About the Session

Reducing Short Hospital Stay Admissions: Creating a Clinical Decision Unit
In January 2017, Scripps Memorial Hospital La Jolla, a 444-bed trauma center, opened an eight-bed clinical decision area run by the ED to help reduce hospital short stay admissions. In the first 12 months after the development and opening of the CDA, hospital admissions for observation patients from the ED were reduced by 8.4 percent, and there was an overall 5 percent reduction of the total patients admitted to the hospital during this same time frame. Length-of-stay and patient satisfaction also were improved. This presentation focuses on how best practices were identified, the five major components needed to design and implement a successful CDA, and what ongoing metrics are needed to monitor the progression and stability of a CDA. Data will be presented showing the impact of specific measures implemented, including improved patient satisfaction and identification of all appropriate protocols used for patient placement.

Learning Objectives:

  • Discover how to plan and create a clinical decision area based on an organization’s current patient volume and diagnosis.
  • Learn to predict hospital short stay admissions using core metrics.