Patient admission assessment/discharge evaluation by Case Management/Discharge Planner

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Patient admission assessment/discharge evaluation by Case Management/Discharge Planner by Mind Map: Patient admission assessment/discharge evaluation by Case Management/Discharge Planner

1. Qualitative Measures

1.1. Patient feedback

1.1.1. Patients complete a survey on day of discharge evaluating hospital stay experience, care team performance, and provide feedback for suggested changes

1.2. Safe and complete discharge plans - According to Dlugacz, evaluation of an organization “entails understanding data from quality indicators measurements and how these data can be used to link clinical results and policy formation” (p. 461, 2006)

1.2.1. Timely

1.2.2. Thorough

1.2.3. Appropriate

1.2.4. Promoting continuity of care

1.2.5. Motivating patient compliance

2. Quantitative Measures

2.1. Completed Admission assessments within 24 hours

2.1.1. % of patients visited by Case Manager/Discharge Planner to identify needs and initiate discharge plan arrangements

2.2. Average length of stay

2.2.1. Collected and documented each admission diagnosis baseline and continuous length of stay data

2.3. Readmission Rate - According to Jose Pagan, “Several care coordination and transition models are readily available to address the challenges brought forth by the Medicare Hospital Readmisson Reduction Program (HRRP)” (2014)

2.3.1. Identify and document readmission versus new admissions to quantify prevalence of unsuccessful patient outcomes

3. References

4. Outcomes

4.1. Average length of stay was noticeably lower with less avoidable hospital stays

4.2. Average assessment completion rate around 80%

4.3. Patients felt involved and in control of their discharge plans and they liked being able to make personal decisions

4.4. Discharge plans were better and resulted in improved patient outcomes

5. Plan of Action

5.1. Ranking system to prioritize assessments order in case there is not time to assess every patient within 24 hours