Before-after evaluation of patient length of stay in a rehabilitation context following implementation of an electronic patient journey board
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Khanna, Sankalp
Lloyd, Nicola
Reeson, Andrew
Jayasena, Rajiv
McCormick, Christopher
Hakkennes, Sharon
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Abstract
PURPOSE: To investigate whether the installation of electronic patient journey boards in an inpatient adult rehabilitation centre in Victoria, Australia, is associated with shorter lengths of stay for admitted adult rehabilitation patients. METHODS: A retrospective before-after analysis of 3 259 adult inpatient rehabilitation episodes from 2013 to 2018 was performed, analysing case-mix adjusted lengths of stay. RESULTS: A reduction in case-mix adjusted length of stay of 4.1 days per episode (95 % confidence interval: 2.0-6.4 days) was found. The corresponding reduction in hospital costs was estimated to be $3 738 per episode (95 % confidence interval $2 398-$4 983). CONCLUSIONS: Installation of electronic patient journey boards was associated with shorter lengths of stay in an inpatient adult rehabilitation centre. Additional research is needed to 1) provide further evidence of the causal effect of the boards on length of stay, and 2) investigate the mechanisms by which they reduce lengths of stay (e.g., increased currency of information, changes to procedures, remote viewing) in rehabilitation settings.
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International Journal of Medical Informatics
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134
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© 2019 The Authors. Published by Elsevier B.V. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International (CC BY-NC-ND 4.0) License, which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited.
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Information and computing sciences
Engineering
Health sciences
Science & Technology
Life Sciences & Biomedicine
Computer Science, Information Systems
Health Care Sciences & Services
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Rolls, D; Khanna, S; Lloyd, N; Reeson, A; Jayasena, R; McCormick, C; Hakkennes, S, Before-after evaluation of patient length of stay in a rehabilitation context following implementation of an electronic patient journey board, International Journal of Medical Informatics, 2020, 134, pp. 104042