Abstract Body: BACKGROUND Comprehensive Stroke Center [CSC] identified opportunity to decrease stroke patient length of stay [SP-LOS]. Customized physician stroke orders [C-SO] had been developed and mandated to improve stroke work-up and timeliness of care while also ensuring stroke metric compliance [SMC]. It was identified that C-SO utilization was inconsistent and either generic stroke orders [G-SO] or no stroke orders [N-SO] were used. C-SO auto checked [AC] consults upon admission for Neurology, Dietary, Respiratory Therapy/Smoking Cessation Education, Case Management/Depression Screening, and Physical Medicine and Rehabilitation. Admit blood glucose, HgA1C, lipid panel, morning labs, antithrombotic, antipyretics, rehab services evaluations, stroke education, and follow-up instructions for early discharge [DC] planning were also AC. PURPOSE Evaluate impact of C-SO, G-SO, and N-SO on SP-LOS and SMC. METHOD Retrospective review of 443 stroke records [SR] with DC to home, inpatient rehabilitation facility [Rehab], and skilled nursing facility [SNF] was conducted. Records were evaluated for admit orders and grouped by C-SO, G-SO, or N-SO. Groups were compared to evaluate the impact on average SP-LOS and SMC. RESULTS: C-SO resulted in reduced average SP-LOS for all groups when compared to G-SO or N-SO with the largest reduction in DC home. C-SO were associated with higher SMC in all groups with the highest in DC home and Rehab. Although SMC with G-SO DC Rehab was 100% this accounted for 1 SR. CONCLUSION: Reduced SP-LOS is associated with decreased cost of care and prevention of complications associated with longer stays. C-SO with AC reduced SP-LOS by facilitating efficient stroke work up with timely consultations/evaluations ordered upon admission, streamlined stroke care related to labs, medications, education and early DC planning. In addition, C-SO positively impacted SMC.