3Introduction to Project RED Small work groupDetermined the pilot programStroke patients from Midland County who were discharged from the organization between normal work hours (8-5)Implemented pilot program June 2011Elements of performance:Patient education started within 24 hours of admissionProvided a booklet for retaining information (meds, etc.)Patient education reinforced daily by DAFollow-up appt made and written in booklet by DAFollow-up phone calls performed within 3 days of dischargeMedication questionsGeneral informationFollow-up with physician informationAttending physician provided information through EMR access and/or letterEnrolled patients for 1 quarterOnly 1 patient was readmitted (for elective surgery)
4Professional Practice Council Charter for 2012: Improve the Discharge ProcessEMR developing a composite discharge document with ALL the discharge instructions includedIntegration of ALL disciplines into the discharge processNurse checklist for “Full Stop” if patient has not received/understands discharge teachingIntegration of call-backs by Clinical Managers to discharge patientsPilot on medical floor (Welcome Brenda Evans, Director of Adult Medical Services)
5In an effort to address patient concerns about missing information at the time of discharge and improve patient transition from one setting to another we developed a discharge checklist.September 2011, Institute for Healthcare Improvement (IHI) had series of 6 Webinar presentations on ways to reduce re-admissions and close the gap in transition of patients from one setting to another.
6Presentations on tools and templates useful in the development of discharge checklist and timely post-hospital follow-up process were presented.We took a sample template and created one to match the needs of our organization and then trialed it on our medical unit. This unit had extremely large number of complaints related to missing discharge information and education (4medical)
7Our tool was rolled out and has been adjusted to support our facility and patient population needs Now at the time the discharge order is obtained the nurse starts review of the check list information with the patient and checks off as progress is made.Final review of completed checklist done and signed just prior to patient leaving the unit. Then a post discharge follow-up call to the patient, within 72 hours of discharge to check status and ability to keep follow-up appointments.
8Roll-out of the Nurse Checklist process to two stroke units (PCU/ONN) this month. Monitoring the Stroke readmission rates for those two units (already tracking these readmission rates) for the next quarter.Continue to integrate each unit until all have been included.
9Roll-out of the Nurse Checklist process to two stroke units (PCU/ONN) this month. Monitoring the Stroke readmission rates for those two units (already tracking these readmission rates) for the next quarter.Continue to integrate each unit until all have been included.