{"id":4935,"date":"2016-01-20T00:00:00","date_gmt":"2016-01-20T07:00:00","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/2016\/01\/20\/a-place-for-observation\/"},"modified":"2017-02-01T09:38:49","modified_gmt":"2017-02-01T16:38:49","slug":"a-place-for-observation","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/a-place-for-observation\/","title":{"rendered":"A place for observation"},"content":{"rendered":"<div style=\"margin-top: 0px; margin-bottom: 0px;\" class=\"sharethis-inline-share-buttons\" ><\/div><p>For patients needing a little extra time to recover, Medical Center of the Rockies (MCR) has just the spot.<\/p>\n<p>The seven-bed Clinical Decision Unit (CDU) on MCR\u2019s first floor is designated exclusively for patients who don\u2019t need inpatient-level medical care, but are not quite ready to go home. The CDU provides them with the specialized care they need to prepare for a smooth discharge, said Tamara Varner, nurse manager for both the CDU and MCR\u2019s cardiac unit.<\/p>\n<p>The new unit opened Jan. 4.<\/p>\n<p>\u201cThe CDU provides care to patients designated as observation status, extended recovery, and post-procedural monitoring,\u201d Varner said. \u201cI am excited that our organization provides a designated unit for these patients at MCR.\u201d<\/p>\n<p>While an observation patient in the CDU does not qualify for longer than a one-day stay (based on the physician\u2019s admitting diagnosis and inclusion\/exclusion guidelines) patients may still require close observation before they\u2019re ready to be discharged, Varner explained. Similarly, patients recovering after certain outpatient-based surgical procedures may need only a few extra hours of monitoring. The CDU is designed to fit these types of needs, she said.<\/p>\n<p>CDU patients come from ortho\/spine, trauma\/surgical, medical, and cardiac units; the cardiac catheterization lab (where outpatient cardiac procedures are performed); direct admits; and the emergency department, according to Jake Mentele, UCHealth administrative fellow and the CDU\u2019s project manager. And, he added, the benefits of having a dedicated unit for short-term observation will benefit the hospital and patients alike.<\/p>\n<p>\u201cIt opens up our capacity, especially when we have a high census, so we can use inpatient beds for those patients at higher acuity,\u201d Mentele said. \u201cIn the long run, we will end up treating more people in the community.\u201d<\/p>\n<figure id=\"attachment_2144\" aria-describedby=\"caption-attachment-2144\" style=\"width: 300px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-2144 size-medium\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/1970\/01\/28145137\/EXT_012016_CDU_fun.webp\" width=\"300\" height=\"219\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/1970\/01\/28145137\/EXT_012016_CDU_fun.webp 1000w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/1970\/01\/28145137\/EXT_012016_CDU_fun-300x219.webp 300w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/1970\/01\/28145137\/EXT_012016_CDU_fun-768x561.webp 768w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/1970\/01\/28145137\/EXT_012016_CDU_fun-150x110.webp 150w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/1970\/01\/28145137\/EXT_012016_CDU_fun-200x146.webp 200w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-2144\" class=\"wp-caption-text\">Emily Young, RN, enjoys a laugh with cardiac patient Rex Kellums in the new Clinical Decision Unit at Medical Center of the Rockies. Photo by Kati Blocker, UCHealth.<\/figcaption><\/figure>\n<p>Recent changes in health care have mandated that the Centers for Medicare and Medicaid Services determine hospital charges primarily based on two things: a patient\u2019s diagnosis and how quickly the condition improves. This makes it crucial to accurately and expediently determine what is wrong, while also sending people home sooner.<\/p>\n<p>For example, life-threatening conditions such as blood infections or heart attacks often require a number of costly and time-intensive resources to diagnose and treat. As such, high-acuity patients are best cared for in an inpatient unit. But some patients arrive at the hospital with conditions that may warrant only a few diagnostic tests, less complex medical interventions and assistance with discharge planning. The CDU is\u00a0ideal for these patients.<\/p>\n<p>The CDU, open 7 a.m. to 7 p.m. Monday through Saturday, is specifically geared toward providing care in an observation setting, Varner said.<\/p>\n<p>\u201cA nurse on an inpatient unit cares for multiple patients with a range of conditions with the same high level of concern and care,\u201d she said. \u201cNurses on the CDU are working round the clock on discharge even before they get the discharge order, so when they get it the patient can go.\u201d<\/p>\n<p>Considerable interdisciplinary collaboration went into preparing the CDU for opening, Varner said. This included months of strategic planning, training on various inpatient units, as well as trips\u00a0to UCHealth Metro Denver to research processes and expose\u00a0staff to disaster training and emergency simulations. Varner is confident that these measures will contribute to lowering the average patient length of stay and 30-day readmission rates.<\/p>\n<p>For Robin Reed, a nurse on the CDU, the unit\u2019s opening means improving health care across the continuum.<\/p>\n<p>\u201cWe have the potential to see a wide variety of patients on their health care journey,\u201d Reed said. \u201cI look forward to\u00a0growing and nurturing\u00a0this\u00a0new and innovative unit.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>For patients needing a little extra time to recover, Medical Center of the Rockies (MCR) has just the spot. The seven-bed Clinical Decision Unit (CDU) on MCR\u2019s first floor is designated exclusively for patients who don\u2019t need inpatient-level medical care, but are not quite ready to go home. The CDU provides them with the specialized [&hellip;]<\/p>\n","protected":false},"author":38,"featured_media":2144,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[5],"tags":[174],"class_list":["post-4935","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-innovative-care","tag-medical-center-of-the-rockies"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>A place for observation - UCHealth Today<\/title>\n<meta name=\"description\" content=\"For patients needing a little extra time to recover, Medical Center of the Rockies (MCR) has just the spot. The seven-bed Clinical Decision Unit (CDU) on MCR\u2019s first floor is designated exclusively for patients who don\u2019t need inpatient-level medical care, but are not quite re...\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.uchealth.org\/today\/a-place-for-observation\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"A place for observation\" \/>\n<meta property=\"og:description\" content=\"For patients needing a little extra time to recover, Medical Center of the Rockies (MCR) has just the spot. The seven-bed Clinical Decision Unit (CDU) on MCR\u2019s first floor is designated exclusively for patients who don\u2019t need inpatient-level medical care, but are not quite ready to go home. 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