What can you do to reduce ALOS?
1. Have the Right-Size Unit Capacity
2. Get the Right Patient to the Right Unit
3. Estimate and Predict Your In-patient Census and Manage It
4. Cut Down On Delays In Admission From The ED
5. Address Provider Workflow
This means that you may have to change to the daily schedule for clinical teams, which may invite the introduction of additional incentives.
6. Initiate daily multidisciplinary rounding and daily bed huddles:
This would significantly reduce delays in completing ancillary tasks on time, such as teaching, patient evaluations, payer authorizations, post-acute service setup and rides home.
7. Identify Impact Areas by Checking On the Hours of Operation
8. Plan the discharge in advance
9. Prioritize Patients to Be Discharged for Labs/Clinical Procedures
Clinically urgent cases are usually pushed forward in the lab queue while first come first serve treatment is meted out to less urgent cases. You can move a patient up in the queue if they are close to discharge.
Have a prioritized list for labs and clinical procedures for patients who would be discharged soon.
10. Transition Some Procedures to Outpatient
11. Improve Communication with staff and patients
12. Real time dashboards and recording of patient information
You can streamline your clinical workflow by embracing technology. This can help you in the following areas.
Asset management – automate PAR-level management to ensure equipment distribution is optimized. This would mean patients wouldn’t have to wait while the staff search for equipment.
Nurse call automation – you can automate call cancellations and facilitate staff rounding.
Patient workflow – automatically record and analyze operational data and document patient milestones.
14. Create a discharge educator position
15. Educating patients on pain management
Therefore it is necessary that at both macro and micro levels the glitches in the system are weeded out to reduce the hospital ALOS at your hospital.
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