Many healthcare organizations wrestle with challenges related to patient volume on a regular basis. Seeking revamped strategies to address these challenges, Hospital for Special Surgery (HSS) focused on ways to improve clinical pathway management and their bed planning process.
Patient Access Services (PAS) at HSS are tasked with bed management for nearly 19,000 orthopedic inpatient surgeries annually – requiring close monitoring of bed utilization to accommodate patient volume. A census report on hospital beds was issued to HSS leadership and operational owners four times per day using manual data collection, which presented significant operational challenges.
In addition, length of stay (LOS) adherence required improvements. At HSS, clinical pathways are procedure-specific post-op order sets that establish best practices by coordinating and standardizing care. They are made up of time-based goals and milestones for the interdisciplinary care of a defined patient group. The pathways were created to reduce variation in care and increase value for similar patient groups.
Pathway performance is measured as pathway LOS adherence. If all HSS patients adhere to pathways, capacity would improve significantly.
A Multipronged Approach for Patient Bed Management & Length of Stay
The organization worked to address this using a multipronged approach including electronic health records (EHR) enhancements, new reporting capabilities, and other process improvements. To transform the bed planning process at HSS, operational and IT leadership decided to leverage a capacity management dashboard. To improve pathway adherence, an interdisciplinary project team determined top contributors to adherence and implemented operational changes. Several EHR changes were required to operationalize the new process. As a result, HSS was able to improve their bed management process and average pathway LOS adherence, which led to improved bed capacity for surgical cases and increased PAS staff efficiency.
HIMSS Davies Award of Excellence
The HIMSS Davies Award of Excellence recognizes outstanding achievement of organizations that have utilized health information technology to substantially improve patient outcomes and value. The HIMSS Davies Award of Excellence is the pinnacle of the HIMSS Value Recognition Program and highlights organizations promoting health information and technology-enabled improvements in patient and business outcomes through sharing evidence-driven best practices on implementation strategies, workflow design, change management, and patient engagement.
“Hospital for Special Surgery is the first orthopedic specialty hospital to receive the Davies Award,” said Jonathan French, CPHIMS, senior director of quality and value-based care at HIMSS. “With a high demand and global market for their services, the hospital successfully used information and technology to streamline access to critical services for their patients. For this, HIMSS is proud to recognize Hospital for Special Surgery for their achievement of the 2018 HIMSS Davies Enterprise Award.”
“We are honored to be recognized as recipients of the 2018 HIMSS Davies Enterprise Award,” said Jamie Nelson, senior vice president and chief information officer, Hospital for Special Surgery. “This is truly a testament to teamwork, collaboration, and leveraging health information technology to improve processes, and ultimately patient care outcomes.”
Hospital for Special Surgery will be recognized during the 2019 HIMSS Global Conference & Exhibition, February 11-15 in Orlando, Florida.
Learn more about how Hospital for Special Surgery has embraced the value of health information and technology: explore three award-winning use cases.