Volume 3 Supplement 1

Proceedings of the 2015 Australia and New Zealand Academy for Eating Disorders (ANZAED) Conference: Riding the Waves to Recovery

Open Access

The effects of improving service efficiency in a specialist inpatient eating disorder treatment program

  • Urvashnee Singh1,
  • Kate Fleming1,
  • Fiona Cartwright1Email author and
  • Fiona Salter1
Journal of Eating Disorders20153(Suppl 1):O13

DOI: 10.1186/2050-2974-3-S1-O13

Published: 23 November 2015

The Hollywood Clinic is a private adult eating disorder inpatient service in Western Australia with ten specialised beds. It was identified that this service had a long length of stay, which was shown to limit access to care and made the program less cost-effective. Not only are there sizable financial savings in reduced length of stay but indirect “costs” to patients may include missed school and work, impoverished relationships and decreased quality of life. Conversely, early discharge resulting from pressure on length of stay may negatively impact treatment outcomes and recovery trajectories. Our objective then, was to optimise patients' length of stay.

We introduced a range of initiatives to improve program efficiency. These included earlier increases in oral intake prescription, higher energy content of menus, closer monitoring of weight restoration, stream-lining our protocol and utilising our day patient program on discharge. These initiatives resulted in a reduction in the average length of stay from 52 days to 35 days. Concomitantly, there has been no reduction in treatment gains during shorter admissions. Furthermore, there is currently no waiting list for admission to our inpatient eating disorder program, giving us increased capacity to treat more patients in need of the service.

Authors’ Affiliations

(1)
The Hollywood Clinic

Copyright

© Singh et al. 2015

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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