New Workflows Drive a New Design
Shorter Wait Times Create Additional Capacity
In the existing emergency department, as many as one hundred patients would await treatment in the waiting room. The new design not only plans for future volumes, but also incorporates an operational approach that reduces waiting. Changes in patient flow processes significantly reduce the number of patients in the waiting room at any given time. Streamlined operations reduce the number of patients who Left Without Being Seen by 51%, effectively increasing ED capacity by 19,000 patients annually.
Improved Operational Outcomes Even During Construction
While phased construction is currently underway, interim operational changes have increased patient satisfaction scores from 0% to 68%. To date, the Average Length of Stay has decreased 34%, Admit Time has decreased 28%, and Door to Doc time has decreased 26%.
Reorganizing the Space Streamlines Caregiving
While the floorplan of the existing ED was larger than the Atlanta Falcons football field, it was carved into a warren of small, disjointed areas. By reconfiguring and renovating the current space to move staff support functions to the perimeter, the FreemanWhite team created a centralized open core that provides staff a clear view of the entire department and connectivity to one another. Both features enhance the delivery of patient care, staff and patient satisfaction, and security.
Additionally, the new plan allows the department to “accordion” with volume fluctuations. This ability to open new treatment rooms incrementally (rather than waiting for a bolus of patients) moves patients through the department faster and promotes greater staffing flexibility.
Rightsized Patient Rooms Shorten Staff Travel Distances
Out of 74 existing treatment spaces, only four met minimum code requirements. The new design rightsizes patient rooms and reorients the stretcher parallel to the corridor. Since staff only have to go halfway into the room to care for the patient, this configuration shortens staff travel distances. It also provides a zone for family care providers opposite the clinicians where they may observe but remain out of the theatre of care.
In-House Detention Suite for Incarcerated Patients
The redesigned department houses a detention facility to treat incarcerated patients from local, state, and federal prisons, as well as a dedicated behavioral health suite. All of these rooms are universal treatment rooms, which means these rooms can be used for any patient should volumes and/or extraordinary event necessitate.
Streamlined Operations Shorten Construction
The FreemanWhite approach not only allowed the department to remain fully operational during the phased renovation and addition, but it helped shave five months from the construction schedule because staff were able to turn over more space due to streamlined operations.
Location: Atlanta, GA
Size 98,000 sf
Annual Census 130,000