SHM Converge Scientific Abstract ePoster Gallery-Impact of Discharge Before Noon on Length of Stay

Pdf Summary

This quality improvement initiative aimed to increase discharge before noon (DBN) among hospital medicine patients from a baseline rate of 12.8% in 2021 to 15%, and to evaluate its effect on length of stay (LOS).<br /><br />After approval from the hospital Quality Improvement Council, a standardized interdisciplinary DBN planning process began in July 2022. Potential next-day DBN patients were identified in advance, and case management posted patient initials and locations on the unit’s daily management board. At 2 PM each day, an EMR chat was sent to the medical team, bedside nurse, social worker, and physical therapist to confirm planned discharges and identify barriers. Any delays related to testing, medication delivery, or transportation were escalated by unit leadership. Once discharge was confirmed, physicians or advanced practice providers marked the board, and bedside nurses gave patients 24-hour notice. Teams were then encouraged to enter discharge orders before 10 AM the next morning.<br /><br />The intervention focused on improving communication, accountability, and early coordination among the care team to make morning discharges more reliable. The intended operational benefit was not only to increase DBN rates, but also to reduce LOS and improve patient flow.<br /><br />The document provided does not include the results or conclusions, so the impact of the intervention on DBN rates or LOS cannot be assessed from the text available.

Asset Subtitle

Shantheri Shenoy MD

Meta Tag

Author List Annalisa Monahan, Brian Markoff, Emily Sherlock, Forough Hakimzada, Jose F. Morales, Jose Luis Alcaraz Alvarez, Mary Ellen Dupont, Natalie Cedeno, Shantheri Shenoy MD

Category Innovations

Concept Discharge-Before-Noon Initiative

Concept Multidisciplinary Workflow

Concept Care Team

Concept Discharge Barrier

Concept Discharge Rate

Distinguished Non-Finalist

Presenter Organization Icahn School of Medicine at Mount Sinai

Presenting Author Shantheri Shenoy MD

Track Quality Improvement

Keywords

discharge before noon

hospital medicine

quality improvement

length of stay

patient flow

interdisciplinary communication

care coordination

discharge planning

electronic medical record

hospital operations

Discharge-Before-Noon Initiative

Multidisciplinary Workflow

Care Team

Discharge Barrier

Discharge Rate