This document summarizes some of the key issues with inefficiencies in the U.S. healthcare system related to patient waiting and boarding. It notes that patient boarding for over 6 hours is correlated with increased mortality and longer hospital stays. It also reports that over 20 million unnecessary patient days and over $100 billion per year are lost due to operational inefficiencies while 39% of hospital beds remain unoccupied. The document advocates for better operational efficiencies and patient flow to help address these issues.
1. WAITING GAME
THE
PATIENTS & CAREGIVERS
and why
ARE LOSING
37THOUSAND
DEATHS CORRELATED WITH
ED BOARDING PER YEAR
Lives
$100 BILLION
PER YEAR IN HOSPITAL
OPERATIONAL INEFFICIENCY
Money
while... 39PERCENT
OF HOSPITAL BEDS
REMAIN UNOCCUPIED
1.9MILLION
PATIENTS LEAVE WITHOUT
BEING SEEN EVERY YEAR
Waiting is
robbing us.
20 MILLION
UNNECESSARY PATIENT DAYS
Time
3-5 MILLION
ADDITIONAL PATIENTS COULD BE SERVED
Capacity
Operational efficiencies and
effective patient flow could unlock
tens of millions of days in latent
capacity and dramatically reduce
the average length of stay.
Waiting is
costing us.
Waiting is
frustrating us.
Patient boarding for 6+ hours while
waiting for a bed has been
correlated to a 1.7% increase in
mortality rate and an additional
1.5 days in length of stay.
With 39% of all hospital beds
typically unoccupied (~330K
beds), no patient should ever be
denied timely access to care.
2. U.S.RANKS44THOUTOF51COUNTRIES
INOPERATIONALEFFICIENCY
U.S.PUBLICSPENDPERCAPITAONHEALTHCAREEXCEEDS
TOTALU.K.SPENDPERCAPITAONHEALTHCARE
PROJECTEDNURSINGSHORTAGEOF
260THOUSANDBY2025
Approaching 20% of GDP, total U.S. healthcare spending is an
estimated $3.3T. Federal healthcare spending exceeds federal
spending on education and defense combined.
DEMAND INCREASE: An aging population with half
suffering at least one chronic condition, and more than
a quarter suffering multiple chronic conditions.
SUPPLY STRAIN: Research shows the U.S. will enter the
worst nursing shortage in more than five decades.
56%
44% OFNURSE
TIMESPENT
ONDOCUMENTATIONANDCARECOORDINATION
Our spending and inefficiencies don’t add up.
Bloomberg ranks the United States 44th out of 51 in
healthcare efficiency, right between the Dominican Republic
(43) and Bulgaria (45).
$9,523
$3,364
$2,802
$4,197
U.S. spending on
healthcare per
capita
U.S. public spending
on healthcare per
capita
UK spending on
healthcare per
capita
UK public spending
on healthcare per
capita
3. AFTER BEING ADMITTED
2.2MILLION
PATIENTS
BOARD6+HOURS
EACH WAITING FOR A BED
THE WAITING GAME
500THOUSAND
AMBULANCES
ARE TURNED AWAY FROM
THEIR INTENDED HOSPITAL.
1.9MILLION
PATIENTS
LEAVE WITHOUT
EVER BEING SEEN
WHY ARE WE WAITING
WHEN THERE ARE…
for
every
OPEN BEDS
SEVEN
PATIENTS ADMITTED
TWO
16.2 MILLION ADMITTED
PATIENTS
WAIT4.3MILLION
DAYSFORABED*
*Anadditional18.7millionpatientsareadmitted
outsideoftheemergencydepartment.
136MILLION
PATIENTS
VISIT THE EMERGENCY
DEPARTMENT
HAS NO WINNERS.
Each year...
4. NewYork-Presbyterian, New York, NY
Patient Placement Operations Center
Baptist Memorial Health Care, Memphis, TN
Patient Placement Center
U.S. healthcare systems answering the call.
Oklahoma University Medical Center, Oklahoma City, OK
Patient Placement Center
Carilion Clinic, Roanoke, VA
Transfer and Communications Center
Sarasota Memorial Hospital, Sarasota, FL
Patient Logistics Center
PROVEN TECHNOLOGY AND PRACTICES IN OVER 100 OPERATIONAL COMMAND CENTERS
BayCare Health System, Clearwater, FL
Central Placement Center