Providence St Vincent Medical Center

Setting: 29 bed medical unit

Timeframe: 5 years post Accountable Care Unit implementation with SIBR rounds.

Summary: A geographic ACU with nurse-physician partnered leadership and daily SIBR rounds can reduce total and unexpected mortality. Sustainment requires effort and can be complicated by organizational goals of replicating the model to other units.

“Compared to pre-implementation year, mortality, crude or risk adjusted, showed decline in Years 1, 2 and 3, reaching statistical significance in Year 2 (risk-adjusted odds ratio [aOR] = 0.58 [0.35–0.94]). Mortality rebounded to baseline over Years 4 and 5.

In fact, early success on the ACU led hospital executives to request our help in spreading the model, diluting our focus on the original unit.“

0

risk adjusted mortality Odds Ratio for year 2

0.38 %

unexpected deaths by year 3

What next?

Learn from experience

Seeing is Believing

Knowledge is Power

The Wise Learn from the Wise

© 2024 • 1Unit • All rights Reserved.

Hospital Teamwork By Design

We are a group of doctors, nurses, and engineers who have discovered how to create great hospital teams.

Our Programs

Quick Links

Information

Terms of Service

Sales Agreement

Contact Us