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Madison Health Emergency Services expands physician support
April 20, 2015

In an effort to maintain timely and quality care in the emergency room, Madison Health has added a physician’s assistant (PA) to the department during peak hours.


Five days a week from 2pm until 10pm, the PA aids the physician on duty in providing quality care for our community.  The hospital is working on staffing a PA every day.


“Another provider was added because we were seeing that with our recent process change, patients were immediately seen by a nurse, brought back to a bed and seen by a physician sooner, but the overall length of stay for many of those patients was not decreased to a time that we felt was adequate,” said Leanne Manring, Director of Emergency Services at Madison Health. 


Last May, the hospital implemented a change of flow in which patients seeking treatment in the emergency room bypassed the waiting area and were immediately placed into a bed.  This change resulted in a decrease in time to be seen by an expert physician to only 13 minutes.


The process change was paramount in improving patient flow and preventing overcrowding.  It means that patients are examined more quickly by a physician and receive treatment sooner.  The continuum of care in the emergency room is expedited, without compromising quality.


Manring added, “While we are glad that patients are seeing the physician and starting their care sooner, we still do not want them to have to wait to be discharged because of factors like the physician is busy seeing new patients.”


Since the change of flow was put into place, the Emergency Department has seen an increase in the volume of patients as well as patient satisfaction scores. These were also contributing factors to the decision. 


“It becomes more difficult for one provider to manage more than 11 patients and still provide a high level of care,” said Manring.  “Our second provider means decreased wait times during peak hours, continued satisfaction and patients maintaining their trust in Madison Health.”

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Madison County Hospital
210 North Main Street
London, Ohio 43140
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