A quick introduction

Our ED Scorecard helps you determine the impact of possible operational changes in your ED and compares your ED to others. It is based on CMS data and our track record of 100+ ED performance improvement projects.

Proven results

Our team of recognized ED leaders brings decades of experience in implementing effective and sustainable change. We have worked with 100+ EDs across the US.

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Emergency Department performance scorecard

See how changes in your metrics affect your percentile ranking

This scorecard shows the ED performance of the selected hospital. The information is based on self-reported CMS* data. You can see the percentile ranking of the hospital selected compared to others. Change the metric/data value or enter new values to see how performance changes impact the percentile ranking.
* Centers for Medicare & Medicaid Services

Average time patients spent in the emergency department before they were seen by a healthcare professional (CMS OP20)
Average time patients spent in the emergency department before being sent home (CMS OP18B)
Average time patients spent in the emergency department, after the doctor decided to admit them as an inpatient before leaving the emergency department for their inpatient room (CMS ED2B)
Compare to others
Compare to others
Average time patients spent in the emergency department, before they were admitted to the hospital as an inpatient (CMS ED1B)
Percentage of patients who left the ED before being seen, LWBS rate (CMS OP22)
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Emergency department improvement potential

Calculate your potential additional collectable revenue

We help hospitals improve their ED performance. On average, we help customers reduce their left without being seen (LWBS) rate by 61%* and ED length of stay (LOS) by 17%**. This tool calculates the estimated potential value of reducing the LWBS and LOS of ED patients for your organization.

This tools uses CMS data and average data by default. Do you have more accurate or current data? Change the values to update the calculation.

Your selected hospital
Your annual ED volume
annual ED volume
% of ED patients that get admitted as an inpatient
# of patients admitted from ED
Average patient revenue
For ED patients (discharged from the ED)
For patients admitted as inpatient from the ED
Weighted average revenue from discharged and admitted ED patients
Your Left-Without-Being-Seen rate (CMS value is used as default)?
Annual # of walk-out patients
The LWBS reduction rate
Annual lost revenue due to walk-out patients
Could you see more ED patients if you had additional capacity?
Additional collectable revenue potential
How much additional demand for ED patients do you estimate there is?
Potential revenue from additional ED patient volume
Do you have issues with ED patient experience?
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Additional collectable revenue potential

Additional collectable revenue potential due to reduced Left-Without-Being-Seen

Additional collectable revenue potential due to reduced ED length of stay and additional capacity


Total additional collectable potential

We hope you find this information insightful. We offer enhanced interim leadership staffing, ED process improvement and onsite assessments of ED processes. Please contact us if you would like to review performance improvement opportunities. We look forward to hearing from you!

More resources

Website

Visit our ED Optimization website

Learn more
Winchester Medical Center

477% improvement in patient satisfaction

Learn more
408-bed community hospital

334% increase in patient satisfaction

Additional revenue of over $1.2 million annually

Learn more
More resources

More insights and success stories in ED optimization

Learn more

Additional collectable revenue projection based on the reduction of left-without-being-seen rate

Additional (annual) collectable revenue =

(Average % non-admitted patients x Average ED fee +
Average % admitted patients x Average inpatient fee)
x annual ED patient volume x LWBS rate x LWBS improvement rate

The additional collected revenue projection is calculated in this tool by multiplying missed collectable revenue with the projected LWBS performance improvement results obtained from 31 non-teaching hospitals which have completed a performance improvement project with improvements measured in the last 6 weeks of the project. The missed collectable revenue in this tool is calculated by multiplying the annual ED patient volume with the left without being seen (LWBS) rates, multiplied by the average ED patient revenue.

Annual ED volume is based on the median patient volume from a CMS reported ED volume or volume category for the hospital or based on the ED volume provided by the user of the calculator. In case the CMS volume category is used, the calculation is based on the following median value: Low (0 - 19,999 patients annually), with a median value of 10000; Medium (20,000 - 39,999 patients annually), with a median value of 30000; High (40,000 - 59,999 patients annually), with a median volume of 50000 or Very High (60,000+ patients annually), were a value of 70000 patients is used.

The hospital’s LWBS rate is based on the CMS reported LWBS value for the selected hospital or by the value that is entered by the user of this tool.

Average ED patient revenue is calculated as the average inpatient revenue multiplied with the inpatient ratio, plus the average ED patient revenue multiplied with the ED patient ratio. The ratio between inpatient and ED patients is based on national average from the Center of Disease Control or provided by the user of this tool.

The average inpatient revenue and average outpatient revenue results were obtained from 19 hospitals (both rural and urban facilities) which completed an ED performance assessment project between 2016 and 2018, or the calculator used the values provided by the user of the tool.

Additional collected revenue may be derived in whole or part from shortened wait times, work flow improvements, decrease in patients who leave without being seen, among other factors. Projection is based on the reported collectable revenues for admitted and discharged emergency room patients (excluding OB and surgical admissions). A weighted average is applied based on the individual’s admission and discharged percentages. A reduction in left without being seen (LWBS) rates can mean additional ED volumes. The difference from baseline rate and measured LWBS rate Improvement is multiplied by annual volume and the blended collected revenue rate to calculate a projection of additional annualized collected revenue.

Philips does not make any determination as to the medical necessity or appropriateness of hospital billing. Results are not predictive of results in other cases. Results may vary.

Additional collectable revenue projection based on the reduction of average emergency department length-of-stay

Additional (annual) collectable revenue =

(Average % non-admitted patients x Average ED fee +
Average % admitted patients x Average inpatient fee)
x annual ED patient volume x ED LoS improvement rate

The additional collected revenue projection is calculated in this tool by multiplying the hospital's annual ED volume with the average ED patient revenue with the projected ED length of stay performance improvement results obtained from 31 non-teaching hospitals which have completed a performance improvement project with improvements measured in the last 6 weeks of the project.

The overall Emergency Department length of stay can be calculated as the sum of the percent of patients who are discharged multiplied with the average time these patients spent in the emergency department, and the percent of patients who are admitted multiplied with the average time patients spent in the emergency department before they were admitted to the hospital as an inpatient.

Annual ED volume is based on the median patient volume from a CMS reported ED volume or volume category for the hospital or based on the ED volume provided by the user of the calculator. In case the CMS volume category is used, the calculation is based on the following median value: Low (0 - 19,999 patients annually), with a median value of 10000; Medium (20,000 - 39,999 patients annually), with a median value of 30000; High (40,000 - 59,999 patients annually), with a median volume of 50000 or Very High (60,000+ patients annually), were a value of 70000 patients is used.

Average ED patient revenue is calculated as the average inpatient revenue multiplied with the inpatient ratio, plus the average ED patient revenue multiplied with the ED patient ratio. The ratio between inpatient and ED patients is based on national average from the Center of Disease Control or provided by the user of this tool.

The average inpatient revenue and average outpatient revenue results were obtained from 19 hospitals (both rural and urban facilities) which completed an ED performance assessment project between 2016 and 2018, or the calculator used the values provided by the user of the tool.

Additional collected revenue may be derived in whole or part from shortened wait times, work flow improvements, decrease in patients who leave without being seen, among other factors. Projection is based on the reported collectable revenues for admitted and discharged emergency room patients (excluding OB and surgical admissions). A weighted average is applied based on the individual’s admission and discharged percentages. A reduction in ED length of stay can result in capacity to see additional ED volumes.

Philips does not make any determination as to what extent there is a demand for increased emergency department volume. Results are not predictive of results in other cases. Results may vary.

Disclaimer

* Additional collected revenue may be derived in whole or part from shortened wait times, work flow improvements, decrease in patients who leave without being seen, among other factors. Projection is based on the reported collectable revenues for admitted and discharged emergency room patients (excluding OB and surgical admissions). A weighted average is applied based on the individual’s admission and discharged percentages. A reduction in left without being seen (LWBS) rates can mean additional ED volumes. The difference from baseline rate and measured LWBS rate Improvement is multiplied by annual volume and the blended collected revenue rate to calculate a projection of additional annualized collected revenue.
Philips does not make any determination as to the medical necessity or appropriateness of hospital billing. Results are not predictive of results in other cases.
Results may vary. Read more

** Additional collected revenue may be derived in whole or part from shortened wait times, work flow improvements, decrease in patients who leave without being seen, among other factors. Projection is based on the reported collectable revenues for admitted and discharged emergency room patients (excluding OB and surgical admissions). A weighted average is applied based on the individual’s admission and discharged percentages. A reduction in ED length of stay can result in capacity to see additional ED volumes.
Philips does not make any determination as to what extent there is a demand for increased emergency department volume. Results are not predictive of results in other cases. Results may vary. Read more