Rationale / Objectives
Project/Program Description & Major Achievements
John Muir Medical Center is a 324-bed nonprofit hospital in California. The hospital constructed a Clinical Decision Unit (CDU) for patients being monitored on a non-emergent basis. In order to reduce Emergency Department boarding and its drain on inpatient beds, a temporary clinical decision unit was implemented. CDU data results reported to have improved patient flow, reduced ED hold times, increased capacity of available inpatient beds and the elimination of ambulance diversion to the ED.
John Muir Medical Center is a 324-bed nonprofit hospital in California. The hospital planned to construct a Clinical Decision Unit (CDU) for patients being monitored on a non-emergent basis. The new space would reduce overcrowding in the emergency department. It also aimed to develop a temporary Clinical Decision Unit while the new tower with a permanent CDU was under construction. John Muir Medical Center found that CDUs have similar design profiles to mobile surgical units. They adapted a mobile surgical unit from Mobile Medical International Corporation and set up a temporary CDU with seven beds in the emergency department's parking lot. The challenge of physical space is always a key issue when a capacity-driven hospital is attempting to add a new product line.
John Muir wanted a temporary solution and came up with a creative solution, not limited to traditional ways of thinking about new space by adapting a mobile surgical unit.
The temporary CDU opened in September 2004. It was to be used for the next three-five years while a permanent CDU was constructed. Specific metrics listed below were reported to have improved (specific results not available). John Muir Medical Center expects to see a dramatic reduction in ED hold times, reduced use of in-patient beds from ED patients that qualify for the CDU, and an increase in capacity of inpatient beds that will be available for other patients.
|Open a temporary, fully functional CDU||Complete||Opened Sept. 2004|
|Reduce ED hold times||Improved||*specific rates not available|
|Increase availability of inpatient beds||Improved||*specific rates not available|
|Ambulance diversion to ED||Eliminated|