实施修改后的退院早期查工具,以优化案例经理的效率和影响停留时间的长度
James Grafton1,2,3,4,5,6,7,8,9,10, Helene Bowen Brady1,2,3,4,5,6,7,8,9,10, Joanne Kelly1,2,3,4,5,6,7,8,9,10
1James Grafton, MSN, MHA, RN, CCM, is director of care continuum management at Brigham and Women's Faulkner Hospital in Boston, MA. He is currently pursuing his doctorate in nursing at the MGH Institute of Health Professions in Boston, MA.
Professional case management
|October 3, 2023
概括
一个经过修改的Early Screen for Discharge Planning (ESDP) 工具提高了病例管理人员 (CM) 的效率和医院吞吐量. 这种工具有助于优先考虑复杂案件,导致停留时间缩短 (LOS) 的趋势.
科学领域:
- 医疗保健管理的管理
- 医院运营 医院运营
- 患者的出院情况
背景情况:
- 随着COVID-19的流行,工作人员短缺加剧,急性病后病床的可用性减少.
- 这些挑战导致急性护理患者的停留时间 (LOS) 增加.
- 病例管理人员 (CMs) 面临着对这些患者的出院计划日益复杂的问题.
研究的目的:
- 设计和实施修改后的排放规划早期检查 (ESDP) 工具.
- 支持优先考虑复杂出院需求的患者.
- 为了减少急性护理患者的住院时间 (LOS).
主要方法:
- 一项前性受控研究在美国东北部的一家社区教学医院进行.
- 基于电子健康记录的修改ESDP评分被开发出来,包括移动性和自我评价的行走限制.
- 在医疗和外科病房的成年患者被分为干预和控制队列.
主要成果:
- 修改后的ESDP工具表现与标准的ESDP工具相提并论.
- 实施允许53.5%的患者选出CM服务,增加CM关注复杂病例.
- 在修改后的ESDP中观察到减少LOS (0.55天) 的趋势.
结论:
- 修改后的ESDP工具提高了病例管理人员的效率,并提高了医院的吞吐量.
- 这一战略优化了在急性和后急性能力挑战中关键资源.
- 有效的CM工作流程策略对于满足复杂的患者出院需求至关重要.
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