Marianjoy Rehabilitation Hospital, part of Northwestern Medicine, Wheaton and Northwestern Medicine Central DuPage Hospital, Winfield
Stroke Program Acute Care Transfer and Readmission Reduction Project: Acute and Post-Acute Collaboration
Baseline data showed that 41% of acute care stroke readmissions from Marianjoy were potentially preventable and that acute stroke transfers were 5.6% higher than the national benchmark goal of 11.2%. To address these issues, a project team increased collaboration between the Central DuPage and Marianjoy to improve patient care.
Using the Lean Six Sigma Define, Measure, Analyze, Improve and Control (DMAIC) methodology, the project team successfully:
- Standardized the hand-off communication process between facilities;
- Developed a screening tool for high-risk/complex patients;
- Improved readmission notifications between facilities; and
- Implemented a case review protocol to identify preventable readmissions in the future.
As a result of this collaboration, Central DuPage reduced acute care stroke readmissions by 30% and Marianjoy reduced acute stroke transfers by 25%.