SHM Converge Scientific Abstract ePoster Gallery-Analysis of Geographic Rounding Affecting Observed to Expected Discharge Ratio

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This study evaluated the impact of geographic rounding at two Integris Health hospitals: Baptist Medical Center and Southwest Medical Center. Geographic rounding assigns hospitalist teams to specific inpatient units to improve communication, coordination, and care efficiency.<br /><br />Using a before-and-after qualitative analysis, the study compared key metrics: Length of Stay (LOS), Observed-to-Expected (O/E) ratio, and Opportunity days. Statistical testing showed significant improvements after geographic rounding was introduced.<br /><br />At Integris Health Baptist Medical Center, LOS decreased by 0.86 days, O/E ratio decreased by 0.1, and Opportunity days decreased by 0.7 days, all statistically significant. At Integris Health Southwest Medical Center, LOS decreased by 1.1 days, O/E ratio decreased by 0.2, and Opportunity days decreased by 1 day, also with strong statistical significance.<br /><br />The findings suggest that geographic rounding improved operational efficiency by streamlining patient care processes and enhancing provider communication. Shorter hospital stays and lower O/E ratios may also indicate better resource utilization and potential cost savings. The authors note that, despite implementation challenges such as logistical changes and cultural adaptation, the benefits make geographic rounding a promising strategy for improving hospital performance.<br /><br />The conclusion emphasizes that geographic rounding can reduce hospital stay durations, improve efficiency metrics, and potentially benefit both patients and healthcare systems. The study recommends broader implementation and further research, especially on patient satisfaction, provider experience, and detailed cost outcomes.

Asset Subtitle

FNU Rabel

Meta Tag

Author List FNU Rabel, Magesh Sathaiah, Mobolaji Olulade

Category Research

Concept Geographic Rounding

Concept Length of Stay

Concept Observed-versus-Expected Methodology

Concept Hospitalist Practice

Concept Inpatient Unit

Distinguished Non-Finalist

Presenter Organization INTEGRIS Health Baptist Medical Center, Oklahoma City, Oklahoma.

Presenting Author FNU Rabel

Track Quality Improvement

Keywords

geographic rounding

hospitalist teams

Integris Health

length of stay

observed-to-expected ratio

opportunity days

hospital efficiency

patient care coordination

provider communication

operational improvement

Geographic Rounding

Length of Stay

Observed-versus-Expected Methodology

Hospitalist Practice

Inpatient Unit