Daily Integrated Care Conferences to Reduce Length of Hospital Stay for Patients With Chronic Obstructive Pulmonary Disease
- 1 March 2020
- journal article
- research article
- Published by Walter de Gruyter GmbH in Journal of Osteopathic Medicine
- Vol. 120 (3), 144-152
- https://doi.org/10.7556/jaoa.2020.027
Abstract
Context: Inefficiencies in care coordination—specifically, the lack of an effective method of communication among multiple health care professionals—often leads to an unnecessary increase in length of hospital stay. Objective: To determine whether daily integrated care conferences (ICCs) would significantly reduce the length of stay for patients with chronic obstructive pulmonary disease (COPD) exacerbation. Method: Patients with COPD exacerbation were selected for the study using electronic medical records from 2 osteopathic community hospitals located in northeastern Ohio. One hospital used daily ICCs and the other hospital did not use daily ICCs. The average length of stay for patients at each hospital was retrospectively investigated. Results: A total of 1683 patients with COPD exacerbation were selected. The mean (SD) length of stay in the hospital with daily ICCs was 3.37 (2.89) days compared with 5.55 (3.99) days in the hospital without daily ICCs (P<.0001). At the hospital with daily ICCs, patients aged 40 to 69 years had a 67% shorter hospital stay and patients aged 70 to 99 years or older had a 36% shorter length of stay compared with patients at the hospital without daily ICCs. Conclusion: Daily integrated care conferences significantly reduced the length of stay for patients with COPD exacerbation at an osteopathic community-based hospital. Implementing daily ICCs may make current health care services and coordinated care more efficient, resulting in decreased costs and length of stay for patients with COPD exacerbation.Keywords
This publication has 11 references indexed in Scilit:
- Scholar 7: The Development of Regional Community Hospitals’ Scholastic EnvironmentJournal of Osteopathic Medicine, 2017
- The relationship between physician burnout and quality of healthcare in terms of safety and acceptability: a systematic reviewBMJ Open, 2017
- Developing a gender-based approach to chronic conditions and women’s health: a qualitative investigation of community-dwelling women and service provider perspectivesBMC Women's Health, 2015
- The clinical and economic burden of chronic obstructive pulmonary disease in the USAClinicoEconomics and Outcomes Research, 2013
- Aging in the United States: Opportunities and Challenges for Public HealthAmerican Journal of Public Health, 2012
- Daily multidisciplinary rounds reduce ICU length of stayCritical Care, 2011
- Use of Multidisciplinary Rounds to Simultaneously Improve Quality Outcomes, Enhance Resident Education, and Shorten Length of StayJournal of General Internal Medicine, 2007
- Factors Influencing Length of Stay in the Intensive Care UnitAmerican Journal of Critical Care, 2006
- Complexity science: The challenge of complexity in health careBMJ, 2001