Discharge Readiness and Flow- Matching Family and Clincial Expectations

2.50
Hdl Handle:
http://hdl.handle.net/10755/308221
Category:
Abstract
Type:
Presentation
Title:
Discharge Readiness and Flow- Matching Family and Clincial Expectations
Author(s):
Herzog, Diane E.; Hausfeld, Julie; White, Denise; White, Christine; Elkeeb, Dena; Statile, Angela; Warrick, Denise; Tucker, Karen
Lead Author STTI Affiliation:
Omicron Omicron
Author Details:
Diane E. Herzog, MSN, MBA, RN, diane.herzog@cchmc.org; Julie Hausfeld, RN, BSN, CPN; Denise White, PhD; Christine White, MD, MAT; Dena Elkeeb, MD; Angela Statile, MD; Denise Warrick, MD; Karen Tucker, RN, MSN
Abstract:

Poster presented on: Tuesday, November 19, 2013, Monday, November 18, 2013

Background

Patient flow, bed turnover and patient placement remains a challenge for inpatient nursing units as the complexity and volume continues to increase. Strategies focused on clinically appropriate placement and increased physical capacity are often mired by challenges associated with discharging patients in a timely and efficient manner.

Aim

A physician and nurse led team including bedside nurses, nursing managers, physicians, quality improvement specialists and a data analyst was formed to identify and address the opportunities for relieving pressure on the system through increased efficiency in discharging patients. The goal for the team was to increase the percentage of Hospital Medicine patients who have met physiologically ready criteria who will be discharged within two hours of reaching that goal on three inpatient medical units.

Results

Through the use of quality improvement methodology, the team was able to make modifications to the system that resulted in processes affecting patient discharge that relieved the pressure at the time of discharge enabling patients to go home when they are physiologically ready and eliminating waste in the system without compromising care. Collaborative efforts were carried out with multiple services of the organization including information technology, pharmacy, nursing and medical training services.

Conclusion

Through collaborative work, guided by quality improvement methods, the team was able to improve the timeliness of discharges for patients meeting their physiologic discharge criteria without impacting the quality of care delivered as measured by readmission rates. The care delivery teams began to think differently about reducing waste by being more methodical in their planning and decision making. The success of the work has been spread to surgical services for parallel learning with the ultimate goal that every patient and family will be discharged when they are physiologically ready and will not be delayed by care delivery system.

Keywords:
Flow; Physiologic criteria; Discharge
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
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.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleDischarge Readiness and Flow- Matching Family and Clincial Expectationsen_GB
dc.contributor.authorHerzog, Diane E.en_GB
dc.contributor.authorHausfeld, Julieen_GB
dc.contributor.authorWhite, Deniseen_GB
dc.contributor.authorWhite, Christineen_GB
dc.contributor.authorElkeeb, Denaen_GB
dc.contributor.authorStatile, Angelaen_GB
dc.contributor.authorWarrick, Deniseen_GB
dc.contributor.authorTucker, Karenen_GB
dc.contributor.departmentOmicron Omicronen_GB
dc.author.detailsDiane E. Herzog, MSN, MBA, RN, diane.herzog@cchmc.org; Julie Hausfeld, RN, BSN, CPN; Denise White, PhD; Christine White, MD, MAT; Dena Elkeeb, MD; Angela Statile, MD; Denise Warrick, MD; Karen Tucker, RN, MSNen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308221-
dc.description.abstract<p>Poster presented on: Tuesday, November 19, 2013, Monday, November 18, 2013</p>Background <p>Patient flow, bed turnover and patient placement remains a challenge for inpatient nursing units as the complexity and volume continues to increase. Strategies focused on clinically appropriate placement and increased physical capacity are often mired by challenges associated with discharging patients in a timely and efficient manner. <p>Aim <p>A physician and nurse led team including bedside nurses, nursing managers, physicians, quality improvement specialists and a data analyst was formed to identify and address the opportunities for relieving pressure on the system through increased efficiency in discharging patients. The goal for the team was to increase the percentage of Hospital Medicine patients who have met physiologically ready criteria who will be discharged within two hours of reaching that goal on three inpatient medical units. <p>Results <p>Through the use of quality improvement methodology, the team was able to make modifications to the system that resulted in processes affecting patient discharge that relieved the pressure at the time of discharge enabling patients to go home when they are physiologically ready and eliminating waste in the system without compromising care. Collaborative efforts were carried out with multiple services of the organization including information technology, pharmacy, nursing and medical training services. <p>Conclusion <p>Through collaborative work, guided by quality improvement methods, the team was able to improve the timeliness of discharges for patients meeting their physiologic discharge criteria without impacting the quality of care delivered as measured by readmission rates. The care delivery teams began to think differently about reducing waste by being more methodical in their planning and decision making. The success of the work has been spread to surgical services for parallel learning with the ultimate goal that every patient and family will be discharged when they are physiologically ready and will not be delayed by care delivery system.en_GB
dc.subjectFlowen_GB
dc.subjectPhysiologic criteriaen_GB
dc.subjectDischargeen_GB
dc.date.available2013-12-19T17:28:28Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:28:28Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
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.en_GB
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