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Multidisciplinary Approach to Obesity Management: A Case Report

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Published on: May 30, 2025

Lean-Based Redesign of Multidisciplinary Rounds on General Medicine Service.

Marlena Kane¹, Nidhi Rohatgi², Paul Heidenreich³

¹Stanford Health Care, Stanford, California, USA.

Journal of Hospital Medicine

|February 3, 2018

Summary

This summary is machine-generated.

Redesigning multidisciplinary rounds (MDR) using Lean techniques improved patient discharges before noon and the recording of estimated discharge dates (EDD). This Lean-based approach enhanced care team communication and efficiency without affecting length of stay or patient satisfaction.

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Area of Science:

Healthcare Management
Process Improvement
Clinical Operations

Background:

Multidisciplinary rounds (MDR) are crucial for timely communication among care teams and patients.
Inefficiencies in traditional MDR can impact patient flow and care coordination.

Purpose of the Study:

To evaluate the impact of a Lean-based redesign of MDR on key performance indicators.
To assess changes in length of stay (LOS), discharges before noon, documentation of estimated discharge date (EDD), and patient satisfaction.

Main Methods:

A pre-post study design was employed to compare outcomes before and after the MDR redesign.
Lean techniques were utilized to implement the new MDR model on a general medicine service.
Data from 4000 patients in the pre-period and 2085 patients in the post-period were analyzed.

Main Results:

The Lean-based MDR redesign led to a significant increase in discharges before noon (6.9% to 10.7%, P < .001).
Documentation of EDD also significantly improved, rising from 31.4% to 41.3% (P < .001).
No significant changes were observed in mean LOS or patient satisfaction.

Conclusions:

The Lean-based redesign of MDR effectively increased the rate of early discharges and improved EDD documentation.
This process improvement strategy demonstrates a positive impact on specific operational metrics within a teaching general medicine service.