We have ensured that patients and their family members are very clear on the discharge plan even before they are admitted. Once patients are no longer acute, we are able to charge a per diem. For those patients who just need additional support and time, we have worked in partnership with the city to provide supportive housing at a reasonable cost. This innovative model is receiving a lot of attention as there is a personal support worker that can be available 24/7 to assist with care needs.
Parking is a hugely contentious issue and even minor changes to parking fees results in community uproar. Not being able to find a parking space at all is clearly far worse. I am wondering if you have clear data that can dramatically demonstrate the increased volume that anticipate. I would then encourage you to have individual meetings with influential board members and leadership to ensure that you have their support or their suggestions on what additional information is needed prior to the decisive meeting.
While I agree with the previous posts, one of the challenges that we have had is comparing “before” and “after” when the documentation was so poor prior to implementation of an electronic record. Does it really take more time if the paper version had complete documentation (or in some cases any documentation)?