Discharge Planning in the Hospital
In this Children’s Hospital, there was a dysfunctional system for discharging patients that were medically ready to be released, only 30% of patients were released < 4 hrs of them being identified as medically ready to leave
Case Study Details
80% discharges done in less than 4 hrs when patient is determined to be medically ready to leave
- freed up bed space to recover 4 beds per year
- 332 additional patients can be supported with the savings
Reworking and retraining the staff on efficent discharge procedures were implemented
- Developed process and procedures built around evidence based best practices, teamwork, and communications
- Used simulation to train staff on new discharge procedures
2 hrs of non-clinical duty for each learner
- optimization of the discharge procedure
- needs coordination with billing
< 1 year (2007)
Clinical and Administrative resources to review best practices literature and adjust for internal constraints
- space to conduct simulation training
- properly trained staff to support training initiative
- learner time to train away from clinical duties
- 30% discharges done in less than 4 hrs
- Continued in-efficiency in the discharge of patients
- atient Length of Stay longer for no medical reason
- reduced capacity by 332 patients due to inefficiencies
- loss of potential revenue from the 332 prospective patients, ~ $11.47 million/year
Decision Maker Talking Points
- Be able to treat an additional 331 patients per year in the Hospital
- Potential Revenue of an additional $11.47 million/yearÂ
- Better patient care for community, be able to serve more people with same resources
- If we implement program, for community PR show advocacy for Patient Safety, and increased patient satisfaction
- Potential Revenue of an additional $11.47 million/yearÂ
- Be able to treat an additional 331 patients per year
- eliminate unnecessary Length of Stay
- cost of learners is 1 days of simulation and training
- Be able to treat an additional 331 patients per year
- Minimizing unnecessary length of stay of patients
- Increased patient satisfaction
- need to train medical students with evidence based best practices
- need to have medical students training in an IPE environment to best prepare for current needs in Hospitals
- have students prepared to operate in high risk, time pressured critical environments
- better preparing the medical students given limitations on clinical hours
- practicing in a simulated environment instead of on actual patients
- need to train nursing students with evidence based best practices
- need to have nursing students training in an IPE environment to best prepare for current needs in Hospitals
- better preparing the nursing students given limitations access to clinical placements
- practicing in a simulated environement instead of on actual patients
- Better efficiency in the care of patients with the most common problems
- increase the ability of staff to treat more patients
- ability to retain staffing by showing value for patient satisfaction
- ability to better adjust behavior as teams train together
- making the case will involve a fully engaged staff of passionate educators
- make clear that faculty educators must be trained to conduct deliberate practice and feedback
- support a part of the institutions patient safey initiative to align with mission focus
- focus on capturing the appropriate ROI metrics for you environment