About Us

Progressive Care with Compassion.

VCHS ED Average Door-to-Doc Time Bests State Benchmark, Signaling Responsive, Quality Care

ORD, Neb. – The Valley County Health System (VCHS) Emergency Department (ED) provided more responsive emergency medicine care compared to state benchmarks in 2016, based on Centers for Medicare and Medicaid Services “door-to-doc” time reports submitted by VCHS.

Door-to-doc time – the average time it takes for a provider to see a patient after the patient walks through the ED doors – is a common industry measure. A lower door-to-doc time typically indicates more efficient and higher quality care. During 2016, VCHS’s average door-to-doc time was 11.6 minutes, compared to the most recent Nebraska average benchmark of 26 minutes. The data was derived from a sample of the total VCHS ED volume.

“VCHS’s team of providers is excellent. They’re dedicated professionals who believe in service to the patient, as evident by our short door-to-doc times,” VCHS Chief Nursing Officer Vicki Bredthauer, RN, said. “The goal of the VCHS ED providers and staff is competent, efficient and compassionate delivery of care.”

During daytime hours, the VCHS ED is managed by a dedicated provider – commonly Jeff Breitkreutz, PA-C, or Johanna Spencer, APRN-NP, FNP-BC. During evening and weekend hours, a provider is always on-call and readily available to care for ED patients.

“Having a dedicated ED provider has shortened wait times because medical staff is no longer required to balance clinic schedules with emergency patients,” Bredthauer said. “This provides a better experience for both clinic and ED patients.”

Medical providers assume each patient who goes to the ED is in an emergency condition and, therefore, responds as quickly as possible to the patient’s concerns.

“If the ED is full, or multiple patients arrive at the same time, we triage each patient to determine the most urgent case and care for that patient first,” VCHS ED Manager Jennifer Sandoz, RN, said. “Even with that consideration, our door-to-doc numbers show that we respond and provide excellent care to all of our patients in an efficient and competent manner.”


Pictured: VCHS's Jeff Breitkreutz, PA-C, cares for a VCHS ED patient.