Project Information

Effect of dedicated procedure consultants on cost-effectiveness and hospital length of stay for patients admitted for decompensated liver failure and/or ascites.

Project Description: The internal medicine department at UF Health recently created a consulting team for performing common bedside procedures on patients admitted to the hospital. Part of the goal was to relieve some of the workload from hospitalists in an effort to improve patient care. The investigators of this study seek to examine the effect of this change on patients admitted for liver failure and/or ascites, a patient population that frequently undergoes a procedure called a paracentesis. This will be accomplished via performing a retrospective cohort chart review. We will pull hospital inpatient encounters/charts for patients admitted to an internal medicine service (resident and hospitalist) under intermediate or floor level care for which the admission diagnosis included “decompensated cirrhosis,” and/or “ascites.” The time frame will be from six months months before the consultant service was functioning (3/1/2015 - 12/31/2015) and from six months after the service was functioning (3/1/2016 - 12/31/2016). This information will be readily available by accessing UF Health billing information with ICD-10 codes for the aforementioned diagnoses.

QPI: Grant, Lowther, (

Collaborators: (; (

Advisors: (; (

UF Health Big Aims: Increase Value None

MeSH Keywords: Hepatic Encephalopathy, Length of Stay, Liver Cirrhosis, Paracentesis, Quality Improvement