Post on 18-Jan-2016
Berlin Medical CenterEmergency Department
Fast Track Expansion Plan
7/2014
Fast Track Expansion Plan
Jessica Berlin RNEmergency Department Director
Berlin Medical Center
jberlin@bmc.org4201 Medical Drive
Ponte Vedra, FL 32082
Chartered in 2014 by the state of Florida, Berlin Medical Center (BMC) is a corporation specializing in acute care to the Ponte Vedra community
BMC is a 169-bed acute care facility, not for profit community hospital, with 21 private bays for emergency treatment
Our Organization
The mission of Berlin Medical Center’s fast track area is to promote a dynamic environment which values research, flexibility, willingness and teamwork in order to promote optimal holistic health for our patients and community.
Mission for Fast Track
The fast track area will consist of ten beds, staffed by either two nurses or one nurse and one emergency department tech.
The patients here will primarily be of lower acuity.◦ ailments typically treated in an outpatient setting
Fast Track Definition
Currently in our emergency department (ED), we treat an average of 80 patients per 12 hour shift. Adding a fast track area will:
Improve throughput times Decrease elopement rates from waiting
room Add to daily revenue by increasing the
amount of patients seen
Goals & Objectives of a Fast Track area in the Emergency Department
Current Situation:
Our current nurse to patient ratio in our 21 bed ED is 5:1◦ This includes patients with acuity levels anywhere from 1
(most critical) to 5 (least critical) While nurses are focused on caring for more critical
patients, those with lower acuity are forced to wait
With fast track area:
A single nurse's assignment would now involve caring for only those patients with acuity levels of 4 or 5
Improving Berlin Medical Center’s Emergency Department
Caring only for lower acuity patients, allows the nurse to focus on treating and discharging patients in the quickest amount of time
New ratio ◦ 4:1 on the critical side◦ 5:1 on the fast track side
with the addition of 10 new fast track bays
Improving BMC ED Continued
Our marketing strategy will focus on drawing customers to our emergency department as a whole by advertising shorter wait and throughput times
It would be too controversial to advertise specifically for low acuity ailments, deterring from the primary purpose of an ED (to treat life threatening ailments)
Market Strategy
Customers and clients will be identified as members, friends and visitors of the Ponte Vedra and Jacksonville community
Ad campaign, including radio commercials and billboards, will focus on common ailments like trips and falls and back pain in the 18-55 age demographic, therefore providing a more efficient approach to care
Market Strategy
Our plans for generating publicity will include
◦ Segments on local news and radio programs
◦ Tweeting via our twitter account, @BMCEmergency
◦ Links to our webpage through our Facebook account
Market Strategy
Budget
◦ Website: $5,000◦ Billboard (4) rental x1 month: $10,000◦ TV/Radio: $1,000◦ Twitter/Facebook: Free
Total: $16,000
Market Strategy
Labor for 2 nurses (4.2 FTE): $200,000 Chairs and bedside tables: $15,000 Monitors: $35,000 Computers: $10,000 Stretchers: $50,000 Gases and Construction: $352, 000
◦ $220.00/sq feet
Operating Expenses
Management Team
Board of Trustees
President
Chief Financial Officer (CFO)
Billing Purchasing
Chief Nursing Officer (CNO)
ED Director
ED Nurse Manager
ED Nurses
Chief Professional Services Officer
Marketing
Public Relations
Nursing◦ Average rate of $25.00/hour per nurse◦ Average rate of $16.00/hour per ED tech◦ 12 hours per day, 7 days a week◦ 1 registered nurse and 1 ED tech
$170,000.00◦ 2 registered nurses
$200,000.00
Labor Costs
Includes left without being seen (LWBS) patients and addition of 3 patients/day/year in growth
Statement of Operations for Fast Track
Year 1 Year 3 Year 5
Anticipated Revenue* $432,000 $464,400 $496,800
Operating Costs $462,000 $200,000 $200,000
Marketing Expenses $16,000 $13,500 $11,000
Carryover Losses --- $48,000 ---
Operating Income $48,000 $202,900 $285,000
We at the Berlin Medical Center Emergency Department sincerely thank you for your time and consideration for expansion of our ED to include a fast track area.
Not only will this improve throughput, it will also alleviate nurse fatigue, improve staff retention, and eventually generate revenue for our facility.
Thank You