Planning and designing accident and emergency

Definitions and declaration of policy a Definitions.

Planning and designing accident and emergency

Table of Contents

In response to the far-reaching requirements of the Affordable Care Act, cutthroat competition from a flood of new healthcare providers, and the demands of an increasingly discerning patient population, hospital systems are reformulating their emergency departments into more welcoming, more efficient environments.

Because the ED is often the gateway to admissions, healthcare systems are reimagining their emergency facilities with an eye toward strengthening relationships with individual patients and the communities they serve. This shift in perspective comes as demand for ED services across the U. Heightened emphasis on improving patient outcomes and quality of care.

Use of Lean concepts to optimize operational efficiencies. Super-flexibility for quick expansion. Deeper—much deeper—integration of technology. Greater outreach to the community. Enhanced preparation for catastrophic incidents.

Rise of the freestanding emergency center. Following is a summary of their insights. Under the Hospital Value-Based Purchasing Program, Medicare pays hospitals according to how well they perform on a set of clinical quality measures, such as readmission rates.

Hospitals with higher-than-expected readmissions have already been penalized millions of dollars by Medicare. At a new ED under construction at Yuma Ariz. Regional Medical Center, all but four of the 69 treatment rooms are private.

Hospitals want to increase the productivity of their ED operations so they can get more patients through the system as effectively and efficiently as possible, he says.

One route hospitals are taking to maximize efficiency and throughput in their ED operations is to use Lean principles and methodologies.

Planning and designing accident and emergency

A pediatric waiting room at the University Health System ED in San Antonio, Texas, provides a child-friendly environment for pediatric patients and their families. Charles Davis Smith, AIA A registered nurse and Lean black belt, Williams guides hospital EDs through the implementation of observation studies, data analysis, and operational modeling.

The data can help determine the ideal size and configuration of ED facilities for optimal performance. She points to a recent study that used simulation modeling to show that the planned ED facility was larger than necessary, and that a number of rooms could be eliminated, thereby saving initial construction costs and long-term maintenance costs.

The study also identified opportunities to improve front-end operations and patient flow through the creation of a split-flow rapid medical evaluation unit.

In split-flow triage, a medical team evaluates patients when they arrive and places higher-acuity patients in regular treatment rooms, while less serious conditions are treated in space-efficient, fast-track environments.

EDs need to expand and contract quickly to accommodate wide swings in patient volumes. They must be inherently flexible, especially when they have to take on unexpectedly high patient loads—after a major highway accident, for example.

A linear concept, by contrast, organizes treatment rooms into two parallel rows, with a staff work area in between. Rooms have a second entry point from a perimeter corridor for access by patients and visitors. The module allows for rapid assessment and treatment of patients and reserves emergent beds for more-acute patients.

This has led to the rise of universal, acuity-adaptable, same-handed treatment rooms. One exam room treats all. Technology continues to permeate the ED environment and enhance the patient experience—from registration to treatment and administration. As medical technology becomes more portable, it is more readily available bedside to support interventions that must be completed as quickly as possible to optimize outcomes.

Technology also facilitates a more pleasant patient experience through integration of high-definition TVs, WiFi-enabled tablets, and videoconferencing capabilities to comfort and distract patients and family members while waiting to receive emergency care.

The three-story, 75,sf Marion Emergency Care Center at Texas Health Harris Methodist Hospital, in Fort Worth, nearly tripled the space of the facility it replaced and increased patient capacity from 56 beds to Healthcare systems are countering with consumer-focused marketing, branding, and signage campaigns.

Hospitals are also working hard to reduce waiting times in their EDs—one of the greatest sources of patient dissatisfaction. Louis region, offers an online ED registration system for reserving a specific time at any of its seven hospitals.

Enhanced preparation for catastrophic events. When it comes to responding to catastrophic natural disasters, accidents with multiple casualties, acts of terrorism, and infectious disease outbreaks, emergency departments are on the front lines.

These events often require additional capacity to accommodate a sudden massive influx of patients; in the case of a biological or infectious disease event, they also demand resources and protocols for segregating affected patients from the general hospital population.

MyNorthridge Portal | California State University, Northridge

Separate portals or chambers at the entrance to screen—and possibly decontaminate—individuals before they access the facility. Installation of advanced air-delivery systems similar to those used in clean rooms at manufacturing facilities to precisely control the flow of air from outside and within the facility.

Use of surface-applied, self-decontaminating agents in treatment rooms. Placement of a colored strip along treatment room walls that would encompass high-touch items, such as light switches, electrical and medical gas outlets, and paper towel dispensers, so that they can be efficiently sanitized.Aug 15,  · Backgrounder on Chernobyl Nuclear Power Plant Accident Printable Version Chernobyl History (Video) On this page: Background; Health Effects from the Accident.

In capacity planning, first decide what quality of service is needed.

Location, location, location

For example, a core datacenter supports a higher level of concurrency and requires more consistent experience for users and consuming applications, which requires greater attention to redundancy and minimizing system and infrastructure bottlenecks. Journal of Management and Marketing Research The Case for rail, Page 1 The case for rail transportation of hazardous materials H.

Barry Spraggins. Listing of terms, words, phrases and concepts used in community planning, urban regeneration and environmental sustainability. Important Information PLEASE READ!; Homeroom Administrator Account information (form that was faxed to the NJDOE) only provides access to the Homeroom Administration System.

The Federal Emergency Management Agency (FEMA) is an agency of the United States Department of Homeland Security, initially created by Presidential Reorganization Plan No.

3 of and implemented by two Executive Orders on April 1, The agency's primary purpose is to coordinate the response to a disaster that has occurred in the .

Aircraft design process - Wikipedia