The Joint Commission New Patient Flow Standards and Preventing Crowding and Boarding in the ED Webinar

Duration: 90 Minutes
Instructor: Sue Dill Calloway
Webinar Id: 800292


One Attendee


There were two new patient flow standards 2014 for hospitals. This program will also discuss the three new ones that were implemented in 2013. This program is a must attend webinar for every hospital for two additional reasons. First the Joint Commission has emergency department (ED) quality measures along with CMS who has ED throughput measures which includes evaluation of the average time spent in the ED before they were admitted as an inpatient. There are now over four million who signed up for health coverage under the affordable care act which will most likely increase utilization of the emergency department. Managing patient flow is even more important now that ever. This program will also include many evidenced based recommendation for reducing boarding and overcrowding.

The Joint Commission has standards on patient flow to prevent overcrowding and boarding of patients especially patients in the emergency department and in other temporary locations. The Joint Commission also has a patient flow tracer that is used during the survey process. The tracer was amended in 2014. Both of these will be covered in this webinar.

Patient flow is a hospital issue that has a major impact on the emergency department. It is recommended that boarding time frames should not exceed four hours. How do you meet the 2014 expectation? Attendees will get a memo summarizing both of these in additional to the power point slides.

Why should you attend: This program is designed for anyone who is involved with implementing and following the Joint Commission patient flow standards.

  • Recall that the Joint Commission has made changes to the patient flow standards in both 2013 and 2014
  • Discuss that the Joint Commission has a patient flow tracer that is evaluated by surveyors during a survey
  • Describe the four hour rule on getting patients to their room when admitted

Areas Covered in the Session:
  • History
  • Introduction
  • Rationale
  • Management of patient flow throughout the hospital
  • Processes to support the flow of patients
  • Tips to prevent overcrowding and boarding
  • Plans for care in patients in overflow location
  • Criteria for ambulance diversions and EMTALA
  • Measurement of the component of the patient flow process
    • Available beds
    • Efficiency in areas where patients receive care
    • Safety of overflow areas
    • Access to support services
  • Measurement results to those who manage patient flow process
  • Measurement results to hospital leaders
  • Data drives patient flow process
  • Managing the boarding of ED patients
  • Behavioral health patients and boarding
  • Four hour window
  • Population at risk for boarding
  • PC.01.01.01 on boarding of behavioral health patients
  • Behavioral health patients-a safe and monitored location
  • PI.03.01.01 actions taken to sustain improvements in patient flow

Who Will Benefit:
  • Chief Operating Officer
  • Chief Regulatory Officer
  • Quality Improvement Staff
  • Chief Nursing Officer
  • Patient Safety Officer
  • Emergency Department Nurses
  • Chief Medical Officer
  • Compliance Officers

Educational Objectives(S)
Upon completion of this activity, participants will be able to:
  • Discuss the new 2014 patient flow standards for hospitals and the evidence based recommendation for reducing boarding and overcrowding.

CME Credit Statement
This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of CFMC and MentorHealth. CFMC is accredited by the ACCME to provide continuing medical education for physicians.

CFMC designates this educational activity for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

CNE Credit Statement
CFMC is an approved provider of continuing nursing education by the California Board of Registered Nurses, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. Provider approved by California Board of Registered Nursing, Provider # 16031 for 1.5 contact hours.

Other Healthcare Professionals Credit Statement
This educational activity has been planned and implemented following the administrative and educational design criteria required for certification of health care professions continuing education credits. Registrants attending this activity may submit their certificate along with a copy of the course content to their professional organizations or state licensing agencies for recognition for 1.5 hours.

Disclosure Statement
It is the policy of CFMC and MentorHealth that the faculty discloses real or apparent conflicts of interest relating to the topics of the educational activity. All members of the faculty and planning team have nothing to disclose nor do they have any vested interests or affiliations

Obtaining Certificate of Credit

Colorado Foundation for Medical Care (CFMC) hosts an online activity evaluation system, certificate and outcomes measurement process. Following the activity, you must link to CFMC's online site (link below) to complete the evaluation form in order to receive your certificate of credit. Once the evaluation form is complete and submitted, you will be automatically sent a copy of your certificate via email. Please note, participants must attend the entire activity to receive all types of credit. Continuing Education evaluation and request for certificates will be accepted up to 60 days post activity date. CFMC will keep a record of attendance on file for 6 years.

Speaker Profile
Sue Dill Calloway R.N., M.S.N, J.D. is a nurse attorney and President of Patient Safety and Healthcare Consulting and Education. She is the past Chief Learning Officer for the Emergency Medicine Patient Safety Foundation. She was the past VP of Legal Services at a community hospital in addition to being the Privacy Officer and the Compliance Officer. She worked for over 8 years as the Director of Risk Management and Health Policy for the Ohio Hospital Association. She was also the immediate past director of hospital patient safety and risk management for The Doctors Insurance Company in Columbus area for five years. She does frequent lectures on legal and risk management issues and writes numerous publications.

Sue has been a medico-legal consultant for over 30 years. She has done many educational programs for nurses, physicians, and other health care providers on topics such as nursing law, ethics and nursing, malpractice prevention, HIPAA medical record confidentiality, EMTALA anti-dumping law, Joint Commission issues, CMS issues, documentation, medication errors, medical errors, documentation, pain management, federal laws for nursing, sentinel events, MRI Safety, Legal Issues in Surgery, patient safety and other similar topics. She also does a monthly series on the sections of the Conditions for Coverage for Ambulatory Surgery Centers along with other ASC programs such as Safe Injection Practices. She also writes articles on ambulatory surgery and present educational programs on ambulatory surgery issues. She was affiliated with Mount Carmel College of Nursing as an adjunct nursing professor for over fifteen years. She was also a trial attorney for eight years defending nurses, physicians and healthcare facilities.

She has been employed in the nursing profession for more than 30 years. Ms. Calloway has legal experience in medical malpractice defense for physicians, nurses and other health professionals. She is also certified in healthcare risk management by the American Society of Healthcare Risk Managers. Ms. Calloway received her AD in nursing from Central Ohio Technical College, her BA, BSN, MSN (summa cum laude) and JD (with honors) degrees are from Capital University in Columbus. She is a member of many professional organizations. She has a certificate in insurance from the American Insurance Institute.

You Recently Viewed