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Throw Away The Script - Outpatient Surgery Magazine - February 2019

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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ing the option of a same-day program a virtual necessity. We knew back when we started thinking about same-day discharge that Medicare would eventually remove total joints from the inpatient-only list, and we wanted to be ahead of the curve when they did. Plus, there are the metrics. Research shows that when hip and knee patients are discharged same-day, they tend to be more satisfied, and less prone to infection and readmission. All in all, a successful same-day joints program offers an opportunity to both give patients better surgical outcomes and post-op recoveries. Since rolling out our same-day total joints program in 2015, we've achieved a 94% same-day discharge success rate for procedures that normally require a 2-to-3 night stay (total hips) or a 3-to-4 night stay (total knees). Plus, only 1% of our same-day patients are readmitted, and they outper- form non-same-day patients in each of the 11 Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) bench- marks. If you're considering implementing a same-day joints program at your facility, here's what you should know. Get the key players involved early We can't overstate the role your physician-champion plays in the process, but you need to get buy-in from all of your key players right from the get-go. We knew early on that the success of our same-day joints program, pardon the pun, hinged on a lot of different disciplines working together as seamlessly as possible. On top of our surgeons, nurses and anesthesiologists, pre-admission testing and acute services departments played a critical part for us. We mapped out everything everyone does — day in and day out and in as much detail as possible — to ensure staff understood the processes, workflow and protocols for each and every patient we identified as a same-day discharge. F E B R U A R Y 2 0 1 9 • O U T PA T I E N T S U R G E R Y. N E T • 1 0 9

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