Improving core clinical operations is critical for hospitals to achieve the real benefits of clinical integration. The Huron Consulting whitepaper "Overlooked Opportunities for Significant Performance Improvement and Cost Savings" shared the following nine questions hospitals can use to self-assess their clinical operations performance.
1. Is our risk-adjusted length of stay by DRG greater than the 75th percentile?
2. Is our risk-adjusted level of care by DRG greater than the 75th percentile?
3. Are we estimating patients' length of stay accurately (to within one day of discharge) more than 90 percent of the time?
4. Do we achieve on-service placement of patients more than 90 percent of the time?
5. Is our bed turnaround time less than 45 minutes, from patient discharge to being ready for a new patient?
6. Are 100 percent of our annual discharge records reviewed by a clinical documentation specialist?
7. Is our physician response rate to queries from clinical documentation specialists at 100 percent? Does our physician agreement rate exceed 90 percent?
8. Do patients who are admitted through the emergency department wait less than 30 minutes before being placed in a bed?
9. Is our patient-to-case manager ratio close to or above 25:1?
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