Follow NHRMC Linkedin Twitter Facebook
Email NHRMC Email
Health Care
Feb 13, 2015

Physicians, Staff Come Together To Care For Record Number Of Patients

Sponsored Content provided by Jack Barto - President and CEO, New Hanover Regional Medical Center

The last few months at New Hanover Regional Medical Center have created a “new normal” in how we think about patient volumes, and once again reminded us how thankful we are for the teamwork and cooperation of our community medical staff.
 
For the past nine months, and especially in recent weeks, our patient volume set records almost every week. As a normal course of business, we now typically take care of a daily census of more than 600 inpatients – a number unheard of here just a few years ago and one that just 12 months ago would have necessitated some level of crisis management.
 
Today, this is our baseline business day. We can safety provide high quality care to more patients than before – with a great deal of help from our medical staff and our own frontline staff.
 
Most of this trend is the byproduct of something we are very grateful about, which is that more of you are choosing New Hanover Regional Medical Center as your hospital. As our community medical staff has grown more proficient in many specialties, our services have improved. Patients no longer feel the need to leave the area for services such as cardiac, oncology, neurology or pediatrics, and patients in surrounding counties are more likely to choose us for care. Those of you in New Hanover County remain as loyal as ever, as our county market share remains at 94 percent.
 
For all this we are very blessed and appreciative. All our community’s physicians, and all the clinicians and employees at NHRMC, have worked very hard for this trust, and we are grateful for the opportunity to serve you.
 
Add in a few more factors – an unusually strong flu season (though that hasn’t driven patient volumes as much as you might think), the aging of our population and the overall population growth of this region – and you have “problems” that many hospitals would envy.
 
We have responded with a variety of tactics. We have opened every bed that the space in our 10 floors at the main hospital campus will allow. We have added RNs and other support staff, and continue to hire more as these trends continue. And we have batched patients from the same medical practice on the same floor whenever possible, so physicians from those practices can more easily visit all their patients, help cover for each other, and sign discharge orders for their partners when appropriate.
 
This brings us to our partners in the physician community. They accepted that we needed their help to move patients through the system, and responded to the call. When we first called a “Code Lavender,” which means we have a number of patients waiting for beds, and later a “Code Purple” when our census reached the once-unthinkable 686, our physicians and staff worked together to remove barriers to patients going home.
 
We emphasized safe and appropriate discharges, and have every reason to believe that’s exactly what happened. Our rate of patients who readmitted within 30 days for December 2014 was not appreciably different than the year before, suggesting that patients were being discharged appropriately.
 
Finally, much of the credit goes to our patients and their families, who worked with us during the times of particularly high census and were patient and understanding throughout. Everyone pulled together during our peak levels.
 
Going forward, we think we have a few more strategies to help us remove barriers that delay patients from moving appropriately through the system. Our nurse case managers, who help plan safe and effective discharges for our patients, are rearranging their schedules to work weekends, so that after-care planning keeps moving forward at all times.
 
And our SharedCare model of nursing, which provides a team approach to nursing rather than having all discharge duties falling to the same nurse, will continue to help streamline patient care going forward.
 
As health care moves in the near future toward models of preventive care, wellness and population health, rather than treating patients after they become sick, all hospitals are going to have to adjust to a time when the beds are not filled. In fact, that will become the goal.
 
We are no different, and we are preparing for new care models centered on population health by taking our care beyond the walls of the hospital. But as our recent experience shows, that day is not here yet. And we are very thankful we can count on a skilled and professional medical staff and a dedicated team of employees to ensure the most important thing we do – taking care of our patients – remains constant as our numbers grow.
 
For the past 10 years, Jack Barto has been President and CEO at New Hanover Regional Medical Center, a 769-bed regional referral medical center serving Southeastern North Carolina. The medical center is licensed as a Level II Trauma Center and provides emergency medical services for New Hanover County. Its unique array of specialty services includes cardiac care, oncology, and neurology, and standalone hospitals for women’s and children’s services, orthopedic care, psychiatric care and inpatient rehabilitation. To learn more about NHRMC, please visit www.nhrmc.org. Questions and comments can be sent to [email protected]. Like NHRMC on Facebook: www.facebook.com/nhrmcnc, or follow us on Twitter at https://twitter.com/nhrmc.

Insightqualitybanner0114 300x250
Ico insights

INSIGHTS

SPONSORS' CONTENT
Jessiepowellheadshot webversion

5 Reasons to Build Custom Franchise Software

Jessie Powell - Wide Open Tech
Jordain 422430214

Turn Culture into Cash: The Secret to Higher Profits

Jordan Cain - APPROVE
Gretchen roberts 2021

From Contracts to Offshoring: 7 Powerful Gross Margin Growth Levers

Gretchen Roberts - Red Bike Advisors

Trending News

Tech Wilmington: Upcoming Events Calendar

Staff Reports - Feb 5, 2025

Vantaca Hires Four Executives With Decades Of Scale-up Experience

Staff Reports - Feb 4, 2025

NCino Appoints New CEO

Staff Reports - Feb 3, 2025

City Leaders Approve Special Use Permit For Midtown Pickleball Facility

Emma Dill - Feb 5, 2025

Workforce Housing Panel: Some Steps Taken, But Problem Getting Worse

Emma Dill - Feb 4, 2025

In The Current Issue

Manufacturer Eyes Costs, Growth

Brian Vrablic, president of Rulmeca, said he and other company officials are starting 2025 looking at near- and long-term factors that will...


Groups Share This Year’s To-do Lists

For the Book on Business, the Business Journal asks several of the region’s economic development groups and organizations for a recap of wha...


Recreation Plans Move Ahead

While the organizers of all the ventures hope to provide their communities with a variety of recreational opportunities, some projects are c...

Book On Business

The 2024 WilmingtonBiz: Book on Business is an annual publication showcasing the Wilmington region as a center of business.

Order Your Copy Today!


Galleries

Videos

2024 Power Breakfast: The Next Season