SHM Converge Scientific Abstract ePoster Gallery-Evaluating the Impact of Structured Interdisciplinary Rounds (Pocr) on Communication, Care Coordination, and Operational Efficiency in an Academic Rural Health System

Evaluating the Impact of Structured Interdisciplinary Rounds (Pocr) on Communication, Care Coordination, and Operational Efficiency in an Academic Rural Health System

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A standardized Structured Interdisciplinary Rounds model (POCR) was implemented across several inpatient medical units in 2024 to improve communication, reduce care fragmentation, and support discharge efficiency. The model used a structured script, a unified flow board, and defined roles for nursing, case management, pharmacy, and providers.<br /><br />This study assessed early multidisciplinary perceptions of POCR one year after implementation using a cross-sectional anonymous survey distributed to all rounding participants. Forty-eight respondents participated: providers (20), case management (17), nursing (9), and pharmacy (2). The survey covered seven domains: nursing workflow support, pharmacy engagement, case management coordination, communication and collaboration, role clarity and efficiency, patient impact and safety, and operational friction.<br /><br />Results showed strong overall favorability, especially in communication and collaboration (83% favorable) and patient impact and safety (76% favorable). Participants felt POCR improved shared decision-making and clarified discharge planning, with 94% favorability for discharge criteria clarity. However, operational friction remained a concern, with 27% favorable on that domain. The main barriers were crowding during rounds and bottlenecks related to order placement and transport coordination.<br /><br />Overall, respondents perceived POCR as beneficial for interdisciplinary communication and discharge coordination, while highlighting the need to improve workflow efficiency and reduce operational barriers.

Asset Subtitle

Anvesh Narimiti

Meta Tag

Author List Anvesh Narimiti, Harold Puerto, Kirk Philpot, Robert Hennings, Shona Varghese

Category Research

Concept Structured Interdisciplinary Bedside Rounds

Concept Interprofessional Communication

Concept Multidisciplinary Collaboration

Concept Discharge Coordination

Concept Efficiency

Distinguished Non-Finalist

Presenter Organization ECU Health

Presenting Author Anvesh Narimiti

Track Patient Safety

Keywords

Structured Interdisciplinary Rounds

POCR

interdisciplinary communication

discharge planning

care coordination

multidisciplinary survey

patient safety

workflow efficiency

nursing collaboration

hospital inpatient units

Structured Interdisciplinary Bedside Rounds

Interprofessional Communication

Multidisciplinary Collaboration

Discharge Coordination

Efficiency