Project RED: Re-Engineered Discharge (Staff Training)
Discharge Planning Rounds
- Consider daily discharge rounds
- Medical staff, nursing staff, pharmacy, case management, and DA
- When is discharge order written?
- Was it expected?
- Weekend discharge?
- Is there a timing expectation (e.g., time from when the order is written to when the patient is out the door)?
Note: You may want to spend some time with frontline staff discussing rounds to get input on what works well and what needs to be improved. This is an important step toward improving the discharge planning rounds.
“Consider our current approach to discharge planning. Are rounds conducted? Maybe there are no discharge rounds, but discharge planning is included in daily rounds of the patients. In either case, how well do rounds address discharge planning? What helps to make them work well? What gets in the way of effective discharge planning during rounds? Can you change these barriers?
Consider what happens once the discharge order is actually written. How often is the patient discharge a surprise? If often, it can be a sign that discharge planning is not well done. How are weekend discharges handled? If they're expected, the DA can conduct final teaching and provide the Patient Care Plan on Friday.
Many hospitals have a discharge goal by time of day (e.g., noon). Some hospitals expect that a patient has left the bed within a certain number of minutes after the order is written. How will this fit into our new, re-engineered process?”