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Discharge Advocate's Data Collection Tool

Project RED (Re-Engineered Discharge) Training Program

The Discharge Advocate (DA) can use this form to note dates and times for the activities listed in the left column. Once it is complete, it should be sent to the project team leader for data entry.

The Discharge Advocate (DA) can use this form to note dates and times for the activities listed in the left column. Once it is complete, it should be sent to the project team leader for data entry.

 

Data To Collect Patient 1 Patient 2 Patient 3 Patient 4
       
Patient Name        
Patient Location        
Date and Time of Admission        
Date and Time DA Notified        
Patient Meets All Inclusion Criteria? ___  Yes   ___  No ___  Yes   ___  No ___  Yes   ___  No ___  Yes  ___  No
Date and Time of Initial DA Visit With Patient        
Date(s) and Time(s) of Daily DA Visits With Patient (Note All)        
         
         
         
         
         
         
         
         
         
         
Date and Time of Discharge        
Date and Time Care Plan Faxed to Primary Care Physician        
Date(s) and Time(s) of Post-Discharge Call (Note All)        
         

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Page last reviewed August 2011
Internet Citation: Discharge Advocate's Data Collection Tool: Project RED (Re-Engineered Discharge) Training Program. August 2011. Agency for Healthcare Research and Quality, Rockville, MD. http://archive.ahrq.gov/professionals/systems/hospital/red/datatool.html

 

The information on this page is archived and provided for reference purposes only.

 

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