Category Archives: Kristyna Culp

How the Best Nurse Leaders Decide Which Problem to Focus on First

How hurse leaders CNOs decide which problem to focus on first

April 28, 2015  |  Kristyna Culp and Dianne Foster

So you think you have a big chaotic mess and don’t know where to start? The Emergency Department (ED) boards patients. PACU backs up. Inpatient Average Length of Stay (ALOS) continues to increase. Patients wait for appointments. Patient satisfaction scores are not in the 90%+ category. Or, your facility’s market share is not at the… | Read More

Why Guess? Know How to Change Hospital Processes with Confidence

Change hospital processes with confidence

April 20, 2015  |  Kristyna Culp

If you don’t know for certain that a process change will work before you try it, you’re guessing. People guess because it’s easier than looking at data. Or because they have anecdotal evidence. “That transporter is always late and I have to take the patient myself!” Unfortunately a lot of anecdotal evidence just yields red herrings…. | Read More

How to Prove that Cutting Staff Won’t Actually Save Money

How to prevent hospital staff cuts

April 17, 2015  |  Kristyna Culp

When cutting costs, many hospitals trim less expensive staff, like techs and transporters. You may suspect this is a bad move, but we help you make the business case for creating the most efficient staffing model. We illustrate what happens when transporters don’t move admitted patients from the Emergency Department. When nurses pick up the… | Read More

The Truth About Unscheduled Patients: Predictably Reliable

order from chaos

April 15, 2015  |  Kristyna Culp

On any given day, a hospital knows its quantity of surgical patients because they schedule cases at least a week in advance. They can also predict the number of discharges and unscheduled patients even though they may seem random. With less precision, of course, but determining patterns and average ranges is not rocket science. When… | Read More

How Hospital Staff Can Improve Patient Satisfaction With Scripting

March 11, 2015  |  Kristyna Culp and Kathy Clarke

We encounter “scripting”, or standardized responses, every day. Order a cheeseburger and the cashier will ask if you want to Supersize it. Rent a car and the staff will ask whether you prefer the gas purchase option. Fill up with gas and the screen on the gas pump asks if you would like a car… | Read More

DIY Lean on a Dime

October 7, 2014  |  Kristyna Culp

What if your department needs to function more efficiently, but cost prohibits hiring a Lean consultant in the near future? You can make progress in spite of this obstacle, because as the saying goes, low hanging fruit is easy to pick. We discuss the aspects of Lean you can implement internally. STEP 1: CREATE A… | Read More

Total Utilization Is Not an Option

August 20, 2014  |  Kristyna Culp

Whether you’re talking about the people, spaces or equipment in an emergency department, one can always find ways to increase efficiencies. But as you work toward that goal, it’s helpful to recognize that achieving 100% utilization or efficiency is simply not possible, nor even desirable. Rather, it’s wise to build in a little slack or… | Read More

Controlling the Spread of Infectious Disease

August 1, 2014  |  Kristyna Culp & Katie Fricke

On Wednesday, one Charlotte hospital changed the national conversation about the devastating Ebola epidemic in West Africa when it was forced to close part of its ED to isolate a possible Ebola patient. While the action taken was decisive and appropriate, this event – coupled with Thursday’s announcement that Emory University Hospital will be treating Ebola… | Read More

When is Wasted Time Really Customer Service?

July 30, 2014  |  Kristyna Culp, MBA

Across the healthcare system, people and organizations are seeking to increase efficiency. But not all “wasted time” in healthcare is truly wasted. Some of the most important aspects of healthcare are less than 100% efficient by nature. Of course, we can and should strive for greater efficiency. But we also must understand that absolute efficiency… | Read More

When “More Space” Becomes “Too Much”

July 17, 2014  |  Kristyna Culp, MBA

Give a gas more space, and it will expand to fill that space. The same goes for people — and this tendency offers some important lessons for emergency department planners. When an ED has too much treatment space, it can actually slow down the process. Finding the right balance When I’m on a project consulting… | Read More

Wouldn’t You Like to Prove that Your New Design Will Improve Productivity And Efficiency Before You Build It?

July 10, 2014  |  Kristyna Culp, MBA

Many healthcare providers ask these common questions: How many treatment rooms do I need in my Emergency Department? How many waiting spaces do I need in my Outpatient Imaging Center? How many Technicians do I need in my Urgent Care? How many EKG machines do I need in my Surgery Center? How many medication rooms… | Read More

Utilize Existing Facilities to Increase Efficiency

July 2, 2014  |  Kristyna Culp

Every emergency department is interested in improving efficiency — but not every one can afford to renovate. Fortunately, there are a variety of strategies an ED can adopt to increase efficiency using their existing facilities. In fact, many of our clients hire us to help choose the strategies that make the most sense for a… | Read More

How to Smooth Out Patient Flow Bottlenecks and Increase Capacity in MOB Projects

June 23, 2014  |  Kristyna Culp

Outpatient centers have many opportunities to minimize patient flow bottlenecks through operational adjustments. Here, we discuss some of our solutions to move patients through their visits faster. Reducing Average Length of Stay (ALOS) increases patient satisfaction and allows more patients to be treated in the same existing space, forestalling physical expansion. Registration One of our… | Read More

Improving Communication Between Nurses and Paramedics

May 15, 2014  |  Kristyna Culp

Emergency care is by its nature a complex, fast moving world, in which effective communication between members of the care team is vitally important. Todd Smith, a Ph.D. candidate and AG-ACNP student at the University of Virginia School of Nursing, is studying the communication between paramedics and nurses, and looking for ways to improve it…. | Read More