Posts by Chris Moriates

For Whom the Noon Bell Tolls

The clock struck noon, and my patient was still in her room. My team sighed and my case manager rolled her eyes. Even if we had provided flawless clinical care throughout her hospital stay, she was now going to “count against us” in our quest to achieve our Discharge By Noon (DBN) goals – a metric thrust upon us with some explanation about throughput and how it will help patients stuck boarding in the emergency department, or something. I must admit that I am emotionally torn about this goal. I do remember being in the hospital with my wife and newborn daughter, frustrated that we were ready to go home and we were left sitting and waiting… and waiting… and waiting… presumably for an intern to input an order and then a nurse to print a form. I would have loved if that medical team was doing all they could…