School of Medicine and Health Sciences Poster Presentations
Optimzing the Medicine Admitting Officer Role
Poster Number
207
Document Type
Poster
Publication Date
3-2016
Abstract
Background:
Patients who are being admitted to the General Medicine floor from the Emergency Department wait a great deal of time before a bed becomes available. There is often a delay because patients are triaged to the wrong team or do not need to be admitted in the first place. The Medicine Admitting Officer (MAO) role was created this academic year to help triage patients more appropriately and improve their time to floor. The role of the MAO is to hold the medicine admitting pager, and receive pages directly from the ED regarding possible admissions. The MAO then sees the patient and determines if the patient is appropriate for the general medicine floor vs the pulmonary team, or possibly even the cardiac service or the Intensive Care Unit. The Medicine Admitting Resident works with the Emergency Medicine Team to evaluate and come up with an admission (or no admission) plan for the patient by helping with chart review and talking to medicine attendings and consultants.
Problem:
As this is a new role, the role has not been fully studied. Is it an effective use of resident’s time? Does it contribute to resident education? Are there any obstacles that the MAO faces? These are just some of the questions that arose with the execution of the position.
One particular problem that arose is who admits during the time there is overlap between the day admitting team and the night admitting team.
The survey completed by the Internal Medicine Residents indicated that they preferred that the Medicine Admitting Officer decide who admits the admissions between the overlap hours of 6 and 8 pm.
Methodology:
The Intervention was the MAO deciding who admits the patient.
The effectiveness of this was judged by surveys done by both residents who did the MAO role prior to the change, as well as after the change. The surveys were a series of questions on how well they thought the intervention worked from a score of 1 thru 5.
Results:
The results of the survey was still pending at time of this abstract submission.
Implications:
The exact role of the MAO will become clearer defined, and more optimized using input from fellow residents. The overlap time of 6 to 8 PM, which is the busiest will in theory, run smoother, with one person taking charge and assigning patients to residents. Future changes and interventions can be made from this to better optimize this new role.
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Open Access
1
Optimzing the Medicine Admitting Officer Role
Background:
Patients who are being admitted to the General Medicine floor from the Emergency Department wait a great deal of time before a bed becomes available. There is often a delay because patients are triaged to the wrong team or do not need to be admitted in the first place. The Medicine Admitting Officer (MAO) role was created this academic year to help triage patients more appropriately and improve their time to floor. The role of the MAO is to hold the medicine admitting pager, and receive pages directly from the ED regarding possible admissions. The MAO then sees the patient and determines if the patient is appropriate for the general medicine floor vs the pulmonary team, or possibly even the cardiac service or the Intensive Care Unit. The Medicine Admitting Resident works with the Emergency Medicine Team to evaluate and come up with an admission (or no admission) plan for the patient by helping with chart review and talking to medicine attendings and consultants.
Problem:
As this is a new role, the role has not been fully studied. Is it an effective use of resident’s time? Does it contribute to resident education? Are there any obstacles that the MAO faces? These are just some of the questions that arose with the execution of the position.
One particular problem that arose is who admits during the time there is overlap between the day admitting team and the night admitting team.
The survey completed by the Internal Medicine Residents indicated that they preferred that the Medicine Admitting Officer decide who admits the admissions between the overlap hours of 6 and 8 pm.
Methodology:
The Intervention was the MAO deciding who admits the patient.
The effectiveness of this was judged by surveys done by both residents who did the MAO role prior to the change, as well as after the change. The surveys were a series of questions on how well they thought the intervention worked from a score of 1 thru 5.
Results:
The results of the survey was still pending at time of this abstract submission.
Implications:
The exact role of the MAO will become clearer defined, and more optimized using input from fellow residents. The overlap time of 6 to 8 PM, which is the busiest will in theory, run smoother, with one person taking charge and assigning patients to residents. Future changes and interventions can be made from this to better optimize this new role.
Comments
Presented at: GW Research Days 2016