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Impact of The Daily Plan on Length of Stay and Readmission

King, Beth, MA; Young-Xu, Yinong, ScD; Lee, William, J., MPH; van Aalst, Robertus, MS; Shiner, Brian, MD; Mills, Peter, PhD; Eickhoff, Leah, BA; Neily, Julia, MPH

doi: 10.1097/NCQ.0000000000000271

The Veterans Health Administration implemented The Daily Plan (TDP) to improve patient safety. We compared length of stay and readmission between intervention and control units. Length of stay decreased for both groups. Readmission rates increased for controls (21.3%-25.0%, P = .02) and barely changed for TDP units (21.7%-22.5%, P = .37). Although there were no efficiency improvements, TDP's ultimate goal was safety. Not all patient safety actions improve efficiency; nonetheless, their value continues.

National Center for Patient Safety (Mss King and Neily and Dr Young-Xu, Mr Lee, and Drs Shiner and Mills) and Clinical Epidemiology Program (Dr Young-Xu and Mr van Aalst and Ms Eickhoff), Veterans Affairs Medical Center, White River Junction, Vermont; and Department of Psychiatry, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire (Drs Young-Xu and Shiner).

Correspondence: Robertus van Aalst, MS, Clinical Epidemiology Program, Veterans Affairs Medical Center, White River Junction, VT 05001 (

This work is the product of collaboration between the Veterans Health Administration and National Center for Patient Safety. The opinions expressed are those of the authors and not necessarily those of the Department of Veterans Affairs or the United States Government.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (

The authors declare no conflicts of interest.

Accepted for publication: May 2, 2017

Published ahead of print: June 23, 2017

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