Hospital Workflow Redesign Could Save Lives
On the outpatient side of primary care, attention recently has focused on the use of the medical home to provide ongoing, quality care. So what would happen if that concept were moved to an acute-care inpatient setting?
According to a study from Geisinger researchers, organizing multidiscipline teams of providers to deliver timely, coordinated, and even personalized care in a hospital—using this concept—could save thousands of patient lives a year.
In a large prospective study headed by Thanjavur Ravikumar, MD, Geisinger's director of surgical innovation, the team realized that the medical home model held answers for its continuum of care study conducted last year at the 242-bed Geisinger Wyoming Valley Medical Center in Wilkes-Barre, PA.
In essence, they say in this month's Annals of Surgery, their continuum of care study—which first looked at surgical patients and then at the medical/surgical population—borrowed tenets from the medical home model that could be used to provide patient-centered care in an inpatient setting:
- Continuity through different transition points in the hospital,
- Proactive interventions to prevent complications,
- Early recognition of patient deterioration to provide a "timely rescue",
- Multi-member team performance and quality-based rounding, and
- Use of electronic health records (EHRs) for real-time information sharing.
The pilot—which was building on earlier research obtained from two New York hospitals over the past decade—sought to "improve the efficiency of the hospital workflow," while reducing hospital mortality and keeping down costs, Ravikumar said.
- CMS Sets 2014 Pay Rates for Hospital Outpatient and Physician Services
- FDA hopes hospitals will switch to newly regulated pharmacies
- The 5 Biggest Healthcare Finance Trouble Spots
- Not-for-Profit Hospitals Find Opportunity Amid Uncertainty
- Nonprofit Hospital Outlook 'Negative' in 2014
- The Most Polarizing Topics in Healthcare IT
- How CPOE Will Make Healthcare Smarter
- Why You Should Involve Patients in Nursing Handoffs
- Are ACOs Really Different from HMOs?
- Rise of the Chief Strategy Officer