Rounds Redesign: Our Experience In Splitting Interdisciplinary Rounds

Abstract

Our hospital developed and implemented a major redesign of interdisciplinary rounds in order to achieve more efficient interdisciplinary communication in this challenging post-COVID era. The goal was to involve all key participants in a structured initiative to improve discharge planning, review important patient safety indicators, and enhance patient-physician communication. The comprehensive redesign, based on the Institute for Healthcare Improvement model, restructured the rounds into two distinct components: interdisciplinary disposition and clinical rounds. This new, dichotomous structure resulted in improved median discharge time, better identified estimated date of discharge and streamlined communication among care team providers. Combined with second rounds by physicians on patients getting discharged, there was an improvement in patient experience domains.