Reducing ED Patient LWOBS



ED volumes often fluctuate, and when high volumes create longer than normal wait times, sometimes patients leave without being seen (LWOBS). This can have serious implications. For example, patients that leave the ED may be at risk for more serious outcomes. And, industry averages show that patients that leave the ED before being seen cost the hospital between $300 for outpatients  and $7,500(Beckers Hospital CFO Report).



ED’s with Hive | Connect-ED use a dashboard to monitor patient backlogs in the department as they happen. Patient volumes are monitored and streamed to the dashboard in real time, and alerts are set to notify the ED staff who can proactively manage throughput and adjust workflows to prevent patients from leaving the ED prior to being seen.



  • Immediate workflow feedback

  • No IT dependency

  • On-demand ad-hoc reports

  • Real-time metrics

  • No additional data entry required



Resolving ED Patient Flow Issues



Your ED is experiencing patient flow issues. To resolve real time issues, you need data that shows you your current department status at any and every moment of the day.  Transparency into the actual wait times and throughput allows the department to address their choke points and better facilitate patient flow. Department leaders also need access to their data retrospectively to monitor progress against their KPIs and targeted thresholds. Unfortunately, your IT department has limited resources available to help you access, test and validate the data you need. Sadly, you’re not alone—the average in-house report takes 3-weeks to fulfill. There’s also hidden costs. On average a typical in-house report can cost $6,000 to produce.



ED’s using Hive | Connect—ED can instantly access the metrics they need—without additional IT resources or complex coding. Here’s an example of the data these ED’s use to manage patient flow:

  • “Disposition to Discharge or Transfer” – shows the amount of time that elapses after a provider decides to discharge a patient to the time the patent is actually dismissed or transferred; and

  • “Disposition to Boarding” – shows the amount of time that elapses after a provider decides to admit a patient to the time a patient is placed on hold (boarded) in the ED while waiting for an inpatient bed.



  • Zero IT resources

  • No programming required

  • Self-service ad-hoc reports

  • Real-time and historical metrics

  • Accurate and trusted results



Improving KPIs and Team Work by Setting and Managing ED Flow Thresholds



Improving ED KPIs and flow is full team effort. Success requires real-time patient flow data provided in a way that enables communication, collaboration and team engagement. Finding a non-disruptive, easy way to set and manage the data is critical.



ED’s using Hive | Connect—ED are using their real-time dashboard to set and proactively manage KPIs. Together the team set thresholds for:

  • Door-to-Roomed

  • Provider-to-Disposition

  • Discharge Disp-to-Admit

  • Admit Dispo-to-Depart.


The Hive

Connect—ED dashboard streams threshold data in real-time and makes this information transparent to all. When thresholds go in the red, ED teams are alerted and collaborate to reduce the red. Overtime ED behavior shifts as care teams work together to avoid red alerts, helping to:

  • Improve coordination and triage

  • Improve ED KPIs

Provide insights into ED trendsCustomize the data you need to drive throughput efficiency. How you use your data is up to you