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Leuder Haus in Jefferson County implemented a discharge improvement plan aiming to reduce hospital readmissions and improve retention rates by developing discharge objectives, tracking data, and staff discussions. Results showed a decrease in short-term admissions and repeat stays, leading to increased bed days. The next steps involve continuing to track data and discussing it among staff. The impact included better anticipation of discharges, improved patient care, and over $250,000 in additional revenue.
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AIM (Plan) • Big Aim – To reduce hospital readmissions • Little Aim – Improve retention
Changes (Do) • Develop discharge objectives at admission • Ask discharge goals • Ask “Where are you going?” • Document what brought the person to Leuder Haus • To identify trends
Results (Study – 2011 to 2012) • Short-term <10 day admission dropped form 62% to 42% • Repeat stays dropped from 31.7% to 30.3% • Beds days increased by 33%.
Next Steps (Act) • Adopted discharge objectives • Continue to track and discuss data among staff
Impact (Lessons Learned) • Became better at anticipating discharges • Better patient care with a 1.5-day increase in the length of stay • Business case of $250,000+ in additional revenue