Reduced Unit Closure and Inpatient Diversion


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	Emergency Services Inpatient Services Reduced Unit Closure and Inpatient Diversion Rapid Bed Identification Reduced Length of Stay Ancillary Performance Aligned with Inpatient Needs Nursing Supervisor as Director of Patient Flow Perioperative Services What We Know Works		Reduced Unit Closure and Inpatient Diversion Increase functional bed capacity—with no additional resources or physical plant. Measure performance in real-time, and use these key steps that dictate bed availability, thereby maximizing capacity. The result: no "hidden" beds, a transparency of available beds throughout the hospital, consistency in unit closure procedures, and faster patient throughput. Take a hospital-wide approach to bed availability Units close only with authorization of nursing supervisor Closed units are reassessed regularly until re-opened Allow internal unit closure without creating external diversion Regular evaluation of all patients in specialized beds Unit manager monitors discharges Nursing supervisor approves all inter-facility transfers "It's easy to, over time, become more accepting of systems that aren't working. It's when you ultimately decide this is not acceptable, sending ambulances and diversions off so that you've become unavailable to the care that people are really expecting from you...when you reach those points, you have to acknowledge that changes can be and should be made. If you step back, if you acknowledge there are places that are doing it well, you look for advice from others and you take that advice, you can make a big difference." Michael W., President & COO