Short stay unit led by pediatric hospital medicine advanced practice providers

• DOI: 10.1002/jhm.13262
• Publication Date: 2023-12-28T05:14:50Z
• Authors: Brittany K. Potts; Jonathan H. Pelle...; Leah Rawdon; Michael L. Forbes
• Keywords: Interquartile range

Abstract Background In response to a critical pediatric bed shortage in 2022, an urgent process change was required provide safe and timely medical care. We proposed pilot for advanced practice provider (APP)‐run short stay unit (SSU) select hospital medicine (PHM) patients. Objective To compare length of (LOS) cost before after implementation PHM APP‐led SSU at tertiary hospital. Designs, Settings, Participants Single‐center prospective observational cohort study with historical control. Observation encounters patients asthma, bronchiolitis, croup, dehydration were included. Intervention An independent‐practice model staffed by APPs on the service. Main Outcome Measures (September 1, 2022–December 2022) compared against pre‐SSU 2021–August 31, 2022). Cohorts described summary statistics. matched based demographics diagnosis, average effect treatment calculated. LOS abstracted from enterprise data warehouse standardized Pediatric Health Information Systems database. Results There 1110 included, 155 955 cohort: 24.2% 30.8% 8.3% 36.7% dehydration. Median (interquartile range) decreased 21 (16–26) 18 (10–22) h, p < .001. Cost $3593 ($3031–$4560) $2958 ($2278–$3856), After matching, reduction 3.88 h (95% confidence interval [CI] 1.91–5.85) $593 CI $348–$839). no significant differences 7‐day ED revisit rates.