SPH AMBULANCE VISITS by CTAS
0
1000
2000
3000
4000
5000
6000
7000
CTAS 1 CTAS 2 CTAS 3 CTAS 4 CTAS 5 OTHERS
2002
2003
2004-5 Total Volume
2002 11894
2003 12788
2004-5 14749
SPH INPATIENT ADMITS BY CTAS
0
500
1000
1500
2000
2500
3000
3500
4000
4500
CTAS 1 CTAS 2 CTAS 3 CTAS 4 CTAS 5 OTHER
2002
2003
2004-5 Total Volume
2002 6794
2003 7414
2004-5 8292
SPH TOTAL VOLUME BY CTAS
0
5000
10000
15000
20000
25000
CTAS 1 CTAS 2 CTAS 3 CTAS 4 CTAS 5 OTHER
2002
2003
2004-5 Total Volume
2002 46505
2003 49632
2004-5 57010
SPH LWBS by CTAS Level
0
100
200
300
400
500
600
700
CTAS 1 CTAS 2 CTAS 3 CTAS 4 CTAS 5 OTHER
2002
2003
2004-5 Total LWBS Percent
2002 1023 2.2%
2003 1327 2.7%
2004-5 1430 2.5%
SPH Percent Volume Change Corporate Year over Year
4412147714
50672
57010
61997
8.1%
5.8%
12.5%
8.7%
0
10000
20000
30000
40000
50000
60000
70000
2001-02 2002-03 2003-04 2004-05 2005-06(projected)
0.0%
2.0%
4.0%
6.0%
8.0%
10.0%
12.0%
14.0%
16.0%
18.0%
20.0%Total Volume
% Change
SPH Admission Rates by CTAS Level (admits/total per category)
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
CTAS 1 CTAS 2 CTAS 3 CTAS 4 CTAS 5
2002
2003
2004-5
% patients never getting to an acute side bed during ED care SPH
0%
5%
10%
15%
20%
25%
30%
35%
CTAS 1 CTAS 2 CTAS 3 CTAS 4 CTAS 5
2002
2003
2004-5
Total Volumes with only Waiting
Room care
2002 2401
2003 3104
2004-5 4990
% patients with immediate acute bed
placement on ED Arrival SPH
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
CTAS 1 CTAS 2 CTAS 3 CTAS 4 CTAS 5
2002
2003
2004-5Total Volumes to
Acute Area
2002 17154
2003 18595
2004-5 22113
MSJ Volumes by CTAS
0
1000
2000
3000
4000
5000
6000
7000
CTAS 1 CTAS 2 CTAS 3 CTAS 4 CTAS 5 OTHER
2003-4
2004-5
Total Volume
2003-4 13969
2004-5 15598
2005-6
(projected)
17148
MSJ Admission by CTAS
0
200
400
600
800
1000
1200
1400
1600
1800
2000
CTAS 1 CTAS 2 CTAS 3 CTAS 4 CTAS 5 OTHER
2003-4
2004-5
Total Volume
2003-4 2374
2004-5 2613
MSJ LWBS by CTAS
0
10
20
30
40
50
60
70
80
CTAS 1 CTAS 2 CTAS 3 CTAS 4 CTAS 5 OTHER
2003-4
2004-5
Total Volumes
2003-4 177
2004-5 120
MSJ 2004-05 Initial Bed Placement
20
69
9
41
36
42
61
14
08
8
24
3
21
16
20
19
66
60 1000 2000 3000 4000 5000 6000 7000
CTAS 1
CTAS 2
CTAS 3
CTAS 4
CTAS 5
BED AVAILABLE TO WAITING ROOM
MSJ Annualized Volumes Calendar 2004-2005
MSJ ANNUALIZED PATIENT VOLUME-BY MONTH
1000
1100
1200
1300
1400
1500
1600
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
2004
2005
2004-5 Volumes by Day of Week
14.0% 13.9% 14.3% 14.1% 14.2% 14.4%
14.2%13.8%14.5%14.0%14.2%14.0%14.9%
15.0%
0.0%
2.0%
4.0%
6.0%
8.0%
10.0%
12.0%
14.0%
16.0%
18.0%
20.0%
MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY
MSJ
SPH
Total Volumes
MSJ 15598
SPH 57010
2004-5 Volumes by Hour of the Day
0.0%
2.0%
4.0%
6.0%
8.0%
10.0%
0:00
2:00
4:00
6:00
8:00
10:0
0
12:0
0
14:0
0
16:0
0
18:0
0
20:0
0
22:0
0
MSJ
SPHTotal Volumes
MSJ SPH
HOUR
8 – 15
(N)
9829
HOUR
8 – 16
(N)
23798
15 - 21 5764 16 - 24 21948
OTHER 3 24 -8 11264
TOTAL 15596 TOTAL 57010
SPH Monthly Volumes
SPH ANNUALIZED PATIENT VOLUME-BY MONTH
3,000
3,500
4,000
4,500
5,000
5,500
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
2000
2001
2002
2003
2004
2005
NOTES:1 Event not captured in information systems
2 Transfer to Acute (TAC) is the time that admitted doc decided that the patient should be admitted. It is also the O/ER discharge time for admittedpatients. TAC is the admission time recorded in Health Records for the inpatient stay.
3 Triage time is captured on the chart and used as O/ER admission time. ER admission time is the ADT admission time for Inpatients who are transferred from ER.
4 ED LOS is the time from triage to ED discharge.
Time to MD based on CTAS level
Outpatients are discharged home or leave AMA anytime
Arrival 1
EMERGENCY ROOM EFFICIENCIES HOSPITAL/PROGRAM EFFICIENCIES
Seen ByMD Time
Initial ER ConsultOrder Time
CONSULTING SERVICES EFFICIENCIES
Transfer to Acute(TAC) Time 2
Consults Occur 1
Transfer Wait
TriageTime 3
ED LOS 4
Transfer toUnit Time
Percent Admitted from ER to Unit within 10 hours
Average Consult to TAC by Program
Avg Consult to TAC by Program
3.9
5.3
4.8
0
1
2
3
4
5
6
HCP MED MHP
Program
Ad
mit
to
TA
C (
Hrs
)
HCP MED MHP
Average TAC to Transfer by ProgramAvg TAC to Transfer by Program
5.911.1
76.8
0
10
20
30
40
50
60
70
80
90
HCP MED MHP
Program
TA
C t
o T
ran
sfer
(H
rs)
HCP MED MHP
Percent of ER Total Time by Key Time Points
15.6%
26.6%
57.9%
0%
10%
20%
30%
40%
50%
60%
70%
Triage to Consult Consult to TAC Time TAC to Transfer
Time Points
Pe
rce
nt
of
ER
To
tal T
ime
SPH 2004-5 Housestaff Volumes*
0
5000
10000
15000
20000
25000
CTAS 1 CTAS 2 CTAS 3 CTAS 4 CTAS 5
RESIDENT
STUDENT/IMG
TOTAL
•Only those patients who have a resident/student sign up in SCM included. R3s not separated out.
% OF TOTAL
CTAS 1 14.5%
CTAS 2 15.2%
CTAS 3 18.4%
CTAS 4 14.8%
CTAS 5 14.3%
Time to Physician SPH 2004-5
CTAS PATIENTS* (N)
MEDIAN (MIN)
90%ILE (MIN)
1 271 8 38.5
2 5755 22 62
3 17143 29 74
4 21172 40 88
5 8810 41 90UNKNOWN 214 28 74.5
TOTAL 53365 34 82
*time seen completed
MEDIAN TIME TO MD 2004-5
19
25
36 37 36
22
29
40
8
41
0
5
10
15
20
25
30
35
40
45
CTAS 1 CTAS 2 CTAS 3 CTAS 4 CTAS 5
TIM
E T
O M
D (
MIN
)
MSJ
SPH Total Median Time
MSJ* 36 min
SPH 34 min
*MSJ data from Oct 18/2004 onwards
90%ile TIME TO MD 2004-5
37
63
83 8285
62
74
88 90
38.5
0
10
20
30
40
50
60
70
80
90
100
CTAS 1 CTAS 2 CTAS 3 CTAS 4 CTAS 5
TIM
E T
O M
D (
MIN
)
MSJ
SPH
Total 90%ile Time (Min)
MSJ* 82 min
SPH 82 min
*MSJ data from Oct 18/2004 onwards
SPH Visit Reason* 2004-5
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
01 02 03 04 05 06 07 10 U/K
SPH
MSJ
*See following figure for explanation of code. Codes are CEDIS based.
SPH 2004-5: Total Volume by MD*
2467
630
1996
1320
1934
2436
1096
3006
1835
2585
14191554
808
2675
1227
532
2426
1505
1765
2702
804649
2270
2052
1802
514
1879
222
890
0
500
1000
1500
2000
2500
3000
3500
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
*LWBS not included
SPH 2004-5: Volumes by MD CTAS 4 – 5*
1301
314
1098
662
1159
1415
776
1726
1121
1609
778802
486
1429
604
217
1350
798
982
1458
429
302
12581177
1011
250
1133
103
364
0
200
400
600
800
1000
1200
1400
1600
1800
2000
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
*LWBS not included
Unadjusted Patients/Shift by MD SPH 2004-5
17.518.3
20.5
17.717 17
17.718.3
17.1
20.8
19 19.3
16.6
19
16.115.4
18.717.7
15.715.5
19
16.1
19.2
17.116.2
15.1 15
19.418.7
0
5
10
15
20
25
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
X = 17.6, SD = 1.6
Percentage Fast Track by MD SPH 2004-5
33%32%35%
26%
42%38%
70%
39%
52%54%
35%
29%
44%
35%
29%
21%
38%34%
32%33%37%
29%
36%39%
35%33%
43%39%
17%
0%
10%
20%
30%
40%
50%
60%
70%
80%
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
Adjusted Patients/Shift Score by MD SPH 2004-5
0
5
10
15
20
25
30
35
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
X = 26.1, SD = 2.6