2025 Department of Medicine Grand Rounds | Hospital Medicine Perspectives on Patient Flow
Hospital Medicine patient flow is a complex process. Some of the barriers to patient flow include inefficient discharge processes, poor communication, delay in specialist consultation, diagnostic testing delays and patient complexity. All these factors are interconnected in an inpatient hospitalization. The complexity arises because how much each factor contributes can vary by patient. Current practice is to work on these problems in silos rather than communicatiing barriers as a group effectively.
Improving patient flow would provide benefit to City of Hope Health System. This benefit may be seen by improving staff efficiency, improved patient experience, and lowering costs by improving resource utilization. Improved efficiency by reducing wait times for testing can reduce observed over expected (O/E) length of stay. Improved inpatient bed utilization improves hospital bed turnover, which helps more patients to be admitted and treated. Improved staff efficiency can help minimize delays and allows health care providers to focus on patient care and less on administrative tasks. Overall better efficiency also reduces wait times for patients which can help improve patient experience.
Target Audience
City of Hope faculty members.
Learning Objectives
- Discuss the complexities of patient flow.
- Identify areas of improve patient flow.
- Integrate strategies to improve observed over expected (O/E) length of stay.
- Discuss possible barriers and biases which may impact patient care (i.e., race, ethnicity, language, gender identity/orientation, age, socioeconomic status, attitudes, feelings or other characteristics).
Virtual Meeting- Zoom
William James Frederick III, MD, PhD, CHCQM-PHYADV Clinical Associate Professor of Medicine; Medical Director - Case Management, Utilization Management, and Physician Advisor Group; Stanford Health Care
Presenter: Dr. Frederick III has indicated that there are no relevant financial relationships with ineligible companies.
Planner: Jay Varughese, MD has indicated that there are no relevant financial relationships with ineligible companies.
This presentation and/or comments will provide a balanced, non-promotional, and evidence-based approach to all diagnostic, therapeutic and/or research related content.
CME Committee/Reviewer no relevant financial relationships: Daneng Li, MD
ACCREDITATION STATEMENT: City of Hope is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
CREDIT DESIGNATION: City of Hope designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The following credit type(s) are being offered for this course:
• AMA PRA Category 1 Credit™ 1.0
The following may apply AMA PRA Category 1 Credit™ for license renewal:
Registered Nurses: Nurses may report up to 1.0 credit hours toward the continuing education requirements for license renewal by their state Board of Registered Nurses (BRN). AMA PRA Category 1 Credit™ may be noted on the license renewal application in lieu of a BRN provider number.
Physician Assistants: The National Commission on Certification of Physicians Assistants states that AMA PRA Category 1 Credit™ accredited courses are acceptable for CME requirements for recertification.
Available Credit
- 1.00 AMA PRA Category 1 Credit™City of Hope is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
City of Hope designates this 2025 Department of Medicine Grand Rounds | Hospital Medicine Perspectives on Patient Flow for a maximum of 1.00 AMA PRA Category 1 Credit™ requirements. Physicians should claim only the credit commensurate with the extent of their participation in the activity. - 1.00 Attendance