Cost Savings
SIBR® Rounds Results
Cost Savings
SIBR® Rounds Results
Cost Savings
SIBR® Rounds Results
Reduce care costs up to 29% with SIBR rounds
SIBR is the best program to reduce cost of care and nursing overtime & agency costs on your inpatient-units. Evidence-based, high-value, and designed by physicians and nurses just like you. A cost reduction initiative that actually doesn't require reducing anything.
We implement, you get the glory.
What is SIBR? (pronounced "cyber")
Structured Interdisciplinary Bedside Rounds
Research-backed, efficient, patient-centered team rounds
A 6-step communication protocol to create a shared mental model of who says what, when, and in what sequence
Brings the Bedside Nurse, Physician, & Allied Health to the patient's bedside to…
Synthesize mutually supported plans of care and discharge.
What is SIBR? (pronounced "cyber")
Structured Interdisciplinary Bedside Rounds
Research-backed, efficient, patient-centered team rounds
A 6-step communication protocol to create a shared mental model of who says what, when, and in what sequence
Brings the Bedside Nurse, Physician, & Allied Health to the patient's bedside to…
Synthesize mutually supported plans of care and discharge.
What is SIBR? (pronounced "cyber")
Structured Interdisciplinary Bedside Rounds
Research-backed, efficient, patient-centered team rounds
A 6-step communication protocol to create a shared mental model of who says what, when, and in what sequence
Brings the Bedside Nurse, Physician, & Allied Health to the patient's bedside to…
Synthesize mutually supported plans of care and discharge.
"We need to prevent
discharge delays"
excess days"
readmissions"
miscommunications"
patient disatisfiers"
family complaints"
adverse events"
discharge delays"
excess days"
readmissions"
miscommunications"
patient disatisfiers"
family complaints"
adverse events"
discharge delays"
excess days"
readmissions"
miscommunications"
patient disatisfiers"
family complaints"
adverse events"
discharge delays"
excess days"
readmissions"
miscommunications"
patient disatisfiers"
family complaints"
adverse events"
"We need to prevent
discharge delays"
excess days"
readmissions"
miscommunications"
patient disatisfiers"
family complaints"
adverse events"
discharge delays"
excess days"
readmissions"
miscommunications"
patient disatisfiers"
family complaints"
adverse events"
discharge delays"
excess days"
readmissions"
miscommunications"
patient disatisfiers"
family complaints"
adverse events"
discharge delays"
excess days"
readmissions"
miscommunications"
patient disatisfiers"
family complaints"
adverse events"
"We need to prevent
discharge delays"
excess days"
readmissions"
miscommunications"
patient disatisfiers"
family complaints"
adverse events"
discharge delays"
excess days"
readmissions"
miscommunications"
patient disatisfiers"
family complaints"
adverse events"
discharge delays"
excess days"
readmissions"
miscommunications"
patient disatisfiers"
family complaints"
adverse events"
discharge delays"
excess days"
readmissions"
miscommunications"
patient disatisfiers"
family complaints"
adverse events"
"Quality improved while reducing costs by about $1,500 - $2,000 per patient per stay before versus after [implementing SIBR], and it also improved the same when we compared to a control group across the city."
Dr. John Manheim
Unit Medical Leader
Our research found through a Difference-in-Differences analysis that our ACUs have had on average 0.679 fewer excess days per patient discharge over the past two years since implementation. This amounts to a savings of $5.4 million per year on our 6 ACU units in Excess Day Reduction compared to our non-ACU units.
Zach Sheff PhD
Health Services Researcher
We improved mortality 25 to 30 percent while reducing length of stay by 10 to 15 percent, readmissions by about 20 percent, and cost of care. So where everyone else, their metrics stayed about the same or got slightly worse, our metrics improved in every category – which said to us we were doing something right.
Unit Medical Director
Us
"Quality improved while reducing costs by about $1,500 - $2,000 per patient per stay before versus after [implementing SIBR], and it also improved the same when we compared to a control group across the city."
Dr. John Manheim
Unit Medical Leader
Our research found through a Difference-in-Differences analysis that our ACUs have had on average 0.679 fewer excess days per patient discharge over the past two years since implementation. This amounts to a savings of $5.4 million per year on our 6 ACU units in Excess Day Reduction compared to our non-ACU units.
Zach Sheff PhD
Health Services Researcher
We improved mortality 25 to 30 percent while reducing length of stay by 10 to 15 percent, readmissions by about 20 percent, and cost of care. So where everyone else, their metrics stayed about the same or got slightly worse, our metrics improved in every category – which said to us we were doing something right.
Unit Medical Director
Us
"Quality improved while reducing costs by about $1,500 - $2,000 per patient per stay before versus after [implementing SIBR], and it also improved the same when we compared to a control group across the city."
Dr. John Manheim
Unit Medical Leader
Our research found through a Difference-in-Differences analysis that our ACUs have had on average 0.679 fewer excess days per patient discharge over the past two years since implementation. This amounts to a savings of $5.4 million per year on our 6 ACU units in Excess Day Reduction compared to our non-ACU units.
Zach Sheff PhD
Health Services Researcher
We improved mortality 25 to 30 percent while reducing length of stay by 10 to 15 percent, readmissions by about 20 percent, and cost of care. So where everyone else, their metrics stayed about the same or got slightly worse, our metrics improved in every category – which said to us we were doing something right.
Unit Medical Director
Us
Typical Impact on Cost Savings
Improvements in length-of-stay and readmission rates have significantly reduced several hospitals cost of care, achieved through:
Direct care costs
Reductions in labs, tests, medications etc.
Indirect care costs
Reductions in nursing overtime, sick pay and recruitment
HACs & HAIs
Reductions in hospital acquired conditions and infections
Reported Cost of Care Reductions
$1M
Average cost of care reduction
34-71%
Average nursing overtime reduction
Typical Impact on Cost Savings
Improvements in length-of-stay and readmission rates have significantly reduced several hospitals cost of care, achieved through:
Direct care costs
Reductions in labs, tests, medications etc.
Indirect care costs
Reductions in nursing overtime, sick pay and recruitment
HACs & HAIs
Reductions in hospital acquired conditions and infections
Reported Cost of Care Reductions
$1M
Average cost of care reduction
34-71%
Average nursing overtime reduction
Typical Impact on Cost Savings
Improvements in length-of-stay and readmission rates have significantly reduced several hospitals cost of care, achieved through:
Direct care costs
Reductions in labs, tests, medications etc.
Indirect care costs
Reductions in nursing overtime, sick pay and recruitment
HACs & HAIs
Reductions in hospital acquired conditions and infections
Reported Cost of Care Reductions
$1M
Average cost of care reduction
34-71%
Average nursing overtime reduction
"How is SIBR different than our current interdisciplinary rounds?"
Compare Structured Interdisciplinary Bedside Rounds with other common types of multidisciplinary rounding
Type of Rounds
"Run the list" huddles
Traditional Rounds
SIBR rounds
Who?
Hospitalist, Care Manager, & Charge Nurse
Hospitalist & Bedside Nurse
Entire care team: Hospitalist, Bedside Nurse, Care Manager, Pharmacist, managed by Charge Nurse
Where?
Nurses’ Station or Conference Room
Bedside or Conference Room
Bedside
Consistent start and end times
✔
?
✔
Average duration
1-2 mins per patient
5-15 minutes per patient
3-5 minutes per patient
7-days a week
⤬
⤬
✔
Quality-Safety
Quality-Safety Checklist reviewed with Bedside Nurse
⤬
⤬
✔
Bedside Nurse concerns addressed
⤬
?
✔
Pharmacist discusses medication safety
⤬
?
✔
Standardized, structured communication protocol
⤬
⤬
✔
Collaborative Cross-Checking
⤬
?
✔
Discharge Coordination
Mobility & last BM
?
?
✔
EDD each day for each patient
?
⤬
✔
Interdisciplinary discharge plan
✔
⤬
✔
Shorter length of stay
?
⤬
✔
Patient & Family Centered
Involves patient
⤬
⤬
✔
Patient’s Goal for the Day
⤬
⤬
✔
Common questions answered proactively
⤬
⤬
✔
Family knows when to join & invited
⤬
⤬
✔
Higher patient satisfaction scores
⤬
⤬
✔
Nursing Involvement
Interdisciplinary care plan
⤬
?
✔
Supports inexperienced nurses
⤬
⤬
✔
Nurses not in rounds all morning
N/A
?
✔
Continuous Quality Improvement
Skills Certification based on High-Performance Behaviors
⤬
⤬
✔
Daily rounds data feeding leadership dashboards and alerts
⤬
⤬
✔
Supports Resilience and High Reliability Organization (HRO) goals
⤬
⤬
✔
Evidence and Credibility
Award-winning care model
⤬
⤬
✔
Well-supported in the literature
⤬
⤬
✔
Summary
Advantages
Brief, Discharge-oriented
Adjusts to physician preferences
Patient-centered, timely, efficient, proactive, clear plan of care and for discharge
Disadvantages
No interdisciplinary care planning
No patient/family presence
Requires experts to help implement and hardwire
"How is SIBR different than our current interdisciplinary rounds?"
Compare Structured Interdisciplinary Bedside Rounds with other common types of multidisciplinary rounding
Type of Rounds
"Run the list" huddles
Traditional Rounds
SIBR rounds
Who?
Hospitalist, Care Manager, & Charge Nurse
Hospitalist & Bedside Nurse
Entire care team: Hospitalist, Bedside Nurse, Care Manager, Pharmacist, managed by Charge Nurse
Where?
Nurses’ Station or Conference Room
Bedside or Conference Room
Bedside
Consistent start and end times
✔
?
✔
Average duration
1-2 mins per patient
5-15 minutes per patient
3-5 minutes per patient
7-days a week
⤬
⤬
✔
Quality-Safety
Quality-Safety Checklist reviewed with Bedside Nurse
⤬
⤬
✔
Bedside Nurse concerns addressed
⤬
?
✔
Pharmacist discusses medication safety
⤬
?
✔
Standardized, structured communication protocol
⤬
⤬
✔
Collaborative Cross-Checking
⤬
?
✔
Discharge Coordination
Mobility & last BM
?
?
✔
EDD each day for each patient
?
⤬
✔
Interdisciplinary discharge plan
✔
⤬
✔
Shorter length of stay
?
⤬
✔
Patient & Family Centered
Involves patient
⤬
⤬
✔
Patient’s Goal for the Day
⤬
⤬
✔
Common questions answered proactively
⤬
⤬
✔
Family knows when to join & invited
⤬
⤬
✔
Higher patient satisfaction scores
⤬
⤬
✔
Nursing Involvement
Interdisciplinary care plan
⤬
?
✔
Supports inexperienced nurses
⤬
⤬
✔
Nurses not in rounds all morning
N/A
?
✔
Continuous Quality Improvement
Skills Certification based on High-Performance Behaviors
⤬
⤬
✔
Daily rounds data feeding leadership dashboards and alerts
⤬
⤬
✔
Supports Resilience and High Reliability Organization (HRO) goals
⤬
⤬
✔
Evidence and Credibility
Award-winning care model
⤬
⤬
✔
Well-supported in the literature
⤬
⤬
✔
Summary
Advantages
Brief, Discharge-oriented
Adjusts to physician preferences
Patient-centered, timely, efficient, proactive, clear plan of care and for discharge
Disadvantages
No interdisciplinary care planning
No patient/family presence
Requires experts to help implement and hardwire
"How is SIBR different than our current interdisciplinary rounds?"
Compare Structured Interdisciplinary Bedside Rounds with other common types of multidisciplinary rounding
"Run the list" huddles
Conference room medical rounds
Traditional Rounds
SIBR rounds
Who?
Hospitalist, Care Manager, & Charge Nurse
Hospitalist, Care Manager, & Charge Nurse
Hospitalist & Bedside Nurse
Entire care team: Hospitalist, Bedside Nurse, Care Manager, Pharmacist, managed by Charge Nurse
Where?
Nurses’ Station or Conference Room
Conference Room
Bedside
Bedside
Consistent start and end times
✔
✔
X
✔
Average duration
1-2 mins per patient
2-3 minutes per patient
5-15 minutes per patient
3-5 minutes per patient
7-days a week
⤬
⤬
✔
✔
Quality-Safety
Quality-Safety Checklist reviewed with Bedside Nurse
⤬
⤬
⤬
✔
Bedside Nurse concerns addressed
⤬
⤬
?
✔
Pharmacist discusses medication safety
⤬
✔
?
✔
Standardized, structured communication protocol
⤬
?
⤬
✔
Collaborative Cross-Checking
⤬
?
?
✔
Discharge Coordination
Mobility & last BM
?
?
?
✔
Collaborative Cross-Checking
⤬
?
?
✔
Patient & Family Centered
EDD each day for each patient
?
?
⤬
✔
Interdisciplinary discharge plan
✔
✔
⤬
✔
Shorter Length of Stay
?
⤬
⤬
✔
Nursing Involvement
Involves patient
⤬
⤬
⤬
✔
Patient’s Goal for the Day
⤬
⤬
⤬
✔
Common questions answered proactively
⤬
⤬
⤬
✔
Family knows when to join & invited
⤬
⤬
⤬
✔
Higher patient satisfaction scores
⤬
⤬
⤬
✔
Interdisciplinary care plan
⤬
⤬
✔
✔
Supports inexperienced nurses
⤬
⤬
⤬
✔
Nurses not in rounds all morning
N/A
N/A
⤬
✔
Continuous Quality Improvement
Skills Certification based on High-Performance Behaviors
⤬
⤬
⤬
✔
Daily rounds data feeding leadership dashboards and alerts
⤬
⤬
⤬
✔
Supports Resilience and High Reliability Organization (HRO) goals
⤬
⤬
⤬
✔
Evidence and Credibility
Award-winning care model
⤬
⤬
⤬
✔
Well-supported in the literature
⤬
⤬
⤬
✔
Summary
What works?
Brief
Discharge oriented
Adjusts to physician preferences
Patient-centered, timely, efficient, proactive, clear plan of care and for discharge
What's missing?
No interdisciplinary care planning
No patient/family presence
Primary data gathering happens together
Requires experts to implement and sustain
Features
SIBR Reduces Cost of Care by Hardwiring Efficiencies in Care Teams
1
Every patient, every morning
Hardwire into the morning workflow, no matter who the physician is
2
Includes the whole care team
Convene the hospitalist, bedside nurse, care manager, pharmacist
3
Structured and standardized
Discharge barriers, pre-admission details, needs & complex supports, & next site
4
Everyone comes prepared
Routines, training, and preparation ensure it's a good use of time for all
5
Doesn't exclude bedside nurse
Avoid discharge delays from common issues like mobility and delayed BMs
6
Synchronized and focused
Physician synthesizes a plan for discharge, including an EDD so everyone else can plan
Features
SIBR Reduces Cost of Care by Hardwiring Efficiencies in Care Teams
1
Every patient, every morning
Hardwire into the morning workflow, no matter who the physician is
2
Includes the whole care team
Convene the hospitalist, bedside nurse, care manager, pharmacist
3
Structured and standardized
Discharge barriers, pre-admission details, needs & complex supports, & next site
4
Everyone comes prepared
Routines, training, and preparation ensure it's a good use of time for all
5
Doesn't exclude bedside nurse
Avoid discharge delays from common issues like mobility and delayed BMs
6
Synchronized and focused
Physician synthesizes a plan for discharge, including an EDD so everyone else can plan
Features
SIBR Reduces Cost of Care by Hardwiring Efficiencies in Care Teams
1
Every patient, every morning
Hardwire into the morning workflow, no matter who the physician is
2
Includes the whole care team
Convene the hospitalist, bedside nurse, care manager, pharmacist
3
Structured and standardized
Discharge barriers, pre-admission details, needs & complex supports, & next site
4
Everyone comes prepared
Routines, training, and preparation ensure it's a good use of time for all
5
Doesn't exclude bedside nurse
Avoid discharge delays from common issues like mobility and delayed BMs
6
Synchronized and focused
Physician synthesizes a plan for discharge, including an EDD so everyone else can plan
Top Case Studies
Presbyterian St Luke's
$1.2 million in direct cost savings in 12 months
Manheim, J., Harry, E., Mastalerz, Kasia
Journal of Hospital Medicine
Orange Health
29% reduction in adjusted cost of stay
Clay-Williams, R., Plumb, J., Luscombe, G.M., Hawke, C., Dalton, H., Shannon, G. & Johnson, J.
Journal of Hospital Medicine
Northwell Health
43% reduction in pressure ulcers
Northwell Health
Hospital Data
Top Case Studies
Presbyterian St Luke's
$1.2 million in direct cost savings in 12 months
Manheim, J., Harry, E., Mastalerz, Kasia
Journal of Hospital Medicine
Orange Health
29% reduction in adjusted cost of stay
Clay-Williams, R., Plumb, J., Luscombe, G.M., Hawke, C., Dalton, H., Shannon, G. & Johnson, J.
Journal of Hospital Medicine
Northwell Health
43% reduction in pressure ulcers
Northwell Health
Hospital Data
Top Case Studies
Presbyterian St Luke's
$1.2 million in direct cost savings in 12 months
Manheim, J., Harry, E., Mastalerz, Kasia
Journal of Hospital Medicine
Orange Health
29% reduction in adjusted cost of stay
Clay-Williams, R., Plumb, J., Luscombe, G.M., Hawke, C., Dalton, H., Shannon, G. & Johnson, J.
Journal of Hospital Medicine
Northwell Health
43% reduction in pressure ulcers
Northwell Health
Hospital Data
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