Reduce length of stay through improved discharge coordination

Length of stay is tightly linked with discharge coordination. And both are highly dependent on the care team being activated around the plan of the day and plan for discharge. Many of our partner hospitals have seen significant improvements in their length-of-stay.

Reported Outcomes

With the introduction of 1Unit systems, hospitals have reduced the lengths of stays for patients and additionally have created better systems for discharging.

  • $1.4M annual savings per unit due to lower LOS
  • 29% ($1,400) reduction in direct variable costs per hospitalization
  • 30% reduction in 7-day readmissions
  • 25% reduction in 30-day readmissions
  • 43% decrease in length of stay
  • 1+ day improvement in discharge note preparation

Data from a consolidated list from more than 15 published studies from the past decade. Sources available upon request.

What mechanisms create these results?

Structured Interdisciplinary Bedside Rounds (SIBR rounds) brings the care team together each day to discuss key changes in patient status, new pertinent information and emerging evidence.

Within 3-4 minutes every participant has heard from their colleagues, the patient and their family, if present. Everyone leaves the bedside with their key questions answered and a cohesive holistic plan for the day and plan for discharge shared amongst the team.

Team members, patients and family members know what their tasks are until the team meets again, and how they can each progress the patient to a safe and early discharge.

The incorporation of a quality-safety checklist into our bedside handover process and again in SIBR rounds ensures that common causes of hospital acquired complications are identified and mitigated early, 3 times per day at a minimum. This prevents non-response to treatment or deterioration that can delay patient recovery and discharge.

CASE STUDIES

See what improvements our partner hospitals achieved after implementing our programs

SIBR Reduces Length of Stay #1

10% decrease in length of stay on a pediatric ICU (p<0.004)

SIBR Reduces Length of Stay #2

0.4 day reduction in length of stay on a medical telemetry unit vs. 0.8 day increase on control units

SIBR Reduces Length of Stay #3

43% reduction in length of stay on a trauma-surgical unit

50 patient increase in throughput per month

SIBR Reduces Length of Stay #4

16% reduction in length of stay on a 30 bed medical unit

SIBR Reduces Length of Stay #5

18% reduction in length of stay on a medical unit vs. 3% reduction on control unit

SIBR Reduces Length of Stay #6

19% reduction in length of stay on an aged care rehab unit

SIBR Reduces Length of Stay #7

1.2 day reduction in mean length of stay for all oncology patients

SIBR Improves rate of 10am Discharge

136% greater 10am discharges than hospital average

SIBR Improves Completeness of Discharge Plans

15% increase in stroke discharge plans addressing stroke risk factor management

SIBR Reduces 30-day readmissions

24.7% reduction in 30-day readmissions vs. 5% reduction in control units

SIBR Reduces 7-day & 30-day readmissions

30% reduction in 7-day readmissions (p=0.03)

Explore Other Real Life Examples and Case Studies

Our programs, which have been embraced by hundreds of unit-based teams around the world, provide better care more efficiently and with a more human touch.

computer

Reduce harm events

24.5% decrease in unit mortality

patient2

Patient experience

88 point increase for HCAHPS “rate the hospital”

patient3

Reduced care costs

$1.4M annual savings per unit due to lower LOS

crew

Employee engagement

24% increase in nursing job satisfaction