Healthcare professionals working in isolation are susceptible to inefficiency and miscommunication, which can lead to higher costs for patients. A.O. Fox Hospital schedules interdisciplinary rounds (IDRs) to ensure staff see the big picture. Limited to 30 minutes, interdisciplinary rounds are held daily in a conference room located near the nursing units.
Participants in the rounds receive an electronic report containing basic information about all inpatients and patients who have been placed in observation status. The team leaders provide the status and plan for each patient, with representatives of each discipline adding pertinent information or asking clarifying questions. The team pays special attention to patients who are at high risk for readmission. Following the rounds, nurse managers communicate information back to the staff on the nursing units.
As a result of the program, from 2015 to 2016 the cost per patient discharge decreased by 9.7%, the length of patient stay decreased from 4.34 to 3.89 days, and the number of medication errors decreased from 103 to 84.