Discharge Planning Process

Improving the quality of discharge planning in acute care include addressing the lack of appropriate staff and patient education about appropriate planning for discharge (4). This includes implementing proper discharge teaching regarding signs and symptoms to seek medical attention, management and care of medical equipment, and access to community resources (4, 5). Other challenges are patients with complex comorbidities too difficult to discharge as well as lack of community supports and equipment for newly discharge patients and lack of rehabilitation and nursing home beds (4). Consequently, acute care units are pressured to vacate hospital beds in response to the growing elderly population. Hospital professionals tend to focus discharge teaching and preparation on medical areas such as diet, activity, treatments, and medications (5). Community referrals to appropriate services at the time of hospital discharge does not often happen contributing to poorer patient outcomes and re-hospitalizations

Discharge planning is used to create a plan of care for a patient who is leaving a care setting. An evaluation is done to determine the patient’s continuing care needs once they have left the care facility. When patients are send back home or to a facility that does not require full time nursing care assistance, programs need to be put into place to ensure that the patient is receiving the proper continuation of care post discharge. Proper discharge planning can decrease the chances of a hospital readmit, help in recovery, ensure medications are prescribed and given correctly, and adequately prepare family or caregivers to assume proper post discharge care. According to the Family Caregiver Alliance, “It is important, not only for patients, but family

Readmission to a hospital creates strain and added expense for the patient and hospital; in 2011, hospital costs due to readmission were almost $41.3 billion (Hines, Barrett, Jiang, & Steiner, 2014; Rau, 2014). There are many aspects of healthcare associated with readmission, such as lack of discharge planning and education, which need to be addressed i to decrease the amount of preventable re-hospitalizations.

The hospital that I worked for while working as a case manager was not in network with Kaiser Permanente. It was also the time when the hospital started to hire hospitalists to manage patient care while they are a patient in the hospital. It actually worked out because it filled in the gap in patient care. The hospitalists were acting as the patient's primary care provider. Kaiser as with many other insurance have a case manager designated to ensure that the patient is meeting criteria not only for an inpatient hospital stay but for the level of care they are receiving as well such as ICU, Stepdown, or Med-Surg. I would have to give them an updated clinical information daily or every 3 days depending on the severity of illness. As a case manager, I was responsible for discharge planning and I preferred to transfer the patients to

PO is referred to continue chemical dependence treatment at the community agency. PO will need to have a new assessment to determine appropriate level of care. PO is recommended to attend minimally of two self-help meetings per week, abstain from all mood-altering substance, and utilize positive support structure to aim and maintain substance free lifestyle.

It is essential for nurses to understand which appropriate method and tools should be utilized for an individual and their families when performing discharge teaching in order for the patient education to be successful which in turn will promote proper healthy healing (Bastable, 2014). The purpose of this discussion board is to develop two objectives from my teaching plan and describe the instructional methods that will help Tina with meeting these objectives, identify which evaluation method I will utilize to help determine if the objectives were met and explain why I chose this particular evaluation method for Tina. And further discuss any potential barriers that might be expected and discuss how I plan to address these potential barriers.

The NMC Code (2008) charges nurses to protect confidential information, and to only use it for the purposes given – for their treatment. Therefore all patients and events mentioned in this essay are inspired by real patients and events, but names, locations, dates and other details have been altered or obscured to make identification impossible. Following the introduction of the knowledge and skills framework (DH 2004a) and emphasis on quality of health care and patient centred, interprofessional, health and social care (DH 2000; Leathard 2003; Thompson et al. 2002) health care professionals and students will need to be able to

Currently, at Rutland Regional Medical Center (RRMC) there is no structured process for case management to provide handoff to the primary care offices when patients are discharged from the hospital. The transition of care from hospital to home is a critical time, during which the risk of adverse event occurrence is high. According to Shivji, Ramoutar, Bailey, & Hunter (2015), 19%-23% of patients experience an adverse event following discharge to home. Elderly patients are at greater risk due to functional and cognitive limitations; this is compounded by the presence of co-morbidities and multiple providers (Nelson, & Carrington, 2011). According to the Rutland County Health Assessment (2012-2015), by 2017 it is estimated that the elderly (age > 65) will comprise approximately 21.1% of the county’s population. Clear, concise, and timely communication with cooperative care providers at discharge is critical for the elderly population (Morris & Hoke, 2015). Furthermore, according to Lattimer (2011), the lack of cooperation between providers at discharge can endanger patients ' lives and waste fiscal and human resources. The purpose of this paper is to examine the problem of handoff communication to primary care offices and to plan a recommendation for change to provide a consistent and structured process; thereby ensuring the safety of the community during transitions of care.

“Problem statement:” The aim of this quality improvement project is to implement a comprehensive discharge system that can be used as a platform to ultimately reduce readmissions in the microsystem. My overall goal is to hopefully decrease readmission rates on the unit after the discharge process has been improvised. I want to focus on improving the discharge practice.

Discharge program improvement-better investment and better planning of discharge program bring an actual reduction of the readmission within 30 days. It is more likely to be related to the clinical factors mostly about the quality of inpatient service. All the activities toward reducing and preventing of prehospitalization could be applied during the initial admissions. Under the Enhanced discharge planning program or Reengineered hospital discharge program, hospitals implicated following several actions inpatient health care service. Healthcare quality and education department need to be developed a special educational program for either nurse or patients. Educated nurses give patients a special information related to the diagnose, discharge

Holland, C. Vanderboom, A. Delgado, M. Weiss and K. Monsen states "The Discharge planning process is a critical component of inter professional hospital care because it serves as the foundation for care transitions across health care setting and providers." Because discharging is complex, interviewing discharged patients to determine their level of understanding for medicines, future appointments and all recovery steps will provide the information to improve our care. This quality improvement method will help establish our future discharge procedures to ensure quality

Using the seven key principles of the hospital discharge process devised by the Department of Health (DH, 2003), this case study will critically analyse the process of an elderly patient who was discharged from a local acute trust. It begins by providing a definition of discharge planning, before providing a brief biography of the patient, including a rationale of why this patient was selected, details of her past medical history, reason for current admission, any issues raised and details of any care provided. Throughout this case study, in accordance with the Nursing and Midwifery Council (NMC, 2008) and the Data Protection Act (1998), the patient shall be referred to as Mrs. Blue to maintain anonymity. Although the

This line of work comes with numerous responsibilities and even some that extend beyond of the typical time range for a job. Discharge planning is often times a major component of the job. Discharge planning is important because it guarantees the “continuity of care”

The main goals and concerns utilized for this program and policy are the following. “During the planning phases of the evaluation, scientific, and program staffers must have clear communication and consensus about the evaluation goals and objectives, and throughout the evaluation, they must have mechanisms to maintain this open communication.” Which leads to what are the critical ten steps of causation to a successful accomplishment of those goals. The following ten steps for conducting the outcome evaluations “Clearly define the problem being addressed by the program; specify the outcome the program is designed to achieve. Specify the research questions we want the evaluation to answer, and select an

The main goals and concerns utilized for this program and policy are the following. “During the preparation phases of the evaluation, scientific, and program staffers must have open communication and consensus around the evaluation goals and objectives, and throughout the evaluation, they must have mechanisms to maintain this open communication.” Which leads to what are the critical ten steps of causation to a successful accomplishment of those finishes. The following ten steps for guiding the outcome evaluations “Clearly define the problem being addressed by the program; specify the outcome the program is planned to accomplish. Specify the research questions we want the evaluation to answer, and select an appropriate evaluation design and carefully consider sample selection, size, and equivalent between the groups. (Pp. 1-9)