Door to Doc (all modules)
Door to Doc, Doc to Dispo and Dispo to Departure are the three fundamental time intervals in the emergency department.
This course covers the best practices of Door to Doc – the interval from the time the patient arrives until the patient is seen by the physician. The keys to the front end of the emergency department are getting the patient and the physician together as quickly as possible and eliminating and many non value-added steps and queuing interfaces as possible.
About The Course
The Door to Doc interval is dominated by the practice of triaging patients and consists of the following components:
Door to Triage. The Door to Triage interval consists of the patient arrival, sign-in, and registration.
Triage Start to Triage End. The triage time interval consists of the time the nurse begins triage to the time triage is completed.
Triage to Bed Assignment. This is the most important time sub-interval in the ED from the perspective of improving the patient experience. Examining this interval can give you a good idea of queuing that is related to the Doc to Dispo interval, either related to beds, docs or nurses.
Bed to Doc. The Bed to Doc interval is the time from the patient bed placement until the patient is seen by the physician. This interval is important from the perspective of understanding whether or not there is a significant physician component related to queuing in the ED.
Your Instructor
Joseph T. Crane, MD, MBA
Dr. Crane is currently the chief medical officer for TeamHealth where he supports clinical quality and safety for all the company’s service lines, performance improvement and innovation initiatives, leadership development programs, performance analytics and workforce development.
He received his undergraduate degree from the University of Virginia and medical degree from Medical College of Virginia. He is currently a board-certified practicing emergency physician. Considered one of the leading experts in emergency department operations in the U.S., Dr. Crane has taught and led healthcare and emergency department improvement efforts with hundreds of organizations in a wide variety of settings on six continents.
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