Teamwork goes a long way. I am very proud of the hospital in Southern CA for the teamwork shown to reduce Medicare FFS length of stay (LOS) by 0.88 days in one month. We started Interim Work in last week of October 2018. Hospital had not much success to reduce LOS in this area for many months. Some thoughts LOS was going higher because the hospital got Stroke Certification and added a new line of service along with growing pains. An initiative was started to admit cases from ED before midnight and it was believed to add some days to inpatient LOS and adding to the LOS. The factors perceived by the hospitals are real and could be contributing to the increased LOS. The collaborative work between nursing and CM made a positive difference in 30 days. It is not a trend but a good start.
235 days may not look at a big thing. It means we as an organization had to take care of on an average 7.8 fewer patients per day. This is huge. With efficient operation and timely turnaround, it leaves a few empty beds open where patients in ED do not have wait for inpatients to be discharged. This helps to improve throughput.
If you need consultation to manage LOS and improve patient throughput please refer to a few of the articles written to help in this area using this website. We have posted a few articles on Linkedin.com. You are welcome to contact us for further consultation to see how we can add value to your organization.