Hospitalist Leadership Update ECF Forms Transition of Care & LOS April 19, 2017

Avoidable Days – Hospital System Total avoidable days: 230

Avoidable Days – Hospital System - Department Due to no weekend/holiday coverage or schedule availability

Length of stay All Payor UAB’s Rolling 6-Month ALOS is .07 Days Better than the Baseline Period Source: McKesson, No Exclusions, All Payors. Baseline = June 2015 – May 2016.

Hospitalist Service – All Patients *Source: McKesson. Note: most recent month may change due to patients who are final coded > 1 month after close

Hospitalist Service Excess Days *Source: McKesson. Note: most recent month may change due to patients who are final coded > 1 month after close

Update ACE Tracker a positive adjunct to ToC HGH implementation well received; smooth start LOS lower than baseline in key payers Excess days % trending down in key payers LOS FY 2016 2017 (Feb FYTD) BC 5.47 5.25 Medicare 5.48 5.23 Self Pay 5.17 5.08 Medicaid 5.32 5.26 Commercial Other 6.09 8.97 FY2016 2017 (Feb FYTD) BC 44.6 42.7 Medicare 47.9 45.9 Self Pay 49.0 49.4 Medicaid 50.4 49.6 Commercial 44.5 45.1 Other 52.8 66.5 Hospitalist as a discharge service; FY 2016 vs FY 2017 Feb; 45+ LOS excluded; Acute pts only

Projected Excess Days Copied to handout… Avg pt volume increase approximately 10% FY 16 Oct-Mar vs FY 17 Oct-Mar Copied to handout…

Consider opportunity to evaluate practice patterns Next Steps Continued ACE Tracker coaching for CCRN / SW during rounds with ACE leaders Communication board documentation need improvement; quality review ongoing Consider opportunity to evaluate practice patterns Process: discharge and sign-out Clinical: high volume diagnoses