Navigating Same-Day Discharge — Decreasing Readmissions and Improving Satisfaction - 2022 Quality Summit presentation (Non-CE)-Navigating Same-Day Discharge — Decreasing Readmissions and Improving Satisfaction

Navigating Same-Day Discharge — Decreasing Readmissions and Improving Satisfaction - Miller-Collins

Video Transcription

Video Summary

In this video, Dr. Raymond Miller, a cardiac electrophysiologist, and Ben Collins, the senior director of operations at the cardiovascular service line in Bay Health Medical Center in Delaware, discuss their experience with same-day discharge for cardiac procedures, specifically device implants. They began implementing same-day discharge due to a shortage of overnight beds and patient dissatisfaction with staying overnight in the hospital. They formed a multidisciplinary group to establish criteria for same-day discharge and reviewed literature and consensus statements from their colleagues in the field. The criteria they established included age, absence of symptoms or comorbid conditions, normal lab results, and the availability of a responsible caregiver at home. The patients underwent specific post-procedure care, including monitoring in the recovery area, tests, and antibiotic prescriptions. They also had follow-up appointments and post-procedure calls to assess patient satisfaction. The study showed a 0.2% readmission rate and a cost savings of $3.29 million. The success of the program allowed them to reinvest the savings into other programs and improve resources in the lab. They plan to expand the program to more complex cases and high-risk patients and further optimize the monitoring time.

Keywords

Dr. Raymond Miller

cardiac electrophysiologist

same-day discharge

cardiac procedures

device implants