Improve Discharge Planning: Redesigning Bullet Rounds and Implementing a Patient Manager Software

17 November, 2022 - Humber River Hospital

Extended length of stay (LOS) is a concern at Humber River Hospital (HRH), as the 2019 average medicine conservable bed-days per 100 days averaged 168.7 days. To reduce LOS, discharge processes were assessed to identify barriers. Estimated Date of Discharge (EDD) entry compliance was less than 5% for medical and surgical patients. Additionally, discharge barriers were inconsistently reported during discharge planning meetings, or bullet rounds.

To improve discharge planning:

■ Bullet rounds were redesigned to include relevant stakeholders and standardize content discussed.

■ Information discussed at bullet rounds were then integrated into a newly implemented. GE Patient Manager Software to foster transparency.

Read the full Case Study (PDF)