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Clinical Decision Unit

Clinical Decision Units (CDU) provide rapid turnaround, which is good for patients. It is also good for ED throughput because patients move out of the ED more quickly rather than staying for hours waiting to see if they will get better. Beds open up faster in the ED because patients can be more readily transferred to the CDU for observation. The hospital benefits through optimal management of patients who usually do not require full admission.
Steve Maron, MD

President, VEP Healthcare

VEP Effect at Martin Luther King, Jr. Community Hospital

  • Improved collaboration between ED and hospitalists
  • Enhanced patient experience
  • Admissions: January -36; September 149
  • 85% of admissions to the unit are discharged home
  • LOS currently at 17 hours and trending lower

Reasons for Establishing

  • Management of observation level patients
  • Management of observation level patients
  • Optimal utilization of ED and inpatient resources
  • Avoidance of unnecessary admissions
  • Financial impacts:
    • Re-admissions
    • Value Based Purchasing

Improved All-Around Satisfaction

  • Ability to care for more patients in the ED
  • Improved patient and family satisfaction
  • Improved staff satisfaction
  • Stronger relationship with hospitalists
  • Decreased LOS (Majority of patients are discharged without admission within 8-15 hrs.)
  • Decreased cost (OBS protocols have been shown to reduce cost 50%-70% compared to inpatient costs.)
The key to effective, efficient hospitalist management: VEP

If you think your hospital might benefit from a Clinical Decision Unit, please reach out to Mitesh Patel, MD at mpatel@vephealthcare.com.

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