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Job Summary

Within the Capacity Management division, the Patient Flow Coordinators (PFC), coordinate and optimize patient flow across Inpatient Units/ED/PACU/OBS/OR of University Hospital, Mott Hospital and Frankel Cardiovascular Center to promote quality, service excellence, patient and family centered care, and maximize throughput.  Own end-to-end patient flow process as well as clinical and operational issues surrounding patient placement in partnership with medical and nursing staff.  Provide ongoing updates of anticipated and confirmed discharges and transfers.  Collaborate with ancillary services and disciplines to eliminate barriers to timely transfers and discharges to optimize bed utilization.  Functions as the liaison and works in collaboration with a multi-disciplinary team and variety of internal and external resources to meet patient flow objectives and resolve issues.

Responsibilities*

  • Provide excellent customer service to internal and external customers.

  • Provide effective communication with team members and other departments to ensure seamless process.

  • Provide accurate and timely follow-up with staff, patients and families.

  • Active problem-solving of issues related to patient flow.

  • Communicate status of house to key stakeholders (units, ED, PACU, leadership, etc.).

Patient Placement Planning and Coordination

  • Serve as the primary, centralized owner of patient flow activities.

  • Maintain current knowledge of specific unit patient placement criteria.

  • Round continuously on all patient care areas to gather and report real time activity as well as actively problem-solving and identifying potential issues/barriers/bottlenecks to patient flow.

  • Provides ongoing updates of anticipated and confirmed discharges and transfers.  Collaborates with ancillary services and disciplines to eliminate barriers to timely transfers and discharges to optimize bed utilization. Communicates and assists with priority discharges.

  • Collaborate with nursing and medical staff to assess levels of care required for current patients in ICU/moderate care/telemetry.  Identify options and facilitate transfers to higher level of care when needed.

  • Facilitate intra-unit transfers to optimize medically necessary private, cohort rooms and patient satisfaction.

  • Provide ongoing assessment and communication of bed availability and changes in patients’ clinical condition to ABCC.

  • Assess patient volumes and workload intensity in all areas for coordination and appropriate patient placement.

  • Activate and lead the hospital’s high occupancy plan based on guidelines established and work with cross-functional team to initiate/activate/manage/close identified overflow patient care areas.

  • Partner with charge nurses to identify and problem-solve patient placement barriers to expedite bed assignment process. Build relationships between ABCC and stakeholders.

  • Monitor and communicates issues related to empty bed time (blocked beds) and nurse staffing on capacity.

  • Prioritize patient placement, providing direction to the Admission Triage Associates, from multiple in-coming locations i.e. home, clinic, outside hospital transfers, PACU, and emergency department from all hospitals.

  • Develop a plan for placement of next day scheduled admissions in collaboration with the patient care areas and the Admission Triage Associates.

  • Develop a plan for placement of outside hospital transfers in collaboration with Admission Triage Coordinators based on bed availability and medical priority.

  • Provide cross coverage to the Admission Triage Coordinator as needed.

  • Manage placements escalated by Admission Triage Associate.

  • Ensure pending and confirmed discharges are entered into system.

  • Facilitate communication of area admissions and bed availability through daily structured processes such as bed briefing or others as determined by the ABCC.

  • Provide status report and ongoing issue update at shift change.

  • Manage multiple competing tasks and deadlines with energy and efficiency.

  • Serve as a resource regarding institutional and departmental policies and procedures.

  • Complete other duties as assigned.

Leadership

  • Educate and provide feedback to nursing and medical staff in clinical departments, inpatient units and procedural areas to improve patient placement and bed management.

  • Support the education mission by providing education and precepting nursing students as appropriate.

  • Drive and manage cross-functional activities, such as High Occupancy meetings with hospital leadership.

  • Lead, facilitate and coordinate assigned appropriate huddles with multi-disciplinary teams and provide solutions to patient flow issues.

  • Support orientation of new charge nurses by presenting ABCC’s roles during orientation.

  • Provide ongoing education to new charge nurses on all units to efficiently place patients.

  • Provide ongoing institutional view to charge nurses on all units to efficiently place patients.

  • Guide unit leadership on patient placement decisions during times of high occupancy.

  • Support, collaborate, educate and partner with appropriate fellows to assist with appropriate patient placement and understanding

?Professional Development

  • Participate in the orientation and training of on-boarding capacity management staff.

  • Participate in activities to promote own continued learning and professional growth.

Continuous Quality Improvement

  • Participate in the development, implementation and ongoing evaluation of policies and procedures related to patient flow and utilization management.

  • Assess and evaluate new or revised systems which support Capacity Management goals and objectives.

  • Recommend and facilitate improvements in the patient placement process based on data analysis.

  • Recommend and facilitate improvements in patient placement and utilization processes.

  • Document notable events for follow-up and make recommendations for quality improvement.

  • Maintain required documentation to support quality improvement and performance metrics.

Required Qualifications*

  • Bachelor’s degree in nursing or a related allied health discipline or equivalent combination of education and experience

  • Minimum of 3-5 years clinical experience including position specific experience.

  • Excellent clinical knowledge and assessment skills to evaluate and prioritize patient flow issues such as identifying medical and discharge needs of patients and families.

  • Demonstrated strong interpersonal skills with the ability to interact with the healthcare team, peers, patients, families and community to work as a team, facilitate problem resolution and make difficult decisions under pressure.

  • Demonstrated ability to plan, organize and direct the activities of others

  • Demonstrated excellent problem solving, conflict resolution, verbal and written communication skills, and customer service skills.

  • Demonstrated ability to establish excellent working relationships with physicians and all levels of staff.

  • Demonstrated team spirit, dependability, initiative, openness to learning new things, and good judgment to interact effectively with team members, patients and families.

  • Demonstrated ability to exercise good judgment and work successfully within a team and also independently.

  • Demonstrated ability to adapt to rapidly changing regulatory requirements.

  • Demonstrated ability to work in a demanding and stressful environment, where prioritizing is essential while maintaining a professional demeanor in difficult situations.

  • Demonstrated computer competency.

Desired Qualifications*

  • Critical or emergent care experience is preferred.
  • Working knowledge of Utilization Review and/or experience with patient health outcomes and understanding of reimbursement regulations and issues.
  • Experience facilitating patient placement.
  • Experience with systems that support patient flow, revenue and admission processes.
  • Understanding of University policies and procedures.

Background Screening

Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings.  Background screenings are performed in compliance with the Fair Credit Report Act.

Mission Statement

Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally.  Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.

U-M EEO/AA Statement

The University of Michigan is an equal opportunity/affirmative action employer.