St. Peter’s Transforms Throughput, Care Quality and Patient Experience

 St. Joseph’s Hospital realize annual benefits of $11.6 million in less than two years

St. Peter’s Hospital, 487-bed hospital in Albany, New York, wished to improve length-of-stay, efficiency, and cost per case within the context of care coordination and set out to create an environment where:

  • Patients feel cared for and experience extraordinary service and quality
  • Physicians feel supported, can practice with ease, and know their patients are getting great care
  • Associates feel valued and know their work makes a difference

St. Peter’s embraced a patient-first, zero-defect culture and adopted Care Logistics software that prioritizes, queues, and coordinates simultaneous patient demand along with a unifying system aim for the organization: “Partnering for Excellence, Achieving the Extraordinary.” With this system aim as the foundation, St. Peter’s and Care Logistics defined the operating procedures and scorecard measures that would ensure continuous clinical, operational and financial success.

Daily multidisciplinary team rounding ensure the physician-directed plan is executed and that patients are progressing in their care:

  • Real-time length-of-stay management tool integrated with St. Peter’s ADT system tracks days for concurrent LOS management
  • Estimated date of discharge is consistently visible to the care team from admission to discharge
  • Order Logistics expedites orders for timely patient care progression
  • Bed and staffing availability are visible in real-time to ensure best placement and care

As a result, length-of-stay has dropped from 5.77 days to 5.3 days, while case mix index has increased from 1.69 to 1.97. Observation patient length-of-stay also dropped from 1.61 days to 1.36 days. The "Partnering for Excellence" initiative has had a favorable impact on quality metrics, efficiency metrics, and patient satisfaction. A few notable examples are listed below:

  • LWBT reduced from 1.7 percent to 1.12 percent
  • Acute myocardial infarction and heart failure bundles have remained at 100 percent compliance
  • SCIP bundle has improved from 92 percent to 97 percent
  • Readmission rates have improved from 11.9 percent to 10.9 percent
  • Falls with injury, catheter-associated UTIs, central line associated bloodstream infection rates have also shown a steady and progressive decline
  • Hospital-acquired pressure ulcers have declined from 2 percent to 0.9 percent
  • ED throughput time for discharged patients has improved from greater than 220 minutes to 119 minutes because of improved patient throughput for admitted patients and fewer ED holds
  • ED patient satisfaction has improved from mid-50s percentile in a national comparative database to the 87th percentile
  • Inpatient satisfaction has improved by more than 40 percent
  • The HCAHPS inpatient satisfaction with discharge instructions score is in the top decile nationally

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