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Slide 2 State of the Art in Emergency Care Marilyn Margolis, RN, MN, Director of Nursing Operations Slide 3 Slide 4 OUR WORLD Slide 5 STATISTICALLY SPEAKING 114, 000 million + 114, 000 million + 26% 26% 500, 000/year 500, 000/year 703 703 425 425 198,000 198,000 120, 000 120, 000 800,000 800,000 46 million + 46 million + # of ED visits/year # of ED visits/year Growth in ED visits Growth in ED visits Diverted EMS pt. Diverted EMS pt. Decrease in hospitals Decrease in hospitals Decrease in EDs Decrease in EDs Decrease in Beds Decrease in Beds Nursing shortage 2008 Nursing shortage 2008 Nursing shortage 2020 Nursing shortage 2020 Number of uninsured Number of uninsured Slide 6 YOUR WORLD Slide 7 Slide 8 Slide 9 OUR REALITY Slide 10 Our Problem Emergency Department Slide 11 Slide 12 Slide 13 Slide 14 Slide 15 THE FUTURE Slide 16 Penetrating Point Programs Lean technology for healthcare (Quality) eRescue EeMR, CPOE, Clin Doc, Physician Doc Data driven, evidenced based decisions Partnering with Ga Tech (WhooHoo) EBD Shared governess, Magnet, Quality Residency Programs TIME, Stroke Programs Patient and Family Centered Care Slide 17 LEAN Value-Adding/Non-Value Adding Value-added: Any activity that contributes directly to satisfying the need of a customer (what is the customer willing to pay for) Non-value added: the reverse of value added. Consumes time and money. Value added Non-value added Airline Travel Actually Flying Checking in Clinic Visit Patient seeing Provider Waiting time in lobby Slide 18 Slide 19 Slide 20 Slide 21 Slide 22 Slide 23 QUESTIONS ???? QUESTIONS ????