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TABLE 2

High-Risk Discharges

CriteriaTotal (%)Baseline Period, n (%)Intervention and Sustain Period, n (%)
Unplanned operating room visit 333 (8.4) 41 (7.3) 292 (8.6) 
Unplanned ICU Stay 541 (13.6) 100 (17.7) 441 (12.9) 
New durable medical equipment prescribed 210 (5.3) 36 (6.4) 174 (5.1) 
“Patient at risk” form completed by social work 306 (7.7) 29 (5.1) 277 (8.1) 
New subspecialty clinic referral unrelated to discharge diagnosis 143 (3.6) 15 (2.7) 128 (3.8) 
Transfer to another facility 524 (13.2) 77 (13.6) 447 (13.1) 
Medically complex 1920 (48.3) 267 (47.3) 1653 (48.4) 
Combined 3977 (100) 565 (100) 3412 (100) 
CriteriaTotal (%)Baseline Period, n (%)Intervention and Sustain Period, n (%)
Unplanned operating room visit 333 (8.4) 41 (7.3) 292 (8.6) 
Unplanned ICU Stay 541 (13.6) 100 (17.7) 441 (12.9) 
New durable medical equipment prescribed 210 (5.3) 36 (6.4) 174 (5.1) 
“Patient at risk” form completed by social work 306 (7.7) 29 (5.1) 277 (8.1) 
New subspecialty clinic referral unrelated to discharge diagnosis 143 (3.6) 15 (2.7) 128 (3.8) 
Transfer to another facility 524 (13.2) 77 (13.6) 447 (13.1) 
Medically complex 1920 (48.3) 267 (47.3) 1653 (48.4) 
Combined 3977 (100) 565 (100) 3412 (100) 

The number and percent of all high-risk criteria met for discharges meeting ≥1 criterion. Patients may meet ≥1 criterion during a hospitalization. Therefore, the number of criteria met is greater than the number of included discharges.

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