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Quality and Patient Safety:

Efficient

Quality/Patient Safety Goal:

Reduction in Post-operative Length of Stay for Patients Undergoing Posterior Spinal Fusion

Goal & Summary

One of the key metrics of efficiency in the care of posterior spinal fusion surgery is the hospital length of stay, or number of days a patient is hospitalized. We are committed to efficient care at Akron Children’s Hospital while providing a patient- and family-centered approach.

Why is this important?

Scoliosis is a lateral curvature of the spine that is greater than 10%. This occurs in 0.3% of the population. Patients who require surgical correction of their scoliosis have been proven to have a reduced post-operative length-of-stay with a standardized and evidence-based approach to care that includes pain management, physical therapy and readiness for discharge protocols.

What are we doing to improve?

A spinal fusion surgery improvement team was assembled to comprehensively review and update evidence-based practices to ensure both optimal care and shortened post-operative length-of-stay. The interventions resulted in a real value for our patients by improving their quality of care and shortening their length-of-stay without increasing complications.

What progress have we made?

Quality - Spinal Fusion Chart

Who are we partnering with to share best practices?

The improvement leaders presented portions of their improvement work at numerous clinical and IT venues, including at a Healthcare Information and Management Systems Society, Inc. conference.