Maximally Efficient And Optimally Effective Emergency Department

by Rade Vukmir

Overview

The Emergency Department (ED) drives the efficiency of the remainder of a hospital's service, perhaps more than any other hospital care unit except the operating room. In this book, Dr. Vukmir defines both the qualitative and quantitative aspects of Emergency Department (ED) practice. Vukmir outlines the efficacy of "best circumstance" operation, the effectiveness or "real world" performance, and the efficiency or work product based on resources utilized. Through the benchmarking process, he attempts to "objectify" the care provided by physicians, midlevels, nurses, and ancillary care providers. The more subtle aspects of ED operations and its interface with other hospital departments are also reviewed. This text is subdivided operationally into distinct, yet still integrated, working units such as patient intake, registration, testing, and data processing, as well as the admission, consultation, and discharge processes. Potential solutions are offered to common issues of ED staffing, operational, performance improvement, and risk management.

Product Details

ISBN-13:	9780761847014
Publisher:	The Rowman & Littlefield Publishing Group Inc
Publication date:	12/01/2009
Pages:	128
Product dimensions:	5.90(w) x 9.00(h) x 0.60(d)

About the Author

Rade B. Vukmir, M.D., J.D., is president of Critical Care Medicine Associates, a medical administrative consulting enterprise. He is trained in emergency medicine and critical care medicine, and has a legal degree with a specialization in health law. This company has been a medical consulting enterprise for eighteen years providing a wide variety of medical administrative activity, education, medicolegal, and business consultation services. Dr. Vukmir has written forty-one medical journal articles and is the author of six books, including The Mill (University Press of America, 1999); Lessons Learned (University Press of America, 2003); The ER: A Year in the Life (Hamilton Books, 2005); and The ER: One Good Thing a Day (Hamilton Books, 2008).

Table of Contents

Chapter 1 Preface Chapter 2 1. Introduction Chapter 3 2. Patient Intake Process Chapter 4 3. Registration Process Chapter 5 4. Patient Demographics Chapter 6 5. Patient Processing-Lab and X-ray Chapter 7 6. Emergency Medicine Workforces Chapter 8 7. Physician Efficiency Chapter 9 8. Mid-level (PA/NP) Provider Efficiency Chapter 10 9. Nursing Efficiency Chapter 11 10. Ancillary Care Providers - Paramedics, Technicians, Unit Secretaries Chapter 12 11. Data Processing Chapter 13 12. Physical Plant: Space and Efficiency Chapter 14 13. The Admission Process Chapter 15 14. The Consultation Process Chapter 16 15. The Discharge Process Chapter 17 16. Academic/Teaching Institutions Chapter 18 17. Risk Management Chapter 19 18. Emergency Department Efficiency Analysis Chapter 20 19. Administration Chapter 21 20. Conclusion Chapter 22 About the Author