Patient Progression

Is a Lack of Physician Alignment Eroding the Foundation of Your Patient Flow Management?

Is a Lack of Physician Alignment Eroding the Foundation of Your Patient Flow Management?

By Bob Gleason-Moore RN, MN

Use This Quick Checklist to Find Out

When a foundation is not optimized, it may weaken or even collapse the structure it is meant to support.

In the hospital, physicians play a cornerstone role in the foundation of optimizing patient flow and on-time patient progression.  So, why is it that physicians are often misaligned with the organization when it comes to these crucial components of the patient stay?  How do you find out if this is a problem in your hospital?

Discharge Delays Creating Rush Hour in the ED? Put Patient Progression in the Express Lane

Discharge Delays Creating Rush Hour in the ED? Put Patient Progression in the Express Lane

By Bob Gleason-Moore RN, MN

3 Keys to Driving On-Time Discharges

We've all been there before. It's happened again. We just can't seem to get our patients discharged on time. Patient flow and throughput are suffering across the hospital. Patients are waiting hours, even days, in the ED for an inpatient bed. Staff morale plummets as they realize they have no choice but to provide inpatient care in settings they know are not ideal for their patients. Sounds ominous, doesn't it?  Well, I have good news.

Ten Tips for Optimizing Length of Stay

Ten Tips for Optimizing Length of Stay

Not all health systems have realized significant gains in optimizing their length of stay (LOS).  Some wonder if a small decrease is worth the effort.   Others are concerned reducing their LOS will lead to a higher readmission rate and associated penalties.  But experience shows that the benefits of managing LOS are compelling, and the reduction of LOS does not necessarily correlate with an increase in readmissions.  Readmissions occur when patients are discharged too early or without a plan supporting their transition from the inpatient setting.

What are the benefits?  Reducing LOS drives a significantly positive impact on a health system’s financial performance.   For example, if a 300-bed hospital with an average LOS of 4.5 days was able to reduce their LOS to 4.2 days they could treat over 1,700 more patients each year. This would mean millions of dollars in additional income from the same fixed capacity. 

The 8 Milestones of Patient Throughput: How a “Production System” for Care Always Puts the Patient First

We think a lot about milestones in healthcare. The major milestones now are the shift from volume- to value-based care and the evolution to community health management. These healthcare milestones change everything about the way hospitals operate, provide care and succeed financially. So how do hospitals thrive in this evolution?