Remote Presence Timely Discharge Management
Study Details
Study Description
Brief Summary
The purpose of this study is to integrate Remote Presence technology in order to increase the number of timely patient discharges before 11 am from the medical center.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Phase 2/Phase 3 |
Detailed Description
Reduction in beds coupled with the increased need for health care services has led to a supply and demand struggle or capacity management challenge for health care facilities. This is now recognized as a major public health issue. The impact is readily seen as overcrowding in emergency departments. At present 76% of hospitals' emergency departments (ETDs) are at or over capacity with 33% reporting ambulance diversions, the most common sign of overcapacity within a health care facility. Compounding the physical capacity problem is the "human capacity strain" as admitted patients remain in the ETD for prolonged periods waiting for beds. Delayed admission to patient care units significantly strains the financial resources, impedes "patient flow" ultimately impacting the quality of care, patient satisfaction and the "bottom line." Discharge before 11 am optimizes the availability of hospital beds to meet admission demands thereby avoiding a surge over capacity or "patient back log", ambulance diversions in ETD; the post anesthesia recovery unit, admissions office and critical care units. Conversely competing needs for the attending physician's physical presence off of the hospital premises; off of the unit (private practice and meetings) often delays patient discharge from before 11 am to the afternoon and evening.
Study Design
Outcome Measures
Primary Outcome Measures
- Timely patient discharge before 11 am []
- Patient satisfaction []
- Employee satisfaction []
Secondary Outcome Measures
- Employee satisfaction []
- Physician satisfaction []
- Financial impact on medical center []
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Adult patients
-
Primary care physicians in internal medicine
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Primary care physicians/practice group with established discharge pattern after 11 am
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Primary care physicians/practice group with fast access digital subscriber line (DSL) 300 kilobytes per second
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Primary care physicians/practice group who have Hackensack Medical Center (HUMC) intranet access from pre-determined location
Exclusion Criteria:
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Non-English speaking patients
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Patients requiring acute level of care on the day of discharge
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Hackensack University Medical Center | Hackensack | New Jersey | United States | 07601 |
Sponsors and Collaborators
- Hackensack Meridian Health
Investigators
- Principal Investigator: Joseph Feldman, MD, Hackensack Meridian Health
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 06.01.052
- Intouch Technologies Inc
- Horizon Blue Cross Blue Shield