Discharge times: Hotel or hospital?
Hospitalist Leadership Connection, April 29, 2008
A March 26 Watcher’s World blog, written by Bob Watcher, MD, on behalf of the Society of Hospital Medicine, tackles the debate over set discharge times. In an ideal world, hospitals would discharge patients by 11:00 a.m. But a confluence of factors within the hospital make that goal all but impossible. Why? “Because a hospital is not a Hilton,” Watcher writes.
Watcher believes that times of discharge (TOD) should be reported alongside average lengths of stay (ALOS), as the two are closely linked. “The service that has a long length of stay and a late discharge time might really have a problem. But the service with a short length of stay and a late discharge time is probably doing very good work, and harassing it over its TOD is annoying and counterproductive,” he writes.
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