Operational Excellence

Document Type


Publication Date

Fall 9-5-2019


Operational Excellence, Maine Medical Center

MeSH Headings

patients, academic medical center, mother baby, quality improvement, discharge, root cause analysis, goals, data collection


Discharging patients early in the day has many advantages amongst which is increased bed availability. However, the experience in a large academic tertiary medical center demonstrated that most discharges occurred early to mid afternoon. A care team on a mother /baby unit established a quality improvement project to increase the number of discharges by 11AM and streamline key discharge planning activities.

A root cause analysis identified multiple barriers to attaining he established goals. To address these barriers, a multi prong approach was instituted to include a discharge education KPI for all unit staff.

Data collection post countermeasure implementation demonstrated some early improvements morning discharges. Next steps include regular review of KPI goals and progress and their impact on project goals.