Goal-Directed Achievement Through Geographic Location (GAGL) Reduces Patient Length of Stay and Adverse Events

Michael J. Maniaci, Nancy L. Dawson, Jennifer B. Cowart, Eugene M. Richie, Anil G. Suryaprasad, David O. Hodge, Nicole E. Joyce, Carol A. Kernan, Laurie A. Stone, M. Caroline Burton

Research output: Contribution to journalArticlepeer-review


This prospective cohort study aimed to improve hospital outcomes through geographic location of hospitalist patients and conducting daily multidisciplinary team rounds—Goal-directed Achievements through Geographic Location (GAGL). Patients were admitted to a geographic (GAGL) study unit where daily multidisciplinary rounds took place among nursing, case management, a hospitalist, pharmacy, physical and occupational therapy, respiratory therapy, and nutrition services. A total of 985 (56.4%) patients were admitted to the GAGL study unit and 760 patients (43.6%) were admitted to non-GAGL units. Patients admitted to the GAGL study unit had a shorter average length of stay (3.64 days vs 4.35 days, P =.0001) and a lower number of risk events (91 [9.2%] vs 93 [12.2%], P =.038). There was no significant difference in 30-day readmissions, avoidable day events, or code blue team activations. GAGL provides a framework for hospital organizations to improve provider communication, hospital efficiency, and patient safety.

Original languageEnglish (US)
Pages (from-to)323-329
Number of pages7
JournalAmerican Journal of Medical Quality
Issue number4
StatePublished - Jul 1 2020


  • geographic
  • interdisciplinary
  • length of stay
  • risk events
  • rounding

ASJC Scopus subject areas

  • Health Policy


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