Optimizing inpatient bed management in a rural community-based hospital: a quality improvement initiative

Table 2 Optimization of bed management project work streams

Work stream deliverable	Timeline	Tactics
Pre-admission process^a	January 1 through March 31, 2022	Progressive care unit Pre-admission process for surgical patients before 12 pm
Transfer plan^b	January 1 through June 30, 2022	ED lateral transfer process under way Scripting on capacity and capability for staff MATC partnership to triage patients to regional sites EMS assessment
Updated admission guidelines^c	January 1 through June 30, 2022	Criteria outlined to reserve beds for patients with severe illness in 4 strategic service lines
Updated diversion plan	January 1 through June 30, 2022	Diversion service area Diversion activation Hospital bed management optimization dashboard

Abbreviations: ED Emergency department, EMS Emergency medical services, MATC Midwest Admission and Transfer Center, PCU Progressive care unit
^aPre-admission for surgical procedures planned the night before admission
^bRedirection of patients from sites other than Mayo Clinic to regional sites and from the Mayo Clinic Health System hospital in Mankato, Minnesota, to regional sites in the Southwest Minnesota region
^cLevel of care and specialty beds

ISSN: 1472-6963