5001 – Structured Interdisciplinary Bedside Rounds: A Patient-centered approach to acute hospital plan of care.
In many of today’s medical facilities bedside rounding has been replaced by nurse to care-team reports in hallways or at nursing stations where computers are readily accessible. Often, these reports are staggered throughout the day, with multiple disciplines discussing the patient plan of care. Bedside visits to patients are done at various times throughout the day, tend to briefly focus on each discipline’s contribution to care, often leading to gaps in care coordination.
Structured Interdisciplinary Bedside Rounds (SIBR) on acute medical units identifies the Plan of Care goals for both the patient and the team. Key talking points with established goals will not only increase HCAHPS scores, but will also improve caregiver satisfaction.
The TCC (Transitional Care Coordinator/Care Manager) is ideally situated to lead the inter-professional team in daily multidisciplinary rounding. This holistic, patient-centered care is then documented using a Plan of Care template in the Electronic Medical Record. The successful collaboration of care-teams using SIBR seeks to increase patient and caregiver satisfaction scores while decreasing barriers to discharge planning, avoidable delays in care, and length of stay: with the ultimate goal of transitioning patients to the next level of care safely and efficiently.
1. To increase HCAHPS patient satisfaction scores in the discharge domain by at least 1 percentile, current scores are under the 95th National Percentile.
2. To increase overall Caregiver satisfaction scores by 10% in comparison pre- and post- surveys
3. To decrease avoidable delays in care by decrease in overall Length of stay by at least 0.1 day