St. Joseph Hospital Implements ED Orchestration (Case Study)

Jul 1, 2020 8:00:00 AM / by TAGNOS Blog Team

Is your hospital Emergency Department dealing with heavy patient traffic and unpredictable fluctuations in volume?

Are you and your team concerned about long ED wait times, dissatisfaction, and patients leaving without being seen?

Imagine solving that challenge and not only accelerating ED throughput by one hour, but also increasing revenue by over $.5 million, saving $27K over six months due to optimal staffing in just six months.

This is a true situation detailed in our most recent ED Orchestration case study.

ED Orchestration Case Study Details

The Hospital

This case study focuses on St. Joseph Hospital of Orange, a busy, not-for-profit hospital in a large metro area that offers 75 specialty programs and an ED that treats more than 82,000 patients annually.

St. Joseph Hospital of Orange is one of 51 Providence St. Joseph Health system facilities, part of the third-largest not-for-profit hospital system in the United States.

As a a values-based Catholic healthcare provider, St. Joseph Hospital is committed to excellence and its community, based on the vision of the Sisters of St. Joseph of Orange. The hospital’s strong belief in the intrinsic dignity of each person commits it to provide healthcare for the whole person, body, mind and spirit and to collaborate with the 1,000-member medical staff and other providers to increase access to quality healthcare. 

The Challenge Faced

As you might imagine, St. Joseph of Orange sees heavy patient traffic exhibiting a range of health issues. Depending on time of day and year, patient volume fluctuates contributing to crowded waiting areas and slower patient throughput. Not only does this lead to patient dissatisfaction, but it also means that patients get frustrated and leave without being seen.

How then to identify and address delay causes without bogging down the system and overwhelming care givers?

Enter ED Orchestration

St. Joseph Hospital of Orange decided to implement the TAGNOS ED Orchestration flow solution.

Why? To track patient and provider locations and then create analytics around the locations of patients as they move through the care sequence, as well as that of of providers.

>> See Experience Emergency Room Orchestration

What Results Did St. Joseph Hospital of Orange Achieve?

The results are noteworthy. Judge for yourself. 

By implementing ED Orchestration, St. Joseph Hospital of Orange achieved the following:

  • A 55-minute ED reduction per patient of room-to-discharge times
  • By optimizing staffing, the hospital saved $27,000 over six months
  • By reducing the number of patients who leave the ED without being seen, St. Joseph increased revenue by nearly $625,000

Download the case study detailing what St. Joseph Hospital of Orange faced and how it went about implementing a profitable and sustainable solution.

Perspective on ED Orchestration

The movement of people and machines in and around the Emergency Department (ED) is dynamic and can change in a moment's notice. It's understandably hard to anticipate patient counts for the day and model staff headcount accordingly.

To put St. Joseph's decision to implement ED Orchestration as a solution, you may find the following perspecitve helpful.

TAGNOS’ ED Patient Flow Solution uses the AI application of machine learning combined with real-time locating data to make sense of people and data in constant motion. Furthermore, it provides unified workflows, communication and forecasting to help smooth the unpredictable.

Benefits of Orchestrated Workflows

By implementing orchestrated workflows in the ED, you can count on the following benefits:

  • 360 degree communication between clinical and ancillary care teams help reduce wait times and improve outcomes
  • Assets being available where and when you need them
  • Mobile decision making that improves ED bed turnover and throughput
  • Predictions to help reduce staff overtime and left-without-being-seen (LWBS) issues

Real-Time Location Systems for the ED

The other secret ingredient is RTLS to help provide room level tracking the moment the patient receives an RFID wristband - typically at Check-in/Registration.

That also helps keep track of the following KPIs from registration to discharge, including:

  • Bed, Room and Nurse Turnover
  • Patient Wait Times
  • Average Length of Stay (LOS)

From a patient & staff interaction perspective, RTLS helps track the following:

  • Arrival-to-Registration,
  • Room-to-MD
  • Critical Illness Insights - Stroke, STEMI and Sepsis time to treatment metrics

Ready to Learn More About Implementing ED Orchestration?

If you are, we recommend that you download the case study detailing what St. Joseph Hospital of Orange faced and how it went about implementing a profitable and sustainable solution.

You may also want to read this article about St. Joseph Hospital of Orange's Glenn Raup: 

>> See How to Address 3 Common Problems in Healthcare Today. Glenn Raup Explains

Thanks for reading.

Download the Emergency  Department Case Study


TAGNOS is the future of clinical automation software solutions with Artificial Intelligence. TAGNOS is the only platform offering predictive analytics utilizing machine learning and RTLS. This groundbreaking platform leverages historical patient data continuously and adjusts operational intelligence to provide sustainable improvement to both the patient experience and metrics.

TAGNOS provides clinical systems integration, customizable reporting, dashboards, alerts, critical communication with staff and family to improve turnaround times. TAGNOS supports patient flow, workflow orchestration, and asset management. 

In the course of 13 months, hospitals see a 12.7% reduction in its overall cycle time - saving an average of 40 minutes from each case and over $1.6M per year - more than 11x the typical investment.