SS09. Sustained Improvements in Inpatient Outcomes Following Implementation of Vascular Surgeon-Hospitalist Comanagement Service

Abstract

Objectives: We previously demonstrated early improvements in inpatient outcomes after starting a vascular surgeon-hospitalist comanagement service (HCS). This study aims to investigate the long-term impact of the program. Methods: A total of 2428 consecutive patients were reviewed: 946 patients who were managed before the comanagement system was implemented (January 2011 to December 2012) and 1482 who were comanaged (January 2013 to December 2014). The in-hospital mortality rates (IHM), length of stay (LOS), 30-day readmission rates (RAR), and 0-10 visual analog pain scores (VAP) were calculated and compared. In addition, patient adult safety assessments using the Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators, and responses to a 10-question nursing survey were analyzed. Results: After the implementation of the HCS, the IHM rate decreased from 2.01% to 0.96% (P