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Updated: Oct 25, 2025

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Using Accountable Care Teams to Improve Timely Discharge: A Pilot Study.

Gregory N Orewa1, Sue S Feldman, Kristine Ria Hearld

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Summary

Implementing accountable care teams (ACTs) significantly improved timely patient discharges in hospitals. This multidisciplinary approach enhanced efficiency and reduced delays, benefiting patient flow and care delivery.

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Area of Science:

  • Healthcare Management
  • Quality Improvement
  • Patient Flow Optimization

Background:

  • Delayed patient discharges pose significant challenges for hospitals globally.
  • Inefficiencies in care delivery and patient throughput negatively impact hospital operations.
  • Accountable Care Teams (ACTs) offer a multidisciplinary, unit-based strategy to address these issues.

Purpose of the Study:

  • To assess the impact of ACT-recommended strategies on timely patient discharge rates.
  • To evaluate improvements in hospital care delivery and throughput efficiencies.
  • To reduce emergency department boarding times and discharge delays.

Main Methods:

  • Retrospective, quasi-experimental design comparing intervention and control units.
  • Analysis of the percentage of discharges by 1 pm pre- and post-intervention.
  • Wilcoxon rank sum test and difference-in-differences modeling to assess changes.

Main Results:

  • Units implementing ACT strategies showed a statistically significant increase in discharges by 1 pm (53.6% vs. 22.5%).
  • Significant improvements were observed at 1, 3, and 6 months post-implementation.
  • Median discharge time decreased by 77 minutes (P < .01).

Conclusions:

  • ACTs are effective in developing strategies to enhance patient care and discharge efficiencies.
  • Multidisciplinary teams can drive practice improvements in healthcare organizations.
  • Healthcare organizations should utilize and evaluate ACT initiatives for better outcomes.