Hospital Discharge is a Complex Problem  Non-standardized  Marked with poor quality  20% of Medicare patients readmitted within 30 days  28% of post-discharge.

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Presentation transcript:

Hospital Discharge is a Complex Problem  Non-standardized  Marked with poor quality  20% of Medicare patients readmitted within 30 days  28% of post-discharge adverse events are preventable  Pending tests not completed  41% of inpatients discharged with a pending test  2/3 of physicians unaware of results  37% of results are actionable, 13% are urgent

RED Program: Discharge Checklist 1. Medication reconciliation 2. Reconcile discharge plan with national guidelines 3. Make follow-up appointments 4. Discuss outstanding tests 5. Organize post-discharge services 6. Written discharge plan 7. Review what to do if problem arises 8. Patient education 9. Assess patient understanding 10. Delivery discharge summary to PCP 11. Telephone Reinforcement RED Software reinforces the provider workflow

After Hospital Care Plan (AHCP) Booklets RED Educator Unit RED Consulting RED Lite is now available. For more information Engineered Care Products

After Hospital Care Plan Booklet Features of the AHCP Booklet:  Delivers Patient Data for Low Health Literacy  Reason for hospitalization  Discharge medication list  PCP contact information and picture  Calendar labeled with follow-up appointments and tests  Branded for your organization

EMR Integration AHCP Data Schemas are available to map to your current process Data Interface depends on EMR  HL-7 Integration for ADT events  HL-7 capabilities for Medication data  Today’s ascii discharge summaries can be parsed  Database queries can be executed to gather data  Direct integration into the EMR if it is extensible

RED Educator  Optimize the discharge process  Use IT to overcome challenge of RN time  Provides standardized education for discharge  Documents patient understanding of the AHCP  RED Educators available for lease  Integrates with RED Server

RED Educator – Patient Interaction

RED Educator – Virtual Discharge Advocates  Emulate face-to-face communication  Patients had higher satisfaction with virtual discharge advocates than with traditional providers for discharge education  Determine competency Virtual Discharge Advocates: Louise and Elizabeth “I prefer Louise, she’s better than a doctor, she explains more, and doctors are always in a hurry.”