With an increase in total joint replacement volume, St. Francis Hospital–The Heart Center developed new initiatives to allow for efficient, safe, and optimal experience of care for orthopedic patients.
First, an interdisciplinary orthopedics steering committee was created, chaired by the director of anesthesia performance improvement and quality data analysis, and co-chaired by the orthopedic units’ clinical educator nurse specialist. A “Perioperative Surgical Home” was also developed, serving a patient-centered, multidisciplinary, and team-based system of coordinated care that guides patients throughout the entire surgical experience, from decision for the need for surgery to discharge from a medical facility and beyond. Data were collated and analyzed on a continuum basis and reported monthly.
As a result, overall length of stay decreased from 3.41 days in 2013 to 3.10 days in 2015. Patients discharged home increased from 15% in 2013 to 31% in 2015. And patient satisfaction increased from 86.4% in first quarter 2014 to 90.4% in fourth quarter 2015.