Hospital bed utilization by teaching and nonteaching medical services. 2012

Irene Alexandraki, and Carlos Palacio, and Jeffrey House, and Arshag D Mooradian
David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA 90095, USA. ialexandraki@mednet.ucla.edu

A study was undertaken to determine whether hospital bed utilization is different between teaching and nonteaching hospitalist services. During a 2-year period, the average length of stay (ALOS), case-mix index, readmissions within 30 days of discharge, and percentage of 1-day stays were compared between these services. To ameliorate confounders, the ALOS was recalculated (ALOS revised) after excluding patients with length of stay of more than 20 days and those originally admitted to the intensive care unit. Six thousand ninety-nine patients were discharged by the teaching service (group 1), 14 348 by the corporate hospitalist (group 2), and 2634 by the community-based practitioner group (group 3). The mean ALOS revised was significantly lower for the teaching service (3.64 ± 2.22 days) compared with the other 2 services (4.53 ± 1.48 and 4.73 ± 1.02, respectively [P < .001]), although the mean case-mix index was significantly higher for the teaching service compared with the other services. The mean percentage of readmissions within 30 days of discharge and 1-day stays were not significantly different between group 1 and groups 2 and 3. Hospital bed utilization in the teaching service was superior to the nonteaching hospitalist services. Further research should explore the reasons for the differences between these models of care.

UI MeSH Term Description Entries
D007902 Length of Stay The period of confinement of a patient to a hospital or other health facility. Hospital Stay,Hospital Stays,Stay Length,Stay Lengths,Stay, Hospital,Stays, Hospital
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010351 Patient Discharge The administrative process of discharging the patient, alive or dead, from hospitals or other health facilities. Discharge Planning,Discharge Plannings,Discharge, Patient,Discharges, Patient,Patient Discharges,Planning, Discharge,Plannings, Discharge
D010359 Patient Readmission Subsequent admissions of a patient to a hospital or other health care institution for treatment. Hospital Readmission,Rehospitalization,Unplanned Hospital Readmissions,Unplanned Readmission,30 Day Readmission,Hospital Readmissions,Readmission, Hospital,Readmissions, Hospital,Thirty Day Readmission,30 Day Readmissions,Hospital Readmission, Unplanned,Hospital Readmissions, Unplanned,Readmission, Patient,Readmission, Thirty Day,Readmission, Unplanned,Rehospitalizations,Thirty Day Readmissions,Unplanned Hospital Readmission,Unplanned Readmissions
D003953 Diagnosis-Related Groups A system for classifying patient care by relating common characteristics such as diagnosis, treatment, and age to an expected consumption of hospital resources and length of stay. Its purpose is to provide a framework for specifying case mix and to reduce hospital costs and reimbursements and it forms the cornerstone of the prospective payment system. Case Mix,DRG,Diagnosis Related Group,Diagnosis-Related Group,Case Mixes,DRGs,Diagnostic-Related Group,Group, Diagnostic-Related,Groups, Diagnostic-Related,Diagnosis Related Groups,Diagnostic Related Group,Diagnostic-Related Groups,Group, Diagnosis Related,Group, Diagnosis-Related,Group, Diagnostic Related,Groups, Diagnosis Related,Groups, Diagnosis-Related,Groups, Diagnostic Related,Related Group, Diagnosis,Related Groups, Diagnosis
D005260 Female Females
D005431 Florida State bounded on east by the Atlantic Ocean, on the south by the Gulf of Mexico, on the west by Alabama and on the north by Alabama and Georgia.
D006760 Hospitalization The confinement of a patient in a hospital. Hospitalizations
D006784 Hospitals, Teaching Hospitals engaged in educational and research programs, as well as providing medical care to the patients. Hospital, Teaching,Teaching Hospital,Teaching Hospitals

Related Publications

Irene Alexandraki, and Carlos Palacio, and Jeffrey House, and Arshag D Mooradian
May 2007, Journal of hospital medicine,
Irene Alexandraki, and Carlos Palacio, and Jeffrey House, and Arshag D Mooradian
August 2014, Southern medical journal,
Irene Alexandraki, and Carlos Palacio, and Jeffrey House, and Arshag D Mooradian
August 2014, Southern medical journal,
Irene Alexandraki, and Carlos Palacio, and Jeffrey House, and Arshag D Mooradian
July 1965, Hospital progress,
Irene Alexandraki, and Carlos Palacio, and Jeffrey House, and Arshag D Mooradian
June 2017, Journal of evaluation in clinical practice,
Irene Alexandraki, and Carlos Palacio, and Jeffrey House, and Arshag D Mooradian
May 2006, Academic medicine : journal of the Association of American Medical Colleges,
Irene Alexandraki, and Carlos Palacio, and Jeffrey House, and Arshag D Mooradian
August 1976, The Hospital medical staff,
Irene Alexandraki, and Carlos Palacio, and Jeffrey House, and Arshag D Mooradian
March 2002, The American journal of medicine,
Irene Alexandraki, and Carlos Palacio, and Jeffrey House, and Arshag D Mooradian
March 1962, American journal of obstetrics and gynecology,
Irene Alexandraki, and Carlos Palacio, and Jeffrey House, and Arshag D Mooradian
March 1971, JAMA,
Copied contents to your clipboard!