Acute Care Transition (ACT) Rounding



Vituity’s Acute Care Transition (ACT) Rounding program enables a more efficient and proactive discharge process that promotes recovery while minimizing preventable readmissions. One of its main benefits is the opportunity for clinical teams to review the plan of care with the patient and family at the bedside round. This allows for enhanced team and patient communication to ensure the patient’s needs are met post-discharge with a seamless transition from acute care.


How it works


Using the ACT Rounding approach, Vituity’s hospitalist-led multidisciplinary team performs twice daily rounds to identify and prepare patients for discharge. Through reverse rounding, the team visits lower-acuity patients first, enabling them to be discharged sooner and improving throughput.

The team typically includes physicians, advanced providers, case managers, social service workers, nurses, therapists, and pharmacists. The framework of ACT Rounding incorporates discharge planning on admission, a multidisciplinary round, reverse rounding, as well as afternoon bedside rounding on patients who will be ready for discharge the following day.

Process for Daily Rounds


Every afternoon at 2pm, rounding to identify patients to be discharged the next day

  • All necessary home care and follow-up appointments are arranged
  • Prescriptions are filled

Evening prior to discharge, case manager or physician reviews plans with patient and family

  • Patient and family receive education on treatment regimen and next steps; transportation home is confirmed or arranged

Morning of discharge, reverse rounding

  • Clarify plans if questions arise
  • Discharge before noon/bed turnover

Day after discharge, follow up

  • Contact patient via phone or tele-platform to answer any questions
  • Arrange post-acute care visit if needed, and manage readmission rates
Benefits: Proven Success at Hospitals Nationwide


Launched in 2018, ACT Rounds have become a hallmark of Vituity’s hospital medicine services. Now considered a benchmark in hospital medicine best practice, it demonstrates:

  • Consistent and replicable improvements in length of stay
  • Positive patient experience and greater adherence to treatment
  • Enhanced provider and staff satisfaction

Partnering to improve patient lives

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