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

2. Avoidable Days – Hospital System
Total avoidable days: 230

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

4. 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.

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

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

7. 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

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

9. 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