SHM Converge Scientific Abstract ePoster Gallery-From Conference Room to Bedside : Reinventing Interdisciplinary Rounds

Pdf Summary

This project describes a redesign of interdisciplinary rounds (IDR) on medicine floors from a conference-room model to bedside, discharge-focused rounds. Traditionally, physicians, case managers, social workers, pharmacists, dieticians, and nurse leaders met in a conference room to discuss care plans and discharge needs. The team observed that this approach often produced redundant discussion without clear solutions, contributing to avoidable discharge delays and lower patient satisfaction.<br /><br />In November 2024, the institution introduced walking bedside IDR with input from key interdisciplinary stakeholders, including physicians, social work, pharmacy, case management, and nursing leadership. The new process uses a structured script centered on discharge needs, is led by nursing leadership, and includes patient participation. Action items are assigned to specific team members to improve accountability and ownership.<br /><br />The goals of the project were to increase patient involvement in discharge planning, reduce time to discharge once a decision is made, remove discharge barriers to improve throughput and length of stay, and improve the quality of communication around discharge planning.<br /><br />To support sustainment and improvement, the team implemented weekly participation surveys, regular accountability meetings with physician and case management leaders, tracking of patient participation, pre-emptive rounding on new admissions to explain the process, and use of Epic “sticky notes” to improve communication with bedside nurses.<br /><br />The project required significant change management to build interdisciplinary buy-in, but early results were promising, showing positive impact on patient satisfaction and length of stay. The bedside IDR model was successfully expanded to other units within the institution.

Asset Subtitle

Jacob Clayton

Meta Tag

Author List Jacob Clayton, Josie Schumacher, Madeline Ashley, Madison Cheney, Nick Schasch, Radha Devi Radhakrishna Pillai

Category Innovations

Concept Patient Participation

Concept Discharge Planning

Concept Patient-Centered Care

Concept Time to Discharge

Concept Discharge Barrier

Distinguished Non-Finalist

Presenter Organization BJC

Presenting Author Jacob Clayton

Track Transitions of Care

Keywords

interdisciplinary rounds

bedside rounds

discharge planning

patient participation

length of stay

care coordination

hospital throughput

nursing leadership

communication improvement

change management

Patient Participation

Discharge Planning

Patient-Centered Care

Time to Discharge

Discharge Barrier