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MHA Keystone: Emergency Room (ER)
Problem
According to The Henry J. Kaiser Family
Foundation, 461 of every 1,000 Michigan residents visited an
ER
in 2010, roughly 11 percent above the national average. Hospitals in
Michigan and across the country are also experiencing
overcrowding and longer patient stays due to
health care professional shortages,
an aging population, and an increase in uninsured and underinsured
residents.
What
We Are Doing
MHA Keystone:
ER
implements evidence-based interventions that ensure the most critically
ill patients in the emergency department receive treatment first and
reduces the likelihood that a patient will leave before being seen.
Nearly 20 MHA Keystone:
ER
teams
piloted a catheter-associated urinary tract infection insertion
bundle in April in conjunction with MHA
Keystone:
Hospital-associated Infection. The
bundle focuses on the appropriate insertion of catheters and will be
implemented by all MHA Keystone:
ER
teams this fall.
Also, emergency department and ICU teams continue to collaborate on a
joint septic shock initiative, known as MHA
Keystone: Sepsis.
Results
Hospitals participating in MHA
Keystone:
ER
achieved an 18.5 percent decline in the rate of patients who left
without being seen from May 2010 to March 2012.
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