1. Lueder Haus in Jefferson County

2. AIM (Plan) Big Aim – To reduce hospital readmissions
Little Aim – Improve retention

3. Changes (Do) Develop discharge objectives at admission
Ask discharge goals
Ask “Where are you going?”
Document what brought the person to Leuder Haus
To identify trends

4. Results (Study – 2011 to 2012)
Short-term <10 day admission dropped form 62% to 42%
Repeat stays dropped from 31.7% to 30.3%
Beds days increased by 33%.

5. Next Steps (Act) Adopted discharge objectives
Continue to track and discuss data among staff

6. Impact (Lessons Learned)
Became better at anticipating discharges
Better patient care with a 1.5-day increase in the length of stay
Business case of $250,000+ in additional revenue