A hospital discharge performance system and computer-implemented method for integrating and recording both planned clinical activity and non-clinical barriers to patient discharge. One or more non-clinical barriers are received from at least one remote input device configured to record barriers in close proximity to the occurrence of the barrier and stored in the a non-clinical barrier database. Clinical tasks that need to be performed prior to discharge are integrated with non-clinical barriers that must be overcome to provide an indication of at least one patient's current status with respect to discharge. Update information indicating progress toward completion of planned clinical activity and progress toward overcoming the received one or more non-clinical barriers is received from at least one remote input device. The occurrences of barriers are summarized across a selected group of patient discharges and a report is generated.