Hospitals should aim to minimise the time between patients being admitted to hospital and having a procedure. Steps can be taken to improve the admission process for patients.
A reduction in pre-operative bed days by means of pre-op assessment, protocols and local diagnostic work-up will help reduce acute bed days. Pre-operative assessment (POA) and planning, carried out prior to treatment, ensures that the patient is fully informed about the procedure and the post operative recovery, is in optimum health and has made arrangements for admission, discharge and post operative care at home.
POA and planning is an essential part of the planned care pathway which enhances the quality of care in a number of ways.
• If a patient is fully informed, they will be less stressed and recover more quickly
• A health check ensures good medical health before anaesthesia and surgery
• Planning admission and discharge individually ensures that patient and carers know what to expect facilitating earlier post operative care at home
• Cancellations due to patient ill health or DNAs are reduced
• Admission on the day of surgery and early discharge are more likely
By improving the planned admission process, you also enhance the patient experience and the clinical process, as well as the efficiency and productivity of the trust. POA and planning should form a natural part of the process for all planned surgery.
This indicator is the pre-procedure length of stay. It is expressed as the sum of all the bed days between the date of patients elective admission and the date of their primary procedure divided by the number of hospital spells.
The financial opportunity is calculated by applying the 10th, 25th or 50th percentile provider number of pre-procedure days and by multiplying the bed day saving by the average excess bed day tariff for the provider and treatment function. The financial opportunity based on the quarter performance. Multiply by 4 to calculate annualised opportunity
The volume opportunity is the number of pre-procedure days in excess of the 10th, 25th or 50th percentile value.