23-hour stay

23-hour stay

A period of hospitalisation of < 1 day in duration.
 
Pros
23-hour stays allow the patient management team to observe a patient with signs of a condition (e.g., stroke, AMI, haemorrhage) that would require hospitalisation for a prolonged period of time; because the patient is admitted for < one day, all the services are billed at higher rates than would be allowed by the DRGs, were the patient hospitalised.

Cons
Clockwatching may occur if lab or other results are delayed; patients may need to be discharged then readmitted under another DRG code.

23-hour stay

Managed care A period of hospitalization of < 1 day in duration Pros 23HSs allow the management team to observe a Pt with signs of a condition–eg, stroke, AMI, hemorrhage that would require hospitalization for a prolonged period of time; because the Pt is admitted for < one day, all the services are billed at higher rates than would be allowed by the DRGs, were the Pt hospitalized. See TQM.
References in periodicals archive ?
The medical center at Mount Zion will become a 23-hour stay ambulatory surgery site, allowing certain patients whose surgeries may involve longer recovery times to be treated as an outpatient, rather than being admitted to the hospital.
B henselae titers were obtained, and the patient was discharged home after a 23-hour stay.
The federal Centers for Medicare & Medicaid Services (CMS) has recognized that improved recovery times lead to better patient care and lower healthcare costs, issuing regulations permitting 23-hour stays in the ASC setting.
Meet National Standards: Nationwide, 36 states and the federal Centers for Medicare & Medicaid Services (CMS) have already implemented laws allowing for 23-hour stays in the ASC setting.
Just last week, Maryland became the latest state to embrace this common-sense reform when it passed a law allowing 23-hour stays in the ambulatory surgical care setting.
Advocates for HB 999 also noted that the federal Centers for Medicare & Medicaid Services (CMS) and 34 states have already implemented laws allowing for 23-hour stays in an ASC.