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Length of stay outlier patients, who remain in hospitalsfor extended periods of time, is an important challenge to the improvement ofhealth care efficiency. This study identified outlier patients and programs toaddress them in the metropolitan area of Syracuse, New York. It demonstratedthat, during 2013, outlier patients accounted for 2.4 percent of adult medicinedischarges and an excess average daily census of 53.3 patients in the Syracusehospitals. During 2013, outlier patients accounted for 4.3 percent of adult surgerydischarges and an excess average daily census of 44.1 patients. In two studies,the Syracuse hospitals identified the need for multiple intravenous therapy,extensive wound care, and total parenteral nutrition in the community, as majorcauses of outlier stays in hospitals. Each of the hospitals has developed a programwith a long term care facility to address these needs. Efforts to addressoutlier lengths of stay are also focusing on Potentially Preventable Complicationsin Syracuse. The mean length of stay for inpatients with post admissionscomplications was almost three times the stay for the medical-surgical populationduring 2013.

KEYWORDS

Hospital Utilization; Hospital Lengths of Stay; Hospital Outcomes

Cite this paper

Lagoe, R. , Pernisi, L. , Luziani, M. and Littau, S. 2014 Addressing hospital length of stay outlier patients: A community wide approach. Advances in Bioscience and Biotechnology, 5, 188-196. doi: 10.4236-abb.2014.53024.





Autor: Ronald Lagoe, Louise Pernisi, Mary Luziani, Shelly Littau

Fuente: http://www.scirp.org/



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