Slide 25

Project RED: Module 2: The Re-Designed Discharge Process: Patient Admission and Care and Treatment Education: Slide 25

Multidisciplinary Team

• 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)?

Notes:

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?