A PILOT PROJECT TO EVALUATE THE ROLE OF A PATIENT FLOW COORDINATOR TO FACILITATE TIMELY HOSPITAL DISCHARGES

2.50
Hdl Handle:
http://hdl.handle.net/10755/164899
Category:
Abstract
Type:
Presentation
Title:
A PILOT PROJECT TO EVALUATE THE ROLE OF A PATIENT FLOW COORDINATOR TO FACILITATE TIMELY HOSPITAL DISCHARGES
Author(s):
Vasquez-Clarfield, Blanca; Dowling, Mary
Author Details:
Blanca Vasquez-Clarfield, RN MA, Nurse Leader, Memorial Sloan-Kettering Cancer Center, New York, New York, USA, email: vasquezb@mskcc.org; Mary Dowling, MA
Abstract:
Ensuring timely patient discharges from the hospital is a multifaceted process requiring interdisciplinary collaboration. In order to develop a sustainable, standardized approach to improving the discharge process, patient care needs specific to discharge must be addressed early during the hospital stay. Discharge decision and notification are also key variables that may adversely impact judicious throughput. A team approach allows the Patient Flow Coordinator (PFC) to work closely with all disciplines to ensure early identification and resolution of discharge needs. Administration identified the need to increase bed availability earlier in the day to ensure early admissions, and increase patient satisfaction. In order to facilitate this goal, this NCI designated cancer center developed and implemented a Patient Flow Discharge Team. This multidisciplinary team consists of a nurse who acts as the PFC and a medication reconciliation pharmacist. A unit based pilot project was conducted to proactively ensure the completion of all discharge requirements on the day prior to discharge. The PFCÆs role is to review all discharge needs with all disciplines and to work closely with the medical staff. The PFC is the primary contact for all admitting, discharge and transfer issues. The medication reconciliation pharmacist reviews patientsÆ medication profiles for accuracy, counsels the patient regarding administration of discharge medications, and expedites the filling of prescriptions. A budget was allotted to provide patient transportation to home when other arrangements were not possible. The occurrence of late discharges related to transportation was reduced by 12%, and late discharges related to a delay in filling prescriptions were reduced by 15%. Discharges by 11 am were increased by 28% by the eighth week of the pilot. The Patient Flow Discharge Team was created to shepherd the patient through the multiple stages of admission through discharge. Discharge to home continues to be a complicated issue, not only for the medical and nursing staff, but for the patient and family as well. The PFC is able to focus on the coordination of the patient flow through the entire hospitalization.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
32nd Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Las Vegas, Nevada, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleA PILOT PROJECT TO EVALUATE THE ROLE OF A PATIENT FLOW COORDINATOR TO FACILITATE TIMELY HOSPITAL DISCHARGESen_GB
dc.contributor.authorVasquez-Clarfield, Blancaen_US
dc.contributor.authorDowling, Maryen_US
dc.author.detailsBlanca Vasquez-Clarfield, RN MA, Nurse Leader, Memorial Sloan-Kettering Cancer Center, New York, New York, USA, email: vasquezb@mskcc.org; Mary Dowling, MAen_US
dc.identifier.urihttp://hdl.handle.net/10755/164899-
dc.description.abstractEnsuring timely patient discharges from the hospital is a multifaceted process requiring interdisciplinary collaboration. In order to develop a sustainable, standardized approach to improving the discharge process, patient care needs specific to discharge must be addressed early during the hospital stay. Discharge decision and notification are also key variables that may adversely impact judicious throughput. A team approach allows the Patient Flow Coordinator (PFC) to work closely with all disciplines to ensure early identification and resolution of discharge needs. Administration identified the need to increase bed availability earlier in the day to ensure early admissions, and increase patient satisfaction. In order to facilitate this goal, this NCI designated cancer center developed and implemented a Patient Flow Discharge Team. This multidisciplinary team consists of a nurse who acts as the PFC and a medication reconciliation pharmacist. A unit based pilot project was conducted to proactively ensure the completion of all discharge requirements on the day prior to discharge. The PFCÆs role is to review all discharge needs with all disciplines and to work closely with the medical staff. The PFC is the primary contact for all admitting, discharge and transfer issues. The medication reconciliation pharmacist reviews patientsÆ medication profiles for accuracy, counsels the patient regarding administration of discharge medications, and expedites the filling of prescriptions. A budget was allotted to provide patient transportation to home when other arrangements were not possible. The occurrence of late discharges related to transportation was reduced by 12%, and late discharges related to a delay in filling prescriptions were reduced by 15%. Discharges by 11 am were increased by 28% by the eighth week of the pilot. The Patient Flow Discharge Team was created to shepherd the patient through the multiple stages of admission through discharge. Discharge to home continues to be a complicated issue, not only for the medical and nursing staff, but for the patient and family as well. The PFC is able to focus on the coordination of the patient flow through the entire hospitalization.en_GB
dc.date.available2011-10-27T12:08:57Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:08:57Z-
dc.conference.date2007en_US
dc.conference.name32nd Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationLas Vegas, Nevada, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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