Care Transitions from Hospital to Home: ideal discharge Planning Implementation Handbook
What are the IDEAL Discharge Planning tools?
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- What is the IDEAL Discharge Planning process
What are the IDEAL Discharge Planning tools?This section provides an overview of the tools included in this strategy. The set of tools included in this Guide are for discharges to home only, with or without home- and community-based services, such as home health care. Use this tool to Description and formatting Tool 1 Blank cell Blank cell IDEAL Discharge Planning Overview, Process, and Checklist Inform clinicians about the new discharge planning process and keep track of when tasks are accomplished Used by clinicians, this handout gives an overview of the IDEAL Discharge Planning process and includes a checklist that could be completed for each patient.
Tools 2a and 2b Blank cell Blank cell Be Prepared to Go Home Checklist and Booklet Identify and discuss the patient and family’s questions and concerns about going home Given to patients soon after admission, the checklist highlights what the patient and family need to know before leaving the hospital and gives examples of questions they can ask. The booklet companion piece contains the checklist plus additional space for writing information.
Tool 3 Blank cell Blank cell Improving Discharge Outcomes with Patients and Families Inform physicians of the IDEAL Discharge Planning process Given to physicians, this handout describes the new discharge planning process. A verbal description should also accompany the distribution of the handout at a staff meeting or other venue. Format: 1-page handout Tool 4 Blank cell Blank cell Care Transitions from Hospital to Home: IDEAL Discharge Planning Training Prepare clinicians and hospital staff to support the efforts of patient and family engagement related to discharge planning This training is for any staff involved in the discharge process: Physicians, nurses, discharge planners, social workers, and pharmacists.
What is the IDEAL Discharge Planning process?The IDEAL Discharge Planning strategy focuses on engaging the patient and family in the discharge process from the hospital to home. You can incorporate elements of the IDEAL Discharge Planning process into your current discharge process. This process incorporates the IDEAL elements from admission to discharge and includes at least one meeting between the patient, family, and discharge planner to specifically address the patient’s and family’s questions and concerns. Identify the caregiver who will be at home with the patient Bedside nurse Let the patient and family know that they can use the white board in the room to write questions or concerns Bedside nurse Elicit the patient and family’s goals for the hospital stay Bedside nurse Inform the patient and family about steps toward discharge Bedside nurse Daily activities Blank cell. Educate the patient and family about the patient’s condition at every opportunity and use teach back All clinical staff Explain medicines to the patient and family and use teach back All clinical staff Discuss progress toward goals All clinical staff Involve the patient and family in care practices All clinical staff Prior to discharge planning meeting (1 to 2 days before discharge planning meeting; for short stays, this may occur at admission) Blank cell. Give Be Prepared to Go Home Checklist and Booklet (Tools 2a and 2b) to the patient and family Schedule discharge planning meeting with the patient, family, and hospital staff Hospital identifies one person: Nurse, patient advocate, or discharge planner What to do? Who does it? Discharge planning meeting (1 to 2 days before discharge or earlier for more extended stays in the hospital) Blank cell. Use the Be Prepared to Go Home Checklist and Booklet (Tools 2a and 2b) as a starting point for discussion on questions, needs, and concerns about going home Hospital identifies one person or a combination: Nurse, physician, patient advocate, discharge planner Offer to make followup appointment(s) and ask if the patient has a preferred day and time and if they can get to the appointment Hospital identifies one person or a combination: Nurse, patient advocate, discharge planner Day of discharge Blank cell. Review a reconciled medication list with the patient and family Hospital identifies one person: Nurse, physician, or pharmacist Give the patient and family their followup appointments, if applicable, and include provider name, time, and location of appointments Staff who scheduled appointments Give the patient and family the name, position, and phone number of the person to contact if there is a problem after discharge Directory: sites -> default -> files -> wysiwyg -> professionals files -> Occupational health and safety files -> The Black Panther Party’s Ten Point Program files -> International programs roel profile files -> Fermi Questions a guide for Teachers, Students, and Event Supervisors Lloyd Abrams, Ph. D. DuPont Company, cr&D/ccas experimental Station Wilmington, de 19880 files -> Personal Information Name: Maha Al-Ammari Nationality: Saudi Relationship Status wysiwyg -> 159a Schindler Education Center wysiwyg -> Education Clark Atlanta University, Atlanta, ga ba, Fine Art, May 1992 Selected Solo Exhibitions wysiwyg -> Mandy Masmar Rank: Adjunct Instructor training education professionals -> Ahrq safety Program for Perinatal Care Safe Medication Administration Oxytocin Purpose of the tool Download 150.83 Kb. Share with your friends:
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