At Dragonfly, we believe in possibilities. We believe it’s possible to improve healthcare by providing rehabilitation teams that are aligned, fully engaged and passionate about what they do. The results speak for themselves—improved value through enhanced patient outcomes and lower healthcare costs.
We identified and improved Occupational Therapy process issue that resulted in saving the hospital $100,000 annually. We found that physicians defaulted to ordering OT even when it was not needed. Two parallel strategies fixed this issue. One, we convinced physicians that there were safety nets in place to identify patients that needed acute care OT. Two, we redesigned physician order sets so they were simple, quick, and more effective. OT was no longer the default position; doctors needed to choose OT and identify the reason from a drop down menu. In addition, OT was added to the defaults for shoulder surgery, post hip replacements, and vented patients in ICU.
We worked closely with the Orthopedic surgeons and nursing to increase the percentage of patients being evaluated by Physical Therapy (PT) on the day of their total knee replacement and total hip replacement from 0% to 85%. Research showed that a lower rate of complications ensued if PT began the same day as surgery. To achieve this dramatic increase, Dragonfly helped the hospital rethink its total patient care. Solutions included redesigning order sets that default to PT, and adjusting PT staffing hours to late afternoon and early evening.
In a recent national engagement survey, Dragonfly staff not only participated 100%, but scored 95.96% in engagement with the rehabilitation department. This means that staff members are happy in their work, feel empowered to do their best, and collaborate well with their team. This translates into quality patient care, which is the heart of our mission.
Dragonfly reduced the cost per adjusted unit for Physical Therapy and Occupational Therapy and created a three year savings of $487k. Efficiencies included scheduling staff more effectively, converting paper medical records to electronic, and improving the patient tracking system to ensure all costs were captured.