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Objectives <p>To determine the impact of an automated patient engagement solutions (APES) pathway at discharge on parental communication and length of stay (LOS) compared to traditional approach.</p> Study design <p>This quasi-experimental study took place in a level 4 neonatal intensive care unit. The APES at discharge (APES-D) pathway was implemented on January 18, 2022. Infants admitted in year prior formed the Pre-Intervention group. Post-implementation infants were categorized as APES-D Users (opted in) or Non-users (opted out).</p> Results <p>Pre-Intervention and APES-D groups had similar LOS (<i>p</i> = 0.54). APES-D Users had shorter LOS than APES-D Non-users (<i>p</i> = 0.007) and Pre-Intervention and APES-D Non-users combined (<i>p</i> = 0.03). Time between discharge document completion and actual discharge was longer in APES-D (<i>p</i> &lt; 0.001). Commercial insurance was associated with shorter LOS (<i>p</i> &lt; 0.001). Among APES-D Users, 91.7% engaged with the platform.</p> Conclusion <p>APES-D was associated with high parental engagement and shorter LOS, but usage varied by social determinants, warranting further study.</p>

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The effect of an automated patient engagement solutions (APES) on step-by-step parental communication around time of discharge and length of stay

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年3月30日

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  • Beatrice M. Stefanescu,
  • Amanda B. Deford,
  • Lakeisha J. Boyd,
  • Angela E. Cromlich,
  • Susan E. Henderson-Sears,
  • Heather J. Bruckman,
  • Samantha R. O’Neill

摘要

Objectives

To determine the impact of an automated patient engagement solutions (APES) pathway at discharge on parental communication and length of stay (LOS) compared to traditional approach.

Study design

This quasi-experimental study took place in a level 4 neonatal intensive care unit. The APES at discharge (APES-D) pathway was implemented on January 18, 2022. Infants admitted in year prior formed the Pre-Intervention group. Post-implementation infants were categorized as APES-D Users (opted in) or Non-users (opted out).

Results

Pre-Intervention and APES-D groups had similar LOS (p = 0.54). APES-D Users had shorter LOS than APES-D Non-users (p = 0.007) and Pre-Intervention and APES-D Non-users combined (p = 0.03). Time between discharge document completion and actual discharge was longer in APES-D (p < 0.001). Commercial insurance was associated with shorter LOS (p < 0.001). Among APES-D Users, 91.7% engaged with the platform.

Conclusion

APES-D was associated with high parental engagement and shorter LOS, but usage varied by social determinants, warranting further study.