*; D017598:Efficiency, Organizational; D004636:Emergency Service, Hospital / Q000458:organization & administration / Q000592:standards; D006297:Health Services Accessibility; D006801:Humans; D009864:Ontario; D019982:Organizational Case Studies; D010360:Patient Transfer / Q000592:standards*; D011785:Quality Assurance, Health Care