The goal of this quality improvement project was to reduce the length of hospitalization, to improve patient satisfaction and meet the geometric mean length of stay (GMLOS). At baseline, only 61 percent of patients met GMLOS. The project goal was to track and monitor current length of stay (LOS) and to increase the percentage of patients meeting GMLOS by 10 percent on or before November 16, 2014.
The change/implementation strategy included using the DMAIC (define, measure, analyze, improve, control) DMAIC process and Lean Six Sigma tools. Improvements implemented included educating hospitalists on LOS and benchmarks, entering discharge orders by noon each day, having daily huddles with hospital case management and medical group hospitalists, and working with the new hospital case management supervisor.
Initial results included an increase in the percentage of patients who met GMLOS, from 61 percent (n=28-days' worth of patients) to 71 percent (n=28-days' worth of patients), and an increase in the percentage of discharge notes entered before noon, from 45 percent (n=28-days' worth of discharge notes) to 60 percent (n=28-days worth of discharge notes).