MP-453085-11 ALLIED PROFESSIONALS DISPOSITION PATHWAY WITH CONDITIONAL DISCHARGE REDUCES BED UTILIZATION AND HOSPITAL RESOURCES

Increasing demands of inpatient level care continue to pose challenges hospital resources and available capacity. Alternative disposition pathways overseen by allied professionals (AP) that utilize extended recovery unit (ERU) hours conditional discharge (CD) can reduce bed use, total time spent at the overall resource utilization. To demonstrate implementation utilizing CD same day (SDD) with an ERU reduces without compromising patient safety. An was created utilization optimize pathways. This included 6 beds, 2 registered nurses overnight coverage. Patients (pts) presenting for elective electrophysiology procedures were classified into three different including SDD, admission EP professional (EP AP) service. All 3 APs. Pts in SDD group required meet specific criteria noted AP be considered safe discharge. We compared these new prior orders relation efficiency, safety From 8/28/2022 11/13/2022, 918 pts presented procedure cardiac device implantation ablation. Of these, 200/918(21.8%) eligible our pathway. There 74(8.1%) who 51(5.6%) pathway, 61(6.6%) admitted service, 14(1.5%) cross-over (failed transitioned service). The remainder either already or felt pre-procedure require care. evaluated on service had average 10:04AM vs 12:53PM unit. located 7:49AM. Discharge improved over (Figure 1). number and/or discharged 186 pts, indicating beds saved. no differences complications between groups this strategy. a pathway strategy APs is associated reduced pt