Accession Number : ADA293209

Title :   Avoiding the Unnecessary Hospital Day: Utilization of Case Managers at Moncrief Army Community Hospital, Fort Jackson, South Carolina.

Descriptive Note : Final rept. Jul 92-Jul 93,

Corporate Author : ACADEMY OF HEALTH SCIENCES (ARMY) FORT SAM HOUSTON TX HEALTH CARE ADMINISTRATI ON

Personal Author(s) : Stone, Lawrence J.

PDF Url : ADA293209

Report Date : MAY 1993

Pagination or Media Count : 92

Abstract : The purpose of this study was to optimize the use of case managers at Moncrief Army Community Hospital by focusing on those admitting diagnoses that have historically exceeded national length of stay norms for hospitalization. The first step in the study was a retrospective analysis to determine those admission diagnoses that have historically exceeded the expected length of stay by a statistically significant difference. Average lengths of stay (ALOS) for the top 100 DRGs, representing almost 78% (31904 of 40924) of MACH's beddays for FY 1992 were extracted from the Patient Administration Systems and Biostatistics Activity TI database and compared with the Intensity of Service, Severity of Illness, and Discharge Readiness (ISD-A) criteria published by InterQual Corporation. Statistical significance was at the a = 0.05 level. Computations of ALOS for particular admission diagnoses that exceeded ISD-A criteria were calculated into total variance days. A variance day is defined as a day that exceeds InterQual criteria for that diagnosis. The total variance days for that diagnosis is defined as the total number of variance days for one year for that diagnosis.

Descriptors :   *DIAGNOSIS(MEDICINE), *CASE STUDIES, *MEDICAL SERVICES, *HEALTH CARE FACILITIES, DATA BASES, COMPUTATIONS, OPERATIONAL READINESS, ARMY FACILITIES, INTENSITY, VARIATIONS, LENGTH, DAY, MANAGEMENT PERSONNEL, PATIENTS, HOSPITALS, UTILIZATION, SOUTH CAROLINA, BIOSTATISTICS.

Subject Categories : Medicine and Medical Research
      Administration and Management
      Medical Facilities, Equipment and Supplies

Distribution Statement : APPROVED FOR PUBLIC RELEASE