C O N C O R D H O S P I T A L A N N U A L R E P O R T 2 0 1 7 43 InterventionalRadiology In 2017, Concord Hospital took important steps toward offering patients less invasive methods to diagnose and treat a wide range of diseases.The advances involve expanding Interventional Radiology (IR), which uses minimally invasive image guided procedures to diagnose and treat diseases in nearly every organ system. Expanding IR services will benefit patients in many important ways, providing more minimally invasive, life-saving procedures that eliminate the need for surgical procedures, reducing recovery times and decreasing Hospital length of stay. Concord Hospital’s IRWorkgroup focused on: § Expanding the IR service to provide a wider array of minimally invasive outpatient procedures; § Providing education to our providers on the new capabilities and services offered by the interventional radiologists; § Improving communication among members of the care team to ensure safe hand-offs; § Incorporating appropriate vascular procedures performed by our vascular surgeons within the IR suite and supporting vascular procedures performed in the Operating Room; § Establishing the clinical support team needed to better meet the increasing demand for IR services, particularly after-hour emergency care of complex and critically ill patients. TransferCenterPlan Concord Hospital is valued by other hospitals and patients who live outside our community because our medical specialists offer services, backed by the latest technology, that are not available at many other New Hampshire hospitals. As a result, other hospitals and doctors from other communities routinely refer orthopaedic, urology, women’s health, cardiac, oncology and trauma patients to Concord Hospital.To build on our role as a regional referral resource and to expand our presence to other areas, Concord Hospital is working to increase appropriate referrals and transfers among CHMG physicians and advanced providers. We also are reaching out to facilities and physicians outside our primary service area. To aid in that goal, the Hospital has begun planning for aTransfer Center – a centralized entry point which streamlines the complex transfer process. We have identified the need for transfer support, including the type of calls and the number of transfer requests. The Hospital has also assessed patient flow and capacity to determine how often transfer patients are placed in the most appropriate patient care unit based on their immediate medical needs. In addition, the ACE (Admission Controller Emergency Department) role was reconfigured to support admissions and transfers in collaboration with effective bed management. Activities to support the development of a Transfer Center will continue in 2018 as we take advantage of the bed management capabilities in our new information technology system that launched in December 2017. In addition, the Hospital will further assess and improve flow and capacity, and align specialty providers to be able to accept patients expeditiously. With those activities completed, a‘one call’ system is being developed to streamline transfers and referrals and engage the Hospital’s Call Center to create efficient and expeditious patient transfer. Minimallyinvasive, life-savingprocedures.