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Identifying Physicians and Patterns Generating Unnecessary In-Hospital Days

An Exploratory Stage of Developing an Institution-Specific Physician-Focused Utilization Effort

Carney Hospital and Boston University School of Medicine, Boston, Massachusetts 02124

A focused, concurrent utilization review effort identified the existence of a large number of unnec essary hospital days remaining even after a highly successful utilization review effort. Within a group of physicians identified as having the highest acuteness adjusted average lengths of stay, 38.3% of their pa tient's hospital days were unnecessary, with 83% of those days being within physician control. Observa tion, diagnostic undertakings or therapeutic efforts that were unnecessary or appropriate for the out patient setting represented 81.3% of the unnecessary days. A future utilization study will compare the practice patterns among physicians in the same de partment in order to define future goals and develop necessary corrective actions that will be acceptable to the medical staff.

American Journal of Medical Quality, Vol. 6, No. 3, 95-98 (1991)
DOI: 10.1177/0885713x9100600307


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