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Improving Patient Outcomes Using Measures to Increase Discharge Rates to Home
Swapnil V Patel1, Anne Arcidiacono1, Christopher P Austin1
1Internal Medicine, Jersey Shore University Medical Center, Neptune City, USA.
Cureus
|June 6, 2024
Summary
Multidisciplinary interventions significantly increased home discharge rates from 74.9% to 80.2% by improving physician and patient education, electronic medical record use, and mobility. This approach reduced hospital length of stay and healthcare costs.
Area of Science:
- Healthcare Management
- Patient Outcomes Research
- Quality Improvement
Background:
- Post-acute care (PAC) centers are crucial for patient recovery and rehabilitation.
- Medicare reforms in the 1990s increased PAC utilization and length of stay.
- National initiatives focus on improving safe discharge rates to home, linked to better patient outcomes.
Purpose of the Study:
- To evaluate the impact of multidisciplinary interventions on home discharge rates at a single institution.
- To reduce hospital readmissions, length of stay, morbidity, mortality, and healthcare costs.
Main Methods:
- A retrospective single-institution cohort study at Jersey Shore University Medical Center (JSUMC).
- Data collected from January 2015-December 2019 (pre-intervention) and January 2020-January 2024 (intervention).
- Interventions included physician/patient education, EMR initiatives, accountability, and daily mobility programs.
Main Results:
- Home discharge rate increased from 74.9% to 80.2% across all patients (p < 0.001).
- Faculty-managed patients saw a significant rise from 73.6% to 84.4%.
- Hospitalists and other specialists also showed improved home discharge rates.
Conclusions:
- Multifaceted interventions significantly boosted home discharge rates.
- The approach was cost-effective, reducing healthcare costs and patient length of stay.
- Further research is needed on readmission rates and mortality.
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