Discharge Delays for Patients Requiring In-Hospital Guardianship: A Cohort Analysis.
| Autor: | Chen JJ, Finn CT, Homa K, St Onge KP, Caller TA |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | Journal for healthcare quality : official publication of the National Association for Healthcare Quality [J Healthc Qual] 2016 Jul-Aug; Vol. 38 (4), pp. 235-42. |
| DOI: | 10.1097/01.JHQ.0000462680.47759.53 |
| Abstrakt: | Objective: To assess nonclinical factors delaying hospital discharge of guardianship patients. Data: Utilization review data over 3 years. Design: Retrospective cohort study. Analysis: Mann-Whitney test was used to compare patients' medically unnecessary days (MUD) of hospitalization with additional subcategories of delays-defined as beyond clinicians' control. Findings: Overall median number of MUD was 19.5; 14 of 48 patients were additionally delayed while awaiting long-term care Medicaid approval (N = 7, 50%), pending insurance (N = 3, 21%), social or transportation difficulties (N = 3, 21%), or preadmission review (N = 1, 7%). The median number of MUD for the 14 delayed patients was 63, a difference of 53 days compared with the routine guardianship cohort (P < .0001) and $5.5M in net revenue opportunity. Conclusions: Nonclinical discharge delays for guardianship patients are costly and potentially unavoidable. Further exploration into policy change is therefore recommended. |
| Databáze: | MEDLINE |
| Externí odkaz: |
|