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