Reduce Falls, Overtime and Lost
Charges with Hourly Rounding

In the September 2006 issue of American Journal of Nursing, Studer Group's Alliance for Health Care Strategy published its national study of hourly rounding on patients. The results: fewer call lights, less falls, and higher patient satisfaction.

Since then, hundreds of hospitals have adopted hourly rounding on inpatients and patients in the emergency department with impressive benefits to the bottom line, too. Covenant Health System, a six-hospital system with 6,000 employees serving west Texas and Eastern New Mexico initiated hourly rounding and individualized patient care in August 2006. Six months later, leaders credit these tools with saving $132,000 in patient falls10, capturing lost charges of $81,600 per year and overtime savings of 220 hours or $1,76411.

How does hourly rounding link to capturing lost charges? "The reduction in call lights was so dramatic that it created a calmer work environment for nurses," explains Covenant’s Studer Group coach Dan Collard. "As a result, nurses had more time to be proactive about capturing charges, documenting, and coding."

Karen Baggerly, chief nursing officer for Covenant Health System in Lubbock, Texas has seen the results of hourly rounding first hand. "We chose a handful of units to pilot hourly rounding and the results have been remarkable," Baggerly explains. "What I enjoy most is hearing from the nurse leaders and nurses themselves about the real wins: reduced call lights, fewer falls and reduced incidences of pressure ulcers. This tactic supports our desire to do the right thing for all the right reasons." What do nurses at Covenant like best about hourly rounding? "It creates an environment where our nurses have more time to do what they came here to do: provide the very best care to our patients," she adds.

   
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Stephen Beeson
Dan Collard is Covenant Health System’s coach. As a former COO and change agent for three hospital turnarounds before joining Studer Group, Dan Collard brings a balanced approach to improving operations, satisfaction, and financials to the organizations he coaches.



10 Estimated at six fewer falls since baseline measurement before implementing
     hourly rounding at $22,000 cost per fall (Nurse Week Magazine, Jan. 29, 2007).

11 Overtime savings based on hourly rate of $8 for three nurses multiplied by 1.5
     hours less overtime per week for 49 weeks.




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