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REDESIGN OF DISCHARGE MANAGEMENT

Deaconess Health System Six Sigma/Lean. REDESIGN OF DISCHARGE MANAGEMENT. What is the Right Y (CTQ) to Measure? How will it be measured? Y: Improve care coordination and efficiency of admission and discharge processes x: Reduce Med/Surge Length of Stay (LOS)

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REDESIGN OF DISCHARGE MANAGEMENT

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  1. Deaconess Health System Six Sigma/Lean REDESIGN OF DISCHARGE MANAGEMENT What is the Right Y (CTQ) to Measure? How will it be measured? Y: Improve care coordination and efficiency of admission and discharge processes x: Reduce Med/Surge Length of Stay (LOS) x: Reduce Med/Surge Readmission Rate x: Reduce EHR expense

  2. CTQ’s, Big Y, x’s Nursing Case Management Pt Discharge Management Pt Complexity Process Changes • Identify Pts with Patterned/Predictable discharge planning needs • Incorporate Discharge Planning for Patterned/Predictable Pts into daily work of Med/surge Nurses • Focus Case Managers on Complex Patient Discharge Needs

  3. Project Results • Project Baseline Med/Surge Unit: • 5.86 days ALOS • 6.3% 30-day Readmission Rate • EHR Referrals Rate to Discharges: 0.19459 • Project Outcome Med/Surge Unit: • 4.95 days ALOS • $270,000 savings in 6-months (Direct Variable Expense/Pt) • 5.8% 30-day Readmission Rate • $221,000 Savings from Decreased EHR Referrals

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