Multidisciplinary efforts to improve our throughput continue to focus on communication, real-time data, daily problem-solving, and anticipatory planning. Recognizing that new inpatient beds aren't a short-term solution available to us, improvement efforts include adapting effective strategies from other organizations. An example is the recently launched Tier 3 huddle that achieves the above goals by bringing leaders from inpatient areas (e.g., ED, acute care, ICU, perioperative) and support services (e.g., IT, hospitality, facilities) for a 30-minute structured discussion each morning. Issues range from quality/safety events, patient flow issues, staffing needs, and review of our real-time capacity management dashboard that serves as air traffic control. It's still early in the pilot but the goal is removing barriers for patients moving through their hospital experience more efficiently, and providing support for areas and providers that need them on a given day. The Tier 3 huddle follows the Tier 1 (e.g., single ICU) and Tier 2 (e.g., all ICUs) huddles that precede it
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