Independent Emergency Physicians

248-536-2127   |   info@iep-pc.com

IHP Henry Ford Allegiance Health Hospital
The 6SE Discharge Pilot: 
Improving ED throughput by improving Patient Flow


The HFAH ED, like many EDs across the country, operates at over capacity rates frequently. This impacts ED throughput as patient's often wait to be seen, diagnosed, and admitted or transferred to a bed.  IHP, IEP, the HFAH throughput steering team, and hospital leadership recently launched a collaborative effort to pilot a transition of care discharge model for HFAH. 

The 6SE Discharge Pilot project was focused on creating a value stream that would eliminate the mid-afternoon discharge crunch - the result of a system-wide patient flow issue of discharging patients in batches and admitting patients in batches.  There is no “flow” in the batch model of patient flow and we found that improving ED throughput would have to come through improving patient flow.

Pilot launched on 9/24/17 on 6SE only

The outcomes of the 6SE pilot have been outstanding thanks to the communication and coordination among the different disciplines involved.  High level metrics show substantial improvements in written discharge orders and discharge to home time.

Rolled-out Hospital-wide 1/23/18 

Based on the successful outcomes of the 6SE Discharge project and meetings between GME, Hopsitalists, nursing and memebers of the cross funcitonal throughout put team, we rolled out the transition of care value stream hospital-wide on 1/23/18.  In just one short week of tracking, we were able to discharge 77% of our patients by 11am - a 100% reversal!

Congratulations to the IHP/IEP Henry Ford Allegiance Health Team for your outstanding results in improving patient flow.