How the Use of AI Improved Length of Stay and Quality Outcomes
The session focuses on front line engagement, standardized processes, and collaboration to improve patient flow, experience, and quality of care using AI technology. Goals were to accelerate care management initiation and highlight discharge barriers by pushing important clinical information to providers. Use of interactive dashboards and alerting systems reduced unnecessary order reduction and length of stay and increased early discharges. We were also able to alert and intervene for patients falling off nursing course of care based on defined criteria for mobility, oxygenation, etc. Use of these AI tools helped to shape hospital-wide behaviors to reduce deconditioning and LOS.
Tool: Using Palantir technology we created a Progression to Discharge Dashboard, an interactive dashboard used by a multidisciplinary team that provides visual management and alerts for discharge barriers. We also created unit score cards, mobility alerts, and an early alert warning system to improve LOS and quality.
Problem: Streamline patient flow and timely discharges to decrease overall length of stay. We needed to address three major contributing factors to overall length of stay; prolonged LOS in observation, admission management to observation, and inpatient LOS.
Tool Selection: These tools were created based on workflows and need of frontline team members. Using the Palantir software allowed us to quickly create, customize, and update tools as needed.
Usage: The dashboard is interactive and displayed on the units, used during rounds, and throughout the day by the care team. Each unit has a scorecard which displays performance on LOS, patients with a LOS greater than 5 days, alert compliance, mobility score, and other quality indicators to keep team accountable.
Results: Outcomes included a decreased LOS on Geriatric Respiratory care unit, decreased observation LOS, decreased observation utilization, decrease in ED arrival to inpatient admission times, increase in patient experience scores, increase in discharges before noon, increased patient mobility and use of leaf device to prevent HAPI.
Speakers
Director of Quality Improvement - Northwest Hospital
Director, Operational Excellence - Lifebridge Health, Northwest Hospital
Executive Director, Patient Care Services - Northwest Hospital
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Performance and Process Improvement
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Location Virtual
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Organizer NAHQ Next
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