This study provided an update concerning programs for reduction of inpatient\nlengths of stay in the three Syracuse hospitals. The study included evaluation\nof the impact of these programs by severity of illness. The Difficult to\nPlace program involved the identification of patients with extended stays in\nthe hospitals because of the need for long term care services in the community.\nA community wide list of Difficult to Place patients was distributed by the\nHospital Executive Council each week. In addition, the Syracuse hospitals and\nthe Hospital Executive Council implemented the Subacute and Complex Care\nPrograms for patients with extended stays. These inpatients included those\nwho required expensive medication or patients with infectious diseases and\noffsite transportation. The study data indicated that Difficult to Place patients\nin the combined Syracuse hospitals amounted to 20.4 - 20.5 percent of new\nadmissions to nursing homes between 2017 and 2019. The data also demonstrated\nthat the number of Subacute and Complex Care patients for the combined\nhospitals amounted to 5.7 to 6.6 percent of the Difficult to Place populations.\nThe study data indicated that adult medicine lengths of stay declined\nby 0.10 patient days, from 4.91 to 4.81 days between 2017 and 2019, a reduction\nof 12,622 patient days or an average daily census of 34.6. The study data\nindicated that adult surgery lengths of stay declined by 0.22 patient days,\nfrom 5.55 to 5.33 days between 2017 and 2019, a reduction of 8681 patient\ndays, or an average daily census of 23.8.
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