Download or read book Improving the Care of Patient s Post Hospital Discharge in Stanislaus County written by Stephanie Sanville and published by . This book was released on 2019 with total page 76 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hospital readmissions present a quality and financial risk to both patients and the healthcare system. As a result of the Hospital Readmissions Reduction Program implemented in 2015, healthcare systems across America are diligently working to understand the root cause of readmissions and put in place interventions to prevent them. The purpose of this project is to understand what interventions have and have not worked thus far, and then implement one intervention in two local primary care clinics to test the intervention in a real-life scenario.
Download or read book Transitions of Care written by Kathleen Behan and published by . This book was released on 2012 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Transition out of the hospital is a vulnerable time for patients. Approximately 20% of patients experience an adverse event or re-hospitalization within 30 days of discharge. The lack of continuity of care at the time of hospital discharge negatively impacts clinical care, the patient experience and health care costs. Standardization of hospital discharge through systematic change is pivotal to individual patient success. A process improvement tool for discharging patients in a University Health System setting was designed. Entitled the Continuity of Care Checklist (CCC), its development was based on clinical and professional experience as well as a review of the literature. The checklist was subjected to review and input from a panel of seven experts, a convenience sample of key informants from varied medical and nursing backgrounds. The experts were provided a copy of the CCC and filled out a questionnaire on the design, content and practical implications of the CCC. A follow up debriefing was carried out with each of the key informants; field notes were taken. The data sources were reviewed for key themes; this input was incorporated into a revised final version of the CCC. The seven key informants agreed upon the need for such a checklist and concluded that the CCC could enhance transitions of care at the time of hospital discharge. Changes to the design and content of the seven sections of the checklist were made. Suggestions to enhance practical application were incorporated into the final revised version. Further study using the revised CCC as standardized proforma for hospital discharge and transitioning the patient to the next health care setting is indicated. Further study should include: incorporating the CCC into the current workflow, operationalizing it as part of the EHR, assigning responsibility for the CCC to a member of the hospital based team, and assigning responsibility for post acute care follow up to a member of the patient care team.
Download or read book Posthospital Care written by United States. General Accounting Office and published by . This book was released on 1987 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Discharge Planning for Home Health Care written by Barbara Stover Gingerich and published by Jones & Bartlett Learning. This book was released on 1994 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: Discharge Planning for Home Health Care is a comprehensive, step-by-step guide to assessing the needs of patients and establishing a coordinated hospital-to-home discharge plan. The referral format and assessment tools provide the user with an organized and systematic approach for the transition of the patient through the continuum of care. This comprehensive resource is based on current reimbursement and regulatory issues and contains over 150 tools for easy application to a broad spectrum of health care settings.
Download or read book Improved Targeting of Long Term Care Discharges During Hospitalization written by Barbara J. Roberge and published by . This book was released on 1996 with total page 18 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Patient Readmissions After Hospital Discharge written by Lauren Lapointe-Shaw and published by . This book was released on 2019 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many readmissions after hospital discharge may be preventable through improved transitional care. This thesis seeks to inform clinical practice and policy development to reduce avoidable readmissions. The three included projects use health administrative data to examine the post-discharge care processes and outcomes for patients hospitalized in Ontario, Canada. In the first study, we compared the outcomes for patients discharged during the extended December holiday to outcomes for patients discharged from hospital at other times, over a 14 year period. We found that December holiday-discharged patients were at greater risk of 30-day death or readmission, while also being less likely to have outpatient physician follow-up within 14 days of discharge. The second study evaluated the effects of a physician financial incentive (an additional billing code) on timely follow-up after discharge. Despite physician uptake of the incentive code, there was no change in 14-day follow-up rates after incentive introduction, suggesting that it was not effective in changing physician behavior. In our third study, we compared the outcomes of post-discharge patients receiving a community pharmacy-based medication review to those not receiving one. Among older adults filling a prescription in a community pharmacy, receipt of a medication review was associated with a reduced rate of 30-day death or readmission. These thesis findings provide evidence to support decision- and policymaking relating to the clinical care of patients transitioning home from hospital.
Download or read book Use of an Evidence based Practice Model to Improve the Quality of the Hospital Discharge Process written by Joni Vaughn and published by . This book was released on 2015 with total page 50 pages. Available in PDF, EPUB and Kindle. Book excerpt: Problem: Readmission of Medicare patients within 30 days of discharge from the hospital is nearly 1 in 5" (Naylor, 2012). The older adult has become vulnerable to the ever present breakdowns in the healthcare system creating serious gaps in services. Society and social services have not maintained the continual rapid steady growth of services to the older adult to match the increased life span of Americans. As Rennke (2013) reports, "Patients are vulnerable to a wide range of adverse events after discharge, with more than 20% of medical patients sustaining a preventable adverse event within three weeks of discharge" (p.433). Ineffective care transitions have many contributing factors including lack of crucial communication between health care providers, unclear medication changes at time of health status change, patient perspective on medical diagnosis, lack of adequate follow-up needs including physician visits, and incomplete or unfinished diagnostic work-ups.
Download or read book Teaching Adult Learners Knowledge about Care Transition TALK ACT written by Tammy Trivette and published by . This book was released on 2019 with total page 168 pages. Available in PDF, EPUB and Kindle. Book excerpt: There is a growing incentive to recognize a way of improving the hospital discharge process to empower patients to succeed in care transition. Nurses play a crucial role in the prevention of hospital readmission by focusing on high-quality discharge instructions (Hesselink et al., 2014). When a patient is successful in self-care the improvement to the discharge process reduces unnecessary hospital readmissions (Roberts, Moore, & Jack, 2017). This doctoral project aimed to provide insight into a growing hospital discharge problem, the underlying causes, and an overview of results from a change in processes. Both communication and patient comprehension play significant roles in patients’ transition to self-care and satisfaction scores (McIlvennan, Eapen, & Allen, 2015). -- The purpose of this process improvement project was to determine if the change in discharge instruction and education from the current process to that of teaching adult learners knowledge about care transition (TALK-ACT) would improve patient satisfaction, as evidenced by an increase in Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey scores. The information was utilized to determine decisions for improvements in the current practice of patient discharge instructions, patient education, and follow-up guidelines to increase HCAHPS scores and prevent frequent readmissions.
Download or read book Improving the Discharge Process Through Patient Education written by Jodi Lynn Haire and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This projects aims to reduce the rate of patients being readmitted into the hospital within thirty days of their initial discharge by improving how patients are educated while in the hospital combined with adding a dedicated discharge coordinator to help the patients' transition from hospital to home. Introducing Teach Back education to patients and nurses will give nurses a tool to assess if the patients understand their plan of care so they can reeducate when necessary. This increased understanding at discharge will decrease the number of patients being remitted within thirty days. This reduction is crucial to hospitals as Medicare and Medicaid move to deny some payments for patients readmitted within thirty days of being discharged.
Download or read book Patient Satisfaction And the Discharge Process written by Paul Alexander Clark and published by . This book was released on 2006 with total page 130 pages. Available in PDF, EPUB and Kindle. Book excerpt: Leaving the hospital setting can be the single most stressful moment of the entire hospital experience--both for patients "and" their families. Research proves that patients' perception of the discharge process an important component to overall satisfaction and loyalty--the final impression of the healthcare experience. How prepared does the patient feel to leave the hospital? How quickly is the discharge process executed? How much thought is given to the self-care instructions the patient takes home? What kind of home care or follow-up services are set in place? Press Ganey has all the right answers! Press Ganey Associates, the recognized national leader in patient satisfaction and quality research, has developed the hands-on, how-to guide you need to improve your facility's discharge process: "Patient Satisfaction and the Discharge Process: ""Evidence-Based Best Practices." Jam-packed with best practices Pulled from data gathered from tens of thousands of patient survey responses in more than 6,000 facilities nationwide, "Patient Satisfaction and the Discharge Process "offers a collection of strategies for providing a successful discharge experience for your patients.The facts you need to improve your discharge planning process The second book in The Press Ganey Series, "Patient Satisfaction and the Discharge Process: ""Evidence-Based Best Practices" delivers 120 pages dedicated to helping healthcare administrators and professionals make measurable improvements to their facility discharge planning process.Based on the best, evidence-based research available For the first time, "Patient Satisfaction and the Discharge Process "brings together the key national studies and the standards of leading agencies--including CMS, the Joint Commission, and the AMA--on discharge process. No other resource offers the applicable data, relevant research, and proven strategies to aid you in quickly and effectively implementing your discharge planning program under HCAHPS--CMS' new initiative to publicly report patient perceptions of care.After reading this book, you will be able to define the differences between patient causes and hospital causes of dissatisfaction with the discharge process. describe the key elements of the AMA Guidance on the components of a quality discharge process. list three things hospitals may do that make patients feel rushed describe two things hospitals do to cause low scores on patient satisfaction with the speed of discharge. identify three questions staff can ask patients that may elicit unspoken concerns or needs. describe five basic living activities that the patient will face post-discharge and that may lead them to not feel confident that they can care for themselves discuss why it is important to have variation in educational resources create an outline for an effective family caregiver assessment describe the potential impact of post-discharge callbacks and home visits on patient concerns about unanticipated needs arising post-discharge. describe the role and use of "education nurses" at one hospital to successfully improve follow-up and patient satisfaction. The Length-of-Stay correlation The best practices found in "Patient Satisfaction and the Discharge Process" have also been identified as key factors for reducing length of stay, improving patient flow, and positively impacting financial outcomes for your hospital. By developing the know-how to improve your discharge planning process and shorten the length of stay for patients, you can achieve better overall quality of care ratings for your facility.Who should read this book? Directors and Managers of Quality Patient Satisfaction Directors and Patient Representatives Risk Managers Directors of Nursing Directors of Case Management Social Workers and Discharge Planners Chief Nursing Officers CONTENTS Introduction Chapter 1: What does the data say Chapter 2: Readiness for discharge Chapter 3: The speed of discharge Chapter 4: Clear instructions on self care Chapter 5: Arrangements for follow-up care and home care Chapter 6: Best practices for focused improvement Conclusion Faculty Disclosure: All faculty participating in continuing education provided by HCPro activities are expected to disclose to the learner any real or apparent commercial financial affiliations related to their presentations and materials.
Download or read book All Set to Go Home Improving Discharge Planning for Patient s SAfe and Timely Discharge written by Jasmin Milana and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract The project focuses on the improvement of the discharge planning for patient0́9s safe and timely discharge in the medical oncology and telemetry unit at the county hospital. The facility has 54-bed capacity with an average daily census of 35 to 40 specializing in cancer, end-stage diseases, cardiac issues, HIV/AIDS, sepsis, palliative and comfort care, diabetes, respiratory diseases, psychiatric and placement patients. The unit has no discharge coordinator. Nurses are responsible for the quality and safe discharge of patients. These nurses experience frustrations due to fragmented system of the discharge process, nurses0́9 heavy workload, and prioritizing patients with higher acuity. Thus, delayed releases occur. The global aim is to improve the discharge process at the end of December 2017. The specific aims are to increase the number of actual discharges by 2 pm from 40 to 60%, increase the patient0́9s survey describing the discharge process as excellent from 30 to 50% and reduce the readmission rate from 25% to 5%. The patient0́9s safety and quality of care and satisfaction lead the way towards improvement through staff engagement and other disciplines collaboration and communication. The CNL competencies of a leader, educator, and risk anticipator were utilized. The CNL supported the staff through education and training of the standard discharge planning checklist and multidisciplinary rounds conferences.
Download or read book Improving Discharge Readiness to Decrease Readmission Risk written by Danielle Nay Richins and published by . This book was released on 2023 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Preventable readmissions can occur due to a lack of patient education, preparation, and support and can be costly to hospitals and patients. Evidence indicates the follow-up phone calls and using transition coaches can reduce unnecessary readmissions and improve patient outcomes. The early identification of patient-specific needs and learning barriers can support quality patient care and reduce the likelihood of readmission. Additionally, including the caregiver throughout the discharge process is essential for preparing patients to self-manage diseases at home. This project aims to reduce readmission rates through optimal patient education, discharge planning, and support through the transition from hospital to home. This project will include educational resources for nurses stepping into the transition coach role, a readmission risk health needs assessment, and additional templates for identifying the required transitional care services. These resources will prepare nurses to support patients through discharge to decrease unnecessary readmissions and associated costs.
Download or read book Enhancing Discharge Communication for Timely Patient Discharge A Quality Improvement Project written by Maricel Hiponia and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: A delay in discharge is a delay in patient care. The complexity of hospital discharge can be challenging and time-consuming in poorly coordinated discharge planning. Generally, older adults and those patients with chronic medical conditions are often met with challenges for after-care services and require more attention to discharge. Variations in discharge practice often resulted in hours, sometimes days in discharge delays with implications to cost, reduced patient satisfaction and outcomes. A well-structured team communication during rounding and bedside shift handoff has the potential to decrease discharge delays advertently increasing patient satisfaction and quality outcomes of care.
Download or read book The Effectiveness of Patient Discharge Education in Preventing Readmissions and Improving Clinical Outcomes written by Audrey Rose O. Bulacan and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many patients develop complications after getting discharged from an acute hospital. Those who develop complications end up getting readmitted immaturely and start the process all over again. Some complications can even lead to the cause of death of some patients. The identification of this problem has initiated several studies in order to prevent hospital readmissions. One of the factors that affect this phenomena is the quality of patient discharge education. Many patients and families do not receive sufficient information before discharge or they do not understand the learning material provided to them so they end up developing complications afterwards. Based on evidence-based research, an effective solution would be to provide a one-hour one-on-one teaching session with a nurse educator and by utilizing a teach-back method. About one hundred and six patients received this type of discharge education at the University of Michigan Hospital in 2004. A total of 223 patients participated in the study and 116 only received the old standard education (Koelling, 2004). After discharge, phone follow-ups were used after 30 days, 60 days and 90 days to check how these patients were doing. Many of the patients who received the one-on-one teaching session showed improved patient clinical outcomes, enhanced self-care management and prevention of premature hospital readmissions. These research findings will be presented and proposed to a local acute hospital as an attempt to avoid immature readmissions and improve patient outcomes. It will be implemented by properly informing the stakeholders and through training of nurse educators. A trial period of 180 days will be utilized. Evaluation will be done by the Quality Improvement Team. Surveys and phone call follow ups will be used. These then will be disseminated to different nursing organizations so that the larger nursing community would be able to apply it in their practice as well.
Download or read book Improving the Process of Hospital Discharge for Medical Patients written by Ann-Marie Cannaby and published by . This book was released on 2003 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book An Innovative Discharge Intervention A Quality Improvement Project written by Yvonne Swain and published by . This book was released on 2018 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract Problem: This project aims to decrease the discharge time of a patient from the hospital once the discharge order has been written. Current discharge times are averaging over 3 hours, leading to a breakdown in the patient throughput process. A patient survey was conducted to determine the reason for prolonged discharge times. The survey revealed that patients are not aware of their day of discharge, which may lead them to being discharged without transportation home. Many studies conclude that there are improvement opportunities around discharge planning and communication. Context: This quality improvement initiative takes place in a 26-bed, medical-surgical/telemetry hospital department. The patient population is between the ages of 51 and 75 years, with a primary diagnosis of congestive heart failure. The improvement team consists of a CNL student, nurse manager, 2 assistant nurse managers, 2 members of nursing executive leadership, project manager, and 5 RN champions. Intervention: The intervention is a patient discharge checklist placed within view of the patient on the wall of their room. It was developed by the team, with input from frontline RNs. The nurses will complete the discharge checklist, with patient and family involvement, at the beginning and end of every shift during nurse knowledge exchange (NKE). The discharge checklist will continue to be used during all shifts as RNs check off portions of the care plan as they are met. The RNs will receive an in-service presentation, which includes how to use the checklist focusing on involvement of the patient. Measures: Measures include discharge times for non-conditional discharge orders from the time the discharge is written to the time the patient discharges, RN and patient survey questions, and HCAHPS scores for two nurse-driven questions. Results: There was a slight decrease, with less variation, on discharge times. Discharge times decreased from an average of 2 hours and 28 minutes to an average of 2 hours and 11 minutes, a reduction of 17 minutes/patient. There was a variation of 2 hours and 33 minutes to 1 hour and 31 minutes. An unexpected, positive result is readmissions for Department 335 have dropped 3.34% in July and 2.24% in August. Conclusions: This project did not meet the target of 2 hours; however, there was a reduction from 2 hours and 38 minutes to 2 hours and 11 minutes (a reduction of 17 minutes/patient), improved HCAHPS scores, and a reduction in readmissions. There is more communication between nurses at NKE, patients and family members are more involved with their care, and discharge instructions are better understood. A change in workflow is not easily accepted. By engaging frontline RNs as champions and having them be more involved with their peers for teaching and compliance measures was a successful strategy that had a positive impact.
Download or read book Improving the Discharge Planning Process in the Orthopedic ERAS Program written by Starlite Veloro and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract Improving the Discharge Planning Process in the Orthopedic ERAS Program Starlite Veloro University of San Francisco Background The Enhanced Recovery After Surgery (ERAS) program is designed and led by a multidisciplinary team of clinicians, performance improvement staff and patient education teams in this large integrated healthcare system. It focuses on improving pain management with less opioid use, early mobility, nutrition and patient engagement, which results in the reduction in the patient's hospital length of stay (Melnyk, Casey, Black, & Koupparis, 2011). Because on this advancement in practice, it's crucial that all processes are in place to successfully execute early discharge and decreasing length of stay (LOS). The specific aim of this project is to improve the discharge planning process for patients in the orthopedic ERAS program by mid-July 2017 through the development and implementation of an ERAS discharge planning checklist. Specific / Global Aim According to the Regional data from this large integrated health care system, the ERAS performance metrics for this microsystem fell behind other microsystems in meeting the set targets. Hence an ERAS discharge planning checklist will be beneficial since there are still improvements needed around LOS in patients that have undergone total hip surgery. The specific aim of this project is to improve the discharge planning process for patients in the orthopedic ERAS program through the development and implementation of an orthopedic ERAS discharge planning checklist. With the assurance that processes occur postoperatively, this should improve the global aim of this project, which is to decrease the hospital length of stay (LOS) in patients with total hip replacements, under the Enhanced Recovery After Surgery (ERAS) program, from the 2016 baseline hospital LOS of 1.8 to 1.2 by December 2017. Methodology The IHI model for improvement framework was used to guide this project. A microsystem assessment using the 5P's was made and the necessary small test of change was identified to improve the orthopedic ERAS program. Meetings with the management and unit council members of 6-south was needed to establish a collaborative orthopedic ERAS discharge planning checklist. Several PDSA cycles were used throughout this project and the development of an orthopedic ERAS discharge planning checklist was created. Establishing an orthopedic ERAS discharge planning checklist that incorporates key elements to the ERAS program will result in a more robust discharge planning process and the reduction in the patient's hospital LOS. Results Centers for Medicare & Medicaid Services (CMS) bases hospital performance on an approved set of measures and dimensions grouped into specific quality domains (Penner, 2017). When the hospital stay is efficiently managed, the hospital gains incentives from CMS for the timely care provided. The ERAS initiative has impacted and improved many different hospital metrics and indicators. It has been shown to reduce hospital stay, complications, improvements in cardiopulmonary function, earlier return of bowel function and normal activities; benefiting both the patient and hospital (Melnyk et al., 2011).
