- Consider daily discharge rounds
- Medical staff, nursing staff, pharmacy, case management, and DA
- Who will be supportive?
- Where might resistance come from?
- When is discharge order written?
- Was it expected?
- Weekend discharge?
- Is there a timing expectation (e.g., time from order to out the door)?
Consider your current approach to discharge planning.
- Are rounds conducted? Maybe there are no discharge rounds, but discharge planning is addressed in daily patient rounds.
- How well do rounds address discharge planning?
- What makes rounds work well that you'll want to retain?
- What gets in the way of more effective discharge planning during rounds?
- Can you change these barriers?
Consider also what happens once the discharge order is actually written
- How often is the patient discharge unexpected? If often, it can be a sign that discharge planning is not well done.
- How are weekend discharges handled? If expected, the DA may conduct final teaching and provide the Patient Care Plan on Friday.
Many hospitals have a discharge disposition goal by time of day (e.g., noon). Some expect that the patient has left the bed within a certain number of minutes after the discharge order is written.
- How does this goal fit into the new, re-engineered process?