ED bedside registration
York (ME) Hospital finds bedside registration in the Emergency Department one of the most effective tools to ensure an accurate and compliant patient claim.
Pat Finnemore, CHAA, who works on the patient access team at the 11-bed ED facility, says bedside registration in the ED:
- Increases efficiency of workload for registrars
- Opens strong lines of communication between clinical and access teams
- Provides convenience for patients who do not want to be shuffled from place to place.
“We have not found this process to be more difficult at all,” Finnemore says. “We have an excellent working relationship with the clinical staff. Patients also like not being shuffled around. They can get in and get comfortable.”
Editor’s note: Next week, we talk to a provider who says ED bedside registration doesn’t work for her facility.
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Bonnie Neville | Mar 10, 2009 | Reply
We currently use both beside registration & the traditional registration process for patients whom the triage nurse determine are capable.
The bedside registration process works well for squads & critical walk ins, however we do have a physician in triage from 11a-11p who often sees patients & discharges them from triage & they never go to a bed. They direct the patient to registration but often they take their RX and leave. We obtain a 5 point registration when the patient first presents, but we still struggle with losing patients who we only have a minimal amount of info on. We have greatly improved and are now losing only 5 per month which was as high as 25-30. I have adequate staffing, 14 in the ED each 24 hour period & we see approx. 200 patients per day & admit 40% of those.
Does anyone have any ideas to prevent losing the patients discharged from triage?
We have asked the physicians to hold the scripts until the patient is registered, but they will not cooperate even though we obtain their billing information for them.
Gina Rollins | Sep 2, 2009 | Reply
Maybe if the Physician brought the scripts to Patient Access, and the patient would receive their script at the end of the Registration process. The patient should not be released until Registered, I would think it is also a violation.
Gina Rollins
gale flint | Oct 9, 2009 | Reply
Open a discharge desk. When the pt is finished and ready to go home direct them to the discharge desk for final registration process.