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Creating day-by-day care plans to improve care and shorten stays

3 minute read

Chinese Hospital created a detailed care plan with daily learning goals and clinical interventions.

The Issue

Length of stay benchmarks for CHF patients were around 3-4 days, but our patients were staying much longer. This was partly because most of our patients have multiple diagnoses, but we still wanted to structure our care better to shorten hospital stays.

What We Tried

We referred to best practices around CHF, consulted our doctors, and reviewed our current processes to develop a detailed care plan for CHF patients. For each day, we had clear learning outcomes and clinical interventions. As the bed nurses completed each task, they would date and initial it. For example, on day 1, nurses teach patients about low sodium diets. On day 2, they cover monitoring of breathing and swelling, and on day 3 they cover weight monitoring. If the patient can successfully teach back everything on day 3, they can be cleared for discharge.

Impact

We haven’t achieved our 3-day goal yet, but our patients are receiving more thorough and consistent care throughout their stay. Our nurses also feel more confident because they have clear tasks and objectives every day.

Additional Benefits

This care plan has raised awareness of our transitions program in a positive way. Working closely with nurses and doctors to develop the plan helped establish strong relationships with them.

Tips

Yan Ling Chen

Profession:

Organization Background

Organization Name: Chinese Hospital

Location: 845 Jackson Street, San Francisco, CA, United States

Organization Type: Hospital

Organization Model: ctp

1 Comment
  1. Debra Conroy-McCue 2 years ago

    Thank you how did you get bedside nurses to buy in? Do you use the daily care plan for other patients ?

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