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.
Every afternoon at 2pm, rounding to identify patients to be discharged the next day
Evening prior to discharge, case managers or physician reviews plans with patient and family
Day after discharge, follow up
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: