Same-day Discharge & Hospital Throughput – Insights from Your Peers - 2024 Quality Summit Presentation (Non-CE)-Same-day Discharge & Hospital Throughput

Video Transcription

Video Summary

The presentation focused on optimizing elective PCI (percutaneous coronary intervention) procedures, specifically addressing same-day discharge (SDD) rates to improve clinical outcomes and cost efficiency at UC Davis Medical Center. Mary, a Quality Improvement Nurse Analyst, highlighted that the hospital initially had low SDD rates due to a lack of standardized guidelines and a cautious culture of overnight monitoring. A project was launched to establish guidelines, resulting in an increase from 9% to 24% in SDD rates within a year. Key challenges included handling complex cases and patient distances. Steve Fox, from Maine Health Medical Center, discussed his study testing SDD feasibility for NSTEMI (non-ST-elevation myocardial infarction) patients, concluding that SDD can be safe with appropriate patient selection, potentially lowering healthcare costs. Doug Miller from WellStar MCG Health shared a project that improved discharge efficiency through standardized practices, which successfully increased the percentage of patients discharged by midday without increasing length of stay. Overall, these presentations emphasized the importance of strategic guidelines and collaboration in enhancing discharge processes, while considering the balance between patient safety and hospital efficiency.

Keywords

elective PCI

same-day discharge

clinical outcomes

cost efficiency

standardized guidelines

patient safety

NSTEMI

discharge efficiency

healthcare costs