Case Studies

The ºÚÁÏÕýÄÜÁ¿ Association produces case studies on its member organizations across a wide range of health-care topics.

The Problem The average ED length of stay was 413 minutes (6 hours, 53 minutes). Fourteen percent of ED patients left before being seen, 40 percent of these had waited more than four hours. The hospital was losing about $7 million in revenue annually as a result. The Solution
The Problem Severe sepsis is one of the most significant challenges in critical care. Although Stony Brook's sepsis mortality rate of 26.7 percent was below the national average, reducing these deaths became a priority to enhance critical care. Additionally, Margaret Parker, MD, SBUMC's…
As a result of care coordination activities with Medicare patients, the opportunity to improve patient understanding and involvement in their health care and the realization that many of these patients needed additional support and information concerning medication management, led the organization…
At any one time, more than 100 patients are in this busy and complex ED. Historically, staff actively tracked patients with manual entry of a patient's location into a computer system. Keeping track of such a high number of patients in real time was clearly a challenge given the ongoing…
The Problem Pneumonia accounts for 15 percent of all hospital-associated infections. It is the second most common hospital-associated infection after urinary tract infections. The primary risk factor for the development of hospital-associated bacterial pneumonia is mechanical ventilation. Fatality…
The Problem Advocate Christ Medical Center's space in the admittance bay area and resource usage was unable to meet the increase in demand. An average GI patient experienced 70 minutes of total wait time, with 19 minutes of this wait time occurring in the procedure room. Only 24 percent of GI…
The Problem Wait times in the hospital's inpatient rehabilitation center were unacceptable; some patients were refusing physical and occupational therapy as a result. Patient satisfaction scores reflected the frustration patients felt. The Solution Using Lean methodology, St. John's…