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Category Archives: Patient Flow

Hallway Boarding: An Unnecessary Ethical Dilemma Faced by Hospitals

Hallway BoardingHallway Boarding’ is a quaint euphemism for parking sick people in hallways until their room is ready.

It used to be done in Emergency Departments when no in-patient beds were available. Now some facilities are “admitting” ED patients to the hallways of inpatient units.

In pain, under stress, wearing gowns open at the rear with a port-a-potty for a bathroom, these patients are the victims of turf wars caused by hospital overcrowding.

The hospitals say they want to relieve pressure in the ED so patients needing urgent care can be treated. But they also admit they want to bring the overcrowding problem to inpatient units. They reason that the patient’s presence forces nurses and others to perform more timely discharges, bed turnovers and admissions.

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Categories: Overcrowding, Patient Flow

Critical Care Nurses: Transfer Center ‘Point Guards’

Hoop DreamsIn honor of March Madness!

NURSES:  Point Guards in the Fight Against Hospital Diversions

There’s no question that automated hospital Transfer Centers are saving lives. What is often overlooked is the amount of revenue they generate, and the important role nurses are playing in evolving the Transfer Center.

Critical care nurses are the “point guards” in the most successful Transfer Centers around the country. In fact, a key “Best Practice” for implementing a successful transfer center operationcalls for critical care nurses to man the Transfer Center on a 24/7 basis because they are so adept at making fast, smart decisions regarding patient care.

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Categories: Author: Dennis Morabito, Bed Management, Patient Flow, Transfer / Referral Center

Hospital Fiscal Responsibility in Mission Statements: Does It Belong?

HealthLeaders MagazineA Sample of Hospital Mission Statements –Does Fiscal Responsibility Belong?


As a follow up to our No Margin, No Mission post, I thought I’d explore
 hospital mission statements to investigate how they balance margin and mission. I expected (and found) most led with a commitment to providing excellent physical, emotional and spiritual care, but was surprised to identify that many go on to make mention of “responsible use of resources” in some way.  Certainly, mission and margin are top of mind in many hospitals across the country.

Consider these interesting examples:

… mission is to provide quality health services for the community …  consistent with the best service we can give at the highest value for all concerned.

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Categories: Author: Michael Gallup, No Margin, No Mission, Overcrowding, Patient Flow