SHM Converge Scientific Abstract ePoster Gallery-More Data, Fewer Problems: Reducing Variability of Structured Interdisciplinary Rounds

Pdf Summary

The document describes an initiative to improve <strong>Structured Interdisciplinary Bedside Rounds (SIBR)</strong> on two hospital units: a <strong>20-bed Progressive Care Unit</strong> and a <strong>17-bed Oncology Unit</strong>. SIBR is presented as a patient-centered bedside communication process involving hospitalists, nurses, and other team members reviewing care plans and discharge needs together. Although SIBR is already considered a strong model of inpatient care, the project aimed to address sustainability problems caused by inconsistent performance.

The team launched SIBR in spring 2022 using standard project management, training, and external expertise, then added a <strong>daily monitoring system</strong> to reduce variability. This system had three parts: <strong>measure</strong> rounds quality and quantity daily, <strong>report</strong> automated performance data to hospitalists, teams, and units, and <strong>act</strong> by having leaders review the reports weekly and respond to issues quickly. Over seven months, 95% of daily team rounds were evaluated.

The results suggest the monitoring approach improved accountability and helped leaders correct problems early. Reported outcomes showed progress across the “triple aim” of patient experience, clinical outcomes, and efficiency. Unit-level metrics improved, including:

- <strong>Length of stay:</strong> 6.7 to 6.0 days (-11%)
- <strong>Mortality:</strong> 13.6 to 10.4 per 1,000 patient days (-23%)
- <strong>30-day readmissions:</strong> 17.7% to 16.4% (-7%)
- <strong>Falls:</strong> 2.4 to 1.1 per 1,000 patient days (-51%)
- <strong>Orders by 9 a.m., discharge by 11 a.m.:</strong> 49% to 69%
- Patient satisfaction measures also improved, especially communication and overall hospital rating.

Overall, the document argues that <strong>daily data tracking can improve the consistency and effectiveness of SIBR</strong>, leading to better patient outcomes and experience.

Asset Subtitle

Thomas S. Grogean

Meta Tag

Author List Thomas S. Grogean, William Demarco

Category Research

Concept Structured Interdisciplinary Bedside Rounds

Concept Interdisciplinary Communication

Concept Patient-Centered Care

Concept Quality Monitoring

Concept Patient Experience

Distinguished Non-Finalist

Presenter Organization Berkshire Medical Center

Presenting Author Thomas S. Grogean

Track Quality Improvement

Keywords

Structured Interdisciplinary Bedside Rounds

SIBR

hospital communication

patient-centered care

daily monitoring

quality improvement

length of stay

patient satisfaction

readmission reduction

inpatient care

Structured Interdisciplinary Bedside Rounds

Interdisciplinary Communication

Patient-Centered Care

Quality Monitoring

Patient Experience