Length of stay reduction/management
Seton Northwest Hospital continuously designs and tests nurse-led quality improvement projects at the patient's bedside, allowing nurses to be more efficient and spend more time with patients, reducing falls and nurse turnover, accelerating patient discharge, and yielding positive feedback from staff and patients.
Intensivists guide care around the clock in two medical–surgical intensive care units, leading to lower length of stay and the near elimination of ventilator-associated pneumonia, hospital-acquired pressure ulcers, and central line infections.
Dartmouth-Hitchcock Medical Center used standardized order forms for diagnostic tests and timely antibiotic administration, reminders on existing admissions/discharge forms for vaccine administration and smoking cessation counseling, and prompt provider feedback to improve adherence to recommended care for patients with community-acquired pneumonia according to The Joint Commission/Centers for Medicare & Medicaid Services Pneumonia Core Measure Set.
A hospital protocol that encourages early mobility by respiratory intensive care unit patients reduced length of stay, both in the intensive care unit and overall.
A hospital uses a protocol to encourage ambulation in hospitalized patients with community-acquired pneumonia and chronic obstructive pulmonary disease, leading to a reduction in readmissions and length of stay.
A multidisciplinary team from a medical center and its affiliated psychiatric hospital streamlined the evaluation, transfer, and admission processes for psychiatric patients presenting to the emergency department, leading to a significant decline in waiting times before transfer to the psychiatric facility.
A children's hospital uses a simple scoring system and “action algorithm” to identify and promptly attend to at-risk patients, leading to fewer codes, lower mortality and length of stay, and improved communication and teamwork among staff.
The Sepsis Alert Program at Christiana Care is a care management program that incorporates a number of initiatives to support the prompt identification and treatment of patients who have sepsis.
Summa Health System's Care Coordination Network strives to ensure smooth transitions between the hospitals and 40 local skilled nursing facilities, leading to fewer readmissions and lower length of stay in the hospital.
Albert Einstein Medical Center uses a patient and workflow management process to improve communication and workflow in the emergency department, leading to shorter length of stay, fewer walkouts and diversions, and higher patient satisfaction.