Length of Stay Initiative - Mercy Medical Center

Length of Stay Initiative

Posted on: May 24, 2017

U.S. hospital stays cost organizations billions of dollars per year. In today’s value-based care environment, hospitals are under increasing pressure to avoid patient harm and maintain quality while lowering costs. Reducing hospital length of stay (LOS), especially as it relates to avoiding unnecessary hospital-acquired conditions (HAC), is a primary indicator of a hospital’s success in achieving the LOS goal.

Mercy Medical Center places a high priority on keeping patients safe. However, when it comes to its goal of reducing LOS, leaders have recognized some challenges, including:

  • The complexity if implementing a multi-layered, multi-disciplinary approach to improving the patient discharge process
  • Identification of what issues were contributing the most to the increased LOS so that they could be addressed

The LOS Task Force has identified the following Action Plan Priorities to reduce LOS by 1.0 days:

  • Assess overall Case Management process
  • Strengthen Multidisciplinary Daily Rounds (MDRs) on each nursing unit
  • Sound Hospital Group to initiate geographical rounding June 2017 to enhance overall communication (pilot unit will be 9 Main)
  • Assess timeliness of OT/PT evaluations
  • Adopt “Move on Monday” and weekends
  • Implement family conferences in the ICU for patients with LOS greater than 5 days
  • Utilize Hospice & Palliative Care referrals
  • Assess strength of overall Post-Acute Care Strategy



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