How four organizations structured interdisciplinary rounds

Overview

interdisciplinary rounds cover

The challenge

Interdisciplinary rounds are often poorly attended, inefficient, and lack clear role definition. As a result, they often fail to achieve the intended goal of ensuring clinicians make critical patient care decisions in close coordination. By implementing a highly structured format, leaders can improve the efficiency and effectiveness of interdisciplinary rounds.

The organizations

Orange Health Service is a 220-bed hospital in Orange, New South Wales, Australia. Fraser Health Authority is an integrated health care service in British Columbia, Canada. Northwestern Memorial Hospital is a 897-bed teaching hospital in Chicago, Illinois. The Johns Hopkins Hospital is a 1,162-bed teaching hospital in Baltimore, Maryland.

The approach

The three models in place at the above mentioned organizations all took a highly structured approach to interdisciplinary rounds. With a well-defined structure in terms of timing, attendance, and agenda, these three models make real-time care progression amongst members of the care team possible.

The results

These are highly effective models of enabling busy care team members to collaborate across disciplines while advancing daily patient care. The models detailed offer improvements across a number of efficiency and quality indicators, including duration of rounds, bed occupancy, and length of stay.

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