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What If We Flipped the Patient Discharge Process?

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Published on Apr 11, 2017

At Sheffield Teaching Hospitals in the United Kingdom, an improver came up with the idea of assessing frail elder patients’ needs in patients’ homes instead of at the hospital. One PDSA cycle led to another, and another. Eventually, 10,000 patients got home 3–4 days faster in one year, saving as many as 40,000 hospital bed days. “That’s four extra days at home, getting back to independent living with a patient’s family,” says Tom Downes, Clinical Lead for Quality Improvement at Sheffield and former IHI Fellow. “And we know very well that’s what our patients want.“

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