Case Study: 40,000 Volume Level 3 Trauma Center Improves Provider Engagement and Efficiency

The Challenge

This 40-bed emergency department, located in a difficult-to-staff location (due to inclement weather and distance from a major airport) was staffed by a large national management group. When we began working with them, they were 3 full-time physicians down, struggling with disengaged leadership, andhad a disjointed team that was not invested in the local community.


I’ve worked my whole career in healthcare, and I’ve never run across physicians with a better understanding of how to transform an ED.
— Chief Operating Officer, Health System

The solution

We prioritized developing an engaged medical director and worked to change the team mindset from a group of providers who worked a shift and went home to a locally invested team actively involved in hospital committees. After improving provider engagement and establishing an engaged medical director, the practice culture itself attracted recruits. We are now able to recruit from top residencies and maintain a full staff. Improving practice culture and provider engagement led to notable improvements in LWOBS, length of stay, and door-todoctor metrics within one year.

The RESULTS 

Within one year, these improvements resulted in: 

6% 

REDUCTION IN LENTH OF STAY 

2.3% to 1.2% 

DROP IN LWBS  

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