How Mary Washington Healthcare unlocked $46M in annual impact through operational redesign
Mary Washington Healthcare (MWHC) faced familiar operational challenges: ED boarding, delayed discharges and status friction that slowed throughput and pressured margins. This case study details how MWHC implemented a comprehensive healthcare operating system to improve visibility, align teams and hardwire daily management. The results: a $46-million annual increase in revenue while strengthening safety and staff experience.
By redesigning key processes and workflows, MWHC eliminated 14,506 excess patient days — unlocking capacity equal to 39 new beds without construction. Transparent status determination processes aligned physicians and leadership, resulting in 3,291 patients receiving more appropriate inpatient care and improving reimbursement accuracy. Technology-enabled visibility brought consistency to identifying medically cleared patients earlier, cutting ED boarding and accelerating flow.
This report examines:
By redesigning key processes and workflows, MWHC eliminated 14,506 excess patient days — unlocking capacity equal to 39 new beds without construction. Transparent status determination processes aligned physicians and leadership, resulting in 3,291 patients receiving more appropriate inpatient care and improving reimbursement accuracy. Technology-enabled visibility brought consistency to identifying medically cleared patients earlier, cutting ED boarding and accelerating flow.
This report examines:
- The operating model MWHC used to remove 14,506 excess patient days and free capacity equal to 39 beds without building
- How technology-enabled visibility identifies medically cleared patients sooner to reduce ED boarding and safety risks
- How to replicate MWHC’s approach, including roles, structured communication processes, and change management tactics
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