Original Contribution  |   March 2020
Daily Integrated Care Conferences to Reduce Length of Hospital Stay for Patients With Chronic Obstructive Pulmonary Disease
Author Notes
  • From the Department of Pulmonary and Critical Care and Allergy and Immunology at University Hospitals Cleveland Medical Center in Ohio (Drs Shilian, Jhaveri, and Hostoffer); Allergy/Immunology Associates in Mayfield Heights, Ohio (Drs Jhaveri and Hostoffer); and the Department of Internal Medicine at University Hospitals Regional Hospitals in Cleveland, Ohio (Dr Wynbrandt); Pulmonary Allergy Critical Care & Sleep Associates, in Rochester Hills, Michigan (Dr Abraham); and the Department of Pediatrics Division of Allergy and Immunology at West Virginia University Medicine Children's Hospital in Morgantown (Dr Peppers). This study was presented as a poster at the American Thoracic Society 2018 International Conference in San Diego, California. 
  • Financial disclosures: None reported. 
  • Support: None reported. 
  •  *Address correspondence to: Ryan Shilian, DO, Department of Pulmonary and Critical Care and Allergy and Immunology at University Hospitals Cleveland Medical Center, 27155 Chardon Rd, Richmond, OH 44143-1183. Email: rshilian@gmail.com
     
Article Information
Psychiatry / Pulmonary Disorders
Original Contribution   |   March 2020
Daily Integrated Care Conferences to Reduce Length of Hospital Stay for Patients With Chronic Obstructive Pulmonary Disease
The Journal of the American Osteopathic Association, March 2020, Vol. 120, 144-152. doi:https://doi.org/10.7556/jaoa.2020.027
The Journal of the American Osteopathic Association, March 2020, Vol. 120, 144-152. doi:https://doi.org/10.7556/jaoa.2020.027
Abstract

Context: Inefficiencies in care coordination—specifically, the lack of an effective method of communication among multiple health care professionals—often leads to an unnecessary increase in length of hospital stay.

Objective: To determine whether daily integrated care conferences (ICCs) would significantly reduce the length of stay for patients with chronic obstructive pulmonary disease (COPD) exacerbation.

Method: Patients with COPD exacerbation were selected for the study using electronic medical records from 2 osteopathic community hospitals located in northeastern Ohio. One hospital used daily ICCs and the other hospital did not use daily ICCs. The average length of stay for patients at each hospital was retrospectively investigated.

Results: A total of 1683 patients with COPD exacerbation were selected. The mean (SD) length of stay in the hospital with daily ICCs was 3.37 (2.89) days compared with 5.55 (3.99) days in the hospital without daily ICCs (P<.0001). At the hospital with daily ICCs, patients aged 40 to 69 years had a 67% shorter hospital stay and patients aged 70 to 99 years or older had a 36% shorter length of stay compared with patients at the hospital without daily ICCs.

Conclusion: Daily integrated care conferences significantly reduced the length of stay for patients with COPD exacerbation at an osteopathic community-based hospital. Implementing daily ICCs may make current health care services and coordinated care more efficient, resulting in decreased costs and length of stay for patients with COPD exacerbation.

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