Table 1.
Summary of 7-Day Hospital Initiative Components
Intervention Component | Detailed Description | Implementation Dates |
---|---|---|
Increased weekend diagnostic procedures | Increased availability of echocardiography, cardiac stress tests, interventional radiology, swallow studies | March–September 2012 |
Expanded hospitalist coverage | Increased staffing of hospitalist attending physicians on weekends to levels comparable to weekday staffing; improved handoff processes, which occurred during Friday bedside rounds and included the weekend hospitalist, the weekday hospitalist and the resident team | July 2012 |
Increased care management staffing | Increased care management and social work staffing to improve weekend discharge processes | February 2012–January 2013 |
Improved discharge collaboration | Implemented standard weekend interdisciplinary rounds to improve communication and discharge processes among social workers, care managers, nurses, and physicians on weekends | July–September 2012, January 2014 |
Increased elective weekend surgeries | Implemented strategies to increase the number of elective, primarily outpatient, surgeries performed on weekends. Strategies included increased weekend staffing of operating rooms, increased availability of high-demand operating rooms on weekends, and physician incentives/requirements to perform weekend surgeries. | January 2012–December 2013 |