• Use the notes column to write down important information (like names and phone numbers). As a Family Caregiver Alliance (FCA) report indicates, "Studies have found that improvements in hospital discharge planning can dramatically improve the outcome for patients as they move to the next level of care." Sites, Contact 3. • Talk to your doctor and the staff (like a discharge planner, social worker, or nurse) about the items on this checklist. Discharge education should be provided throughout the hospitalization and then understanding confirmed on the day of discharge. A new comprehensive ‘discharge checklist’ has been launched to help patients, their families and carers plan and prepare for leaving hospital, thanks to work by Healthwatch Surrey. News Hospital Discharge Checklist Checklist set to help Surrey patients leave hospital feeling safe and supported. The hospital discharge process is often disorganized and lacks standardization.As a result, adverse events after hospital discharge are disturbingly common. However, up to half of the patients instructed to make the appointment may not understand the reasons or mechanism for doing so, and therefore do not make the appointment.6, In one seminal study, patients who understood their post-discharge plan had a lower rate of subsequent hospital utilization (ED visits or hospitalizations) than those who did not.9 Challenges to understanding discharge instructions include patients’ lack of physical or emotional readiness to learn and the fact that family members or patient caregivers may not be consistently involved with the educational and discharge planning efforts. The transition from hospital to home can be challenging as patients and families become responsible for care coordination. Download the CMS booklet by clicking here. A discharge-checklist tool was created to facilitate safe discharge from hospital. Pharmacy Supervisor, Transitions of Care and Medication Reconciliation, Vanessa McElroy, RN, BSN, PHN, ACM-RN IQCI, https://psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge, https://www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/index.html, https://psnet.ahrq.gov/primer/patient-engagement-and-safety, https://www.ahrq.gov/health-literacy/quality-resources/tools/literacy-toolkit/healthlittoolkit2-tool5.html, https://psnet.ahrq.gov/primer/pharmacists-role-medication-safety, https://psnet.ahrq.gov/web-mm/postdischarge-follow-phone-call, https://www.ahrq.gov/professionals/systems/hospital/engagingfamilies/strategy4/index.html, Search All AHRQ Private-Sector Hospital Discharge Tools. "Hospital Discharge Planning: A Guide for Families and Caregivers" is a tool from the aforementioned FCA. Us, Discontinuities, Gaps, and Hand-Off Problems, https://www.ahrq.gov/patient-safety/resources/improve-discharge/index.html. The organizations and tools featured in the report are as follows: In addition to profiling each of the tools, the report covers many other topics, including challenges to implementing hospital discharge planning tools, key lessons learned from the evaluation of the tools, commonalities across hospital discharge planning tools, and a comparison of hospital discharge planning tools to patient assessment tools. Background: Discharge from hospital can be a vulnerable period for patients. Discharge instructions may be unclear and may not be tailored to patient’s individual learning style, social determinants, or health literacy needs. To help you prepare for what’s next in your recovery, hospital staff will speak with you and the person helping to care for you about what you can expect. Healthcare professionals may overestimate the time spent on providing discharge instructions as well as their patients’ understanding.7 In addition, healthcare professionals and patients use different wording to describe health-related terms.6 All of these factors can play a role in the patient’s ability to state their diagnosis, medication name, indication or side effects.8 Furthermore, discharge instructions oftentimes instruct patients or caregivers to schedule follow-up appointments with their primary care provider or specialty providers after discharge. Download all the IDEAL Discharge Planning materials in zipped format by clicking here. Discharge planning involves hospital staff thinking about when you will leave hospital, and what will happen The following key elements are included in the checklist: two-person interprofessional discharge medication reconciliation; confirmation and summary of follow-up appointments and tests; and discharge plan/discharge report communication with patients, families, and/or receiving facilities. RESULTS: The final checklist describes the processes necessary for a safe and optimal discharge and recom-mended timeline of when to complete each step, starting from the first day of admission. Use of the checklist during interprofessional rounds did not decrease significantly the time from order entry for medical discharge to the patient's actual discharge from the hospital. A medical-surgical geriatric unit developed a checklist to be used during interprofessional rounds and maintained by the nurse. Hospital discharges are complicated and often lack standardization. Fortunately, there are numerous resources available that can help you make such positive changes. Telephone: (301) 427-1364. Department of Health & Human Services, You may see some delays in posting new content due to COVID-19. The transition from hospital to home can be challenging as patients and families become responsible for care coordination. Updates, Electronic ", Just how important is discharge planning? Write down ALL your prescription drugs, over-the-counter drugs, vitamins, and herbal supplements: Review the list with the staff. Medicare’s Discharge Planning Regulations (which were updated in November 2019) requires that hospital assess the patient’s needs for post-hospital services, and the availability of such services. Hospital discharge nurses are often overloaded and unable to spend enough time helping patients and family understand everything they need to know about post-hospital recovery. Overall patient satisfaction with discharge teaching was high with no difference between groups. It was developed by the team, with input from frontline RNs. https://blog.cureatr.com/5-hospital-discharge-planning-tools-to-improve-care-management, 5 Hospital Discharge Planning Tools to Improve Care Management, Guide to Patient and Family Engagement in Hospital Quality and Safety, Current Role of Healthcare Information Technology: Q&A with Ben Rooks, 6 Reasons to Consider Joining a Telepharmacy, 10 Must-Read Medication Articles and Reports From November 2020, Partners Continuing Care – Post Acute Leveling Tool, Advocate Health Care – Advocate Cerner Readmission Tool, Geisinger Health System – ProvenHealth Transitions, Cleveland Clinic – "Six Clicks" Functional Mobility Measure. Suboptimal transitions of care increase the risk of readmissions and adverse drug events after discharge. Want to determine if your hospital is meeting CMS requirements concerning discharge planning? Impact of structured interdisciplinary bedside rounding on patient outcomes at a large academic health centre. Transitions of care refer to the movement of patients between different healthcare settings such as from an ambulance to the emergency department, an intensive care unit to a medical ward, and the hospital to home. However, studies show it is often difficult to predict the day of discharge accurately, Identifying Risk Factors for Poor Transitions. Improvements in Discharge Planning and Transitions of Care. Use quotes to search for an exact match of a phrase: Use the "+" sign before the search term to ensure all keywords appear in the search result: Use the && symbol (AND operator) to ensure both search phrases appear within a single post/article: Stolldorf DP, Mixon AS, Auerbach AD, et al. • Talk to your doctor and the staff (like a discharge planner, social worker, or nurse) about the items on this checklist. Described as a "fact sheet," it covers basic discharge details, such as defining discharge planning and explaining its importance before diving into the caregiver's role in the discharge process, explaining where families and caregivers can receive assistance with care responsibilities, and discussing other critical issues. Find inspiration for your hospital to … Strategy, Plain When a patient is … Patient – Receives written discharge plan (An AHCP is personalized for every patient leaving the hospital) RED Implementation – Strategies Prior to discharge Patients receive an onslaught of new information, medications and follow-up tasks such as scheduling appointments with primary care providers. adverse effects, polypharmacy), patient-provider relationship, and logistical factors (i.e. caregiver can use this checklist to prepare for discharge. INSTRUCTIONS: • Use this checklist early and often during your stay • Talk to your doctor and the staff (like a discharge planner, social worker, or nurse) about the items on this checklist. For example, the Hospital Readmissions Reduction Program (HRRP) is a Centers for Medicare & Medicaid Services (CMS) pay-for-performance program that lowers payments to Inpatient Prospective Payment System hospitals with too many readmissions, which are often linked to poor hospital discharge planning and execution. Planning for discharge should involve the patient and caregiver and begin as soon as possible during the hospitalization. 1 This article presents key educational tools essential for preparing patients to care for themselves at home, improving patient outcomes, and minimizing readmissions. ,, With its continued development and involvement with standards, tools and resources, The Joint Commission has helped us improve our quality assurance, including the things we do on a day-to-day basis that drives our focus on patient … Discharge information should be written clearly in patient-friendly terminology and be tailored to the patient’s learning style, social determinants, and health literacy needs.10. • 20% of patients experience adverse events within 30 days of discharge from hospitals • 18% of Medicare patients are readmitted within 30 days of discharge • 40% of patients > 65 years old experience post-discharge medication errors • 30% of nursing homes have been found to be non-compliant with the requirements for discharge … In one seminal study, patients who understood their post-discharge plan had a lower rate of subsequent hospital utilization (ED visits or hospitalizations) than those who did not. (4) Upon the request of a patient’s physician, the hospital must arrange for the development and initial implementation of a discharge plan for the patient. When the Indications for Drug Administration Blur, Improving Patient Safety and Team Communication through Daily Huddles, Email … The discharge process is intended to provide patients with adequate information and necessary resources to improve or maintain their health during the post-hospital period and to prevent adverse events and unnecessary rehospitalization. • Check the box next to each item when you and your caregiver complete it. • Skip any items that don’t apply to you. Developed based on the *May 17, 2013, Centers for Medicare & Medicaid Services updated interpretive guidelines for hospital discharge … Patients may also be dissatisfied with the discharge process if the hospital’s discharge procedures are not patient-centered; physicians, nurses, and specialists provide conflicting information about when the patient will go home; there are no customer service procedures around the patient’s leaving; and there is a bed shortage in the hospital. Enter the password that accompanies your username. Use the checklist below to help guide An official website of the mcelroy@ucdavis.edu. Here are five worth reviewing. Use of a HF discharge readiness checklist is strongly associated with a reduction in HF readmission rates. The IDEAL discharge planning strategy is one approach emphasizing patient and family engagement in discharge planning and discharge education. Assessment of patient and caregiver concerns and risk factors associated with nonadherence should be addressed throughout the hospitalization, including lack of engagement, poor continuity of care, and complex treatment regimens. The Rapid Critical Appraisal Checklist (RCA) by Melnyk and Fineout-Overholt (2011) was used ... among nurses and patients is a complex and multifactorial phenomenon (Hayes et al., 2010). 5600 Fishers Lane The IDEAL discharge planning strategy is one approach emphasizing patient and family engagement in discharge planning and discharge education.22 Additionally, AHRQ houses a library of evidence-based resources and tools to improve the discharge process and care transitions.23, Sarah A. Bajorek, PharmD, BCACPPharmacy Supervisor, Transitions of Care and Medication ReconciliationUniversity of California, Davis Healthsabajorek@ucdavis.edu, Vanessa McElroy, RN, BSN, PHN, ACM-RN IQCIDirector, Care Transition Management Offer to make followup appointments. 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