{"id":2578,"date":"2025-02-23T11:26:07","date_gmt":"2025-02-23T19:26:07","guid":{"rendered":"https:\/\/nursingncal.kaiserpermanente.org\/annual-report\/?p=2578"},"modified":"2025-03-05T14:09:52","modified_gmt":"2025-03-05T22:09:52","slug":"throughput-improvement-in-the-emergency-department","status":"publish","type":"post","link":"https:\/\/nursingncal.kaiserpermanente.org\/annual-report\/exemplary-professional-practice\/throughput-improvement-in-the-emergency-department\/","title":{"rendered":"Throughput improvement in the emergency department"},"content":{"rendered":"<div class=\"wpb-content-wrapper\">[vc_row][vc_column][vc_column_text]We are excited to announce the launch of the Low Acuity Throughput Improvement Project. This initiative aims to enhance the care experience for our patients aged 18-42, who frequently visit our emergency department (ED) with less severe issues (classified as Emergency Severity Index (ESI) 4 and 5). It was identified that compared to regional data our patients aged 18-42 with less severe issues experienced long wait times in our Vacaville Emergency Department.<\/p>\n<p>Abby Geiger, RN Staff Nurse III and co-chair of our Emergency Department Experience Committee proposed a solution to expedite care for these patients. Her innovative idea was to establish a dedicated evaluation chair, allowing low acuity patients to be seen promptly, even when all Rapid Care beds are occupied. A Rapid Care physician would then assess them and swiftly order necessary treatments.<\/p>\n<p>Abby collaborated with doctors, nurses, and administrators to create a new system, train the staff, and monitor the project&#8217;s progress. Weekly meetings were conducted to gather feedback and make necessary adjustments. Several nurses volunteered to help oversee the new process and ensure it achieved our objectives.<\/p>\n<p>For patients without additional tests like lab or radiology orders, our goal was to reduce their stay to less than 60 minutes. Before the project, only 20-25% of these patients were seen within this timeframe. Following the implementation of the new system, this improved to 43%.<\/p>\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_single_image image=&#8221;2873&#8243; css=&#8221;&#8221;][\/vc_column][\/vc_row]\n<\/div>","protected":false},"excerpt":{"rendered":"<p>We are excited to announce the launch of the Low Acuity Throughput Improvement Project. This initiative aims to enhance the care experience for our patients aged 18-42, who frequently visit our emergency department (ED) with less severe issues.<\/p>\n","protected":false},"author":1,"featured_media":2739,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"_custom_body_class":"","_custom_post_class":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[56],"tags":[],"ncal_area":[100],"site_only":[],"report_year":[58],"class_list":["post-2578","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-exemplary-professional-practice","ncal_area-vacaville","report_year-58","entry","has-media"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Throughput improvement in the emergency department - Kaiser Permanente Northern California 2024 Annual Nursing Report<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/nursingncal.kaiserpermanente.org\/annual-report\/exemplary-professional-practice\/throughput-improvement-in-the-emergency-department\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Throughput improvement in the emergency department - Kaiser Permanente Northern California 2024 Annual Nursing Report\" \/>\n<meta property=\"og:description\" content=\"We are excited to announce the launch of the Low Acuity Throughput Improvement Project. This initiative aims to enhance the care experience for our patients aged 18-42, who frequently visit our emergency department (ED) with less severe issues.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/nursingncal.kaiserpermanente.org\/annual-report\/exemplary-professional-practice\/throughput-improvement-in-the-emergency-department\/\" \/>\n<meta property=\"og:site_name\" content=\"Kaiser Permanente Northern California 2024 Annual Nursing Report\" \/>\n<meta property=\"article:published_time\" content=\"2025-02-23T19:26:07+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-03-05T22:09:52+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/nursingncal.kaiserpermanente.org\/annual-report\/wp-content\/uploads\/sites\/2\/2025\/02\/NursingArticle_Innovation.png\" \/>\n\t<meta property=\"og:image:width\" content=\"2400\" \/>\n\t<meta property=\"og:image:height\" content=\"1600\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"nursingncal\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"nursingncal\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/nursingncal.kaiserpermanente.org\/annual-report\/exemplary-professional-practice\/throughput-improvement-in-the-emergency-department\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/nursingncal.kaiserpermanente.org\/annual-report\/exemplary-professional-practice\/throughput-improvement-in-the-emergency-department\/\"},\"author\":{\"name\":\"nursingncal\",\"@id\":\"https:\/\/nursingncal.kaiserpermanente.org\/annual-report\/#\/schema\/person\/5d7b62e886a3568f5f65a241675b4b5f\"},\"headline\":\"Throughput improvement in the emergency department\",\"datePublished\":\"2025-02-23T19:26:07+00:00\",\"dateModified\":\"2025-03-05T22:09:52+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/nursingncal.kaiserpermanente.org\/annual-report\/exemplary-professional-practice\/throughput-improvement-in-the-emergency-department\/\"},\"wordCount\":256,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/nursingncal.kaiserpermanente.org\/annual-report\/#organization\"},\"image\":{\"@id\":\"https:\/\/nursingncal.kaiserpermanente.org\/annual-report\/exemplary-professional-practice\/throughput-improvement-in-the-emergency-department\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/nursingncal.kaiserpermanente.org\/annual-report\/wp-content\/uploads\/sites\/2\/2025\/02\/NursingArticle_Innovation.png\",\"articleSection\":[\"Exemplary Professional Practice\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/nursingncal.kaiserpermanente.org\/annual-report\/exemplary-professional-practice\/throughput-improvement-in-the-emergency-department\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/nursingncal.kaiserpermanente.org\/annual-report\/exemplary-professional-practice\/throughput-improvement-in-the-emergency-department\/\",\"url\":\"https:\/\/nursingncal.kaiserpermanente.org\/annual-report\/exemplary-professional-practice\/throughput-improvement-in-the-emergency-department\/\",\"name\":\"Throughput improvement in the emergency department - 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