Brian Jack, M.D.; Boston Medical Center, MA
AHRQ Grant No. HS015905-01
This project re-engineered the process of discharging patients from a hospital back into the community to make the process safer. The discharge workflow was redesigned using a set of discrete, mutually reinforcing components that aim to reduce post-discharge adverse events and subsequent re-hospitalizations. Two features of the re-engineered process are a discharge advocate who works with patients throughout the process, and the real time production of a simple, easy to understand discharge plan. The toolkit includes:
- A discharge manual and software program.
- A discharge advocate training manual and instructions.
- Patient education materials.
- Guidelines for medication reconciliation and for developing a discharge plan for patients.
- Instructions for telephone re-enforcement of the discharge plan.
Physicians, nurses, pharmacists, patients, caregivers.
Health Care Setting
Hospital care units.
Toolkit Web Site
Taking Care of Myself: A Guide for When I Leave the Hospital
Project RED (Re-Engineered Discharge) Training Program
The Project RED (Re-Engineered Discharge) training program is designed to help hospitals re-engineer their discharge process. Using the study modules and supporting materials, hospitals will become familiar with Project RED's processes and components, determine metrics for evaluating impact, and learn how to implement Project RED.
AHRQ Awards More Than $8 Million To Further Implementation of Evidence-Based Patient Safety Findings
June 8, 2005
Project RED: Reengineering the Hospital Discharge Process
Date: September 15, 2009
Venue: 2009 AHRQ Annual Conference
Testing the Re-Engineered Discharge: Hands-on Health Literacy (Text Version)
Date: September 9, 2008
Venue: 2008 AHRQ Annual Conference
Reducing Avoidable Hospital Readmissions (Health Research & Educational Trust)
Date: June 4, 2010
Venue: Florida Hospital Association Meeting
Preventing the preventable: reducing rehospitalizations through coordinated, patient-centered discharge processes. Greenwald JL, Jack BW. Prof Case Manag. 2009 May-Jun;14(3):135-40; quiz 141-2.
A reengineered hospital discharge program to decrease rehospitalization: a randomized trial. Jack BW, Chetty VK, Anthony D, Greenwald JL, Sanchez GM, Johnson AE, Forsythe SR, O'Donnell JK, Paasche-Orlow MK, Manasseh C, Martin S, Culpepper L. Ann Intern Med. 2009 Feb 3;150(3):178-87.
Impact Case Studies
Society of Hospital Medicine — Posted July 2010
Frequently Asked Questions
Implementing Re-Engineered Hospital Discharges (Project RED)— Frequently Asked Questions
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