Session Type
Meeting
Search Results for throughput
Abstract Number: 445
SHM Converge 2024
Background: Like many institutions nationwide, our health system, an urban tertiary care academic medical center, has experienced challenges due strained hospital capacity. Hospitalists frequently face feedback to place discharge orders as early as possible in the day, for reasons as diverse as assisting patients with obtaining a ride home to expediting bed turnover for the […]
Abstract Number: 446
SHM Converge 2024
Background: Hospitals continue to experience pressures to optimize efficiency and quality outcomes and to reduce practice variation. In surgical patient populations, the Enhanced Recovery After Surgery (ERAS) pathways have been shown to reduce length of stay, postoperative complications, hospital readmissions, and cost by integrating multidisciplinary, evidence-based interventions throughout the perioperative period (1). A similar model […]
Abstract Number: 447
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: As hospital reimbursement models and publicly available CMS ratings place a stronger emphasis on improved patient throughput, safety, and satisfaction, it has become increasingly important for hospitals to develop cohesive care teams aligned with these goals. At our 800-bed quaternary care hospital located in suburban New York, care had historically been quite heterogeneous, with […]
Abstract Number: 451
SHM Converge 2024
Background: Delays in medical care are frustrating for all stakeholders involved, including patients, their families, and the clinical teams responsible for moving their care forward. These delays, particularly in inpatient care, not only extend hospital stays but also have a cascading effect on patient throughput and inpatient bed availability. Hospitalists regularly navigate these challenges and […]
Abstract Number: 455
SHM Converge 2024
Background: At our multi-hospital system, our utilization management (UM) program found that the length of stay (LOS) for observation patients in one hospital was, on average, 10 hours longer than the rest of the hospital system. There was a challenge of having better observation management, but there was no space or staffing to create a […]
Abstract Number: 463
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: One of the Society of Hospital Medicine (SHM) core competencies (listed as Principle 7) is that Hospitalists provide effective clinical resource utilization. Examples: cost effective care, high-value care, and designing processes that address cost per stay and readmissions. Optimized inpatient throughput has been shown as a strategy to improve overall hospital flow, including streamlined […]
Abstract Number: 473
Hospital Medicine 2020, Virtual Competition
Background: In many urban hospitals, Emergency Department (ED) crowding and patient boarding is an increasing challenge. Admitted patients often spend prolonged periods of time in the ED while waiting for an inpatient bed. These ED boarded patients can have delayed or inadequate care, increased adverse events and increased mortality. Furthermore, these ED boarded patients place […]
Abstract Number: 474
Hospital Medicine 2020, Virtual Competition
Background: Internal medicine and hospital medicine providers are under pressure to move patients quickly through the hospital and decrease length of stay. Providers spending most of their clinical time seeing patients, documenting or coordinating care and have minimal time to disrupt workflow to perform common bedside procedures such as paracentesis, lumbar punctures, central lines, arthrocentesis […]
Abstract Number: 477
Hospital Medicine 2020, Virtual Competition
Background: The timing of discharges of admitted patients has a significant impact on hospital efficiency and throughput. Earlier discharges are associated with improved boarding times, admissions arriving to inpatient units earlier in the day, and decreased length of stay. Discharges that occur later in the day creates a bottleneck effect, causing emergency room congestion, overcrowding, […]
Abstract Number: D23
SHM Converge 2022
Background: Hospital throughput and length of stay (LOS) are important drivers of success in an increasingly competitive healthcare landscape where revenues are down and demand can exceed hospital capacity. More specifically, longer LOS and hospital throughput bottlenecks impact access to timely care, the quality and safety of care delivery, patient and family satisfaction, and provider […]