MASS GENERAL EMERGENCY DEPT RENOVATIONS

Boston, MA

Split Flows for Better Outcomes

An ED Renovation and Process Improvement Accomplished with Zero Downtime

 
 
SERVICES PROVIDED

Process Improvement • Programming • Architecture

 

Challenge

The Lunder Building provided the emergency department (ED) at Massachusetts General Hospital with 17,500 square feet of new registration and triage bays for walk-in patients, acuity-adaptable screening and acute areas, trauma rooms, hazardous materials decontamination area and ambulance garage. Transitioning these services to the Lunder Building allowed existing ED spaces in the White and Ellison buildings to undergo phased renovations.

Process

All renovations needed to take place while the ED was up and running 24/7/365. As the ED sees greater than 90,000 patient visits per year and always has greater volume than capacity, only two bays, at most, could be out of commission at any one time. This led to a lengthy construction schedule, with 12 phases completed in five years.

Outcome

All renovations needed to take place while the ED was up and running 24/7/365. As the ED sees greater than 90,000 patient visits per year and always has greater volume than capacity, only two bays, at most, could be out of commission at any one time. This led to a lengthy construction schedule, with 12 phases completed in five years.

8%

Decrease (29 minutes) in median overall ED length-of-stay, despite 9% increase in patient volume

 

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