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Slide 10

Project RED: Module 4: Re-Engineering Patient Discharge: The Hospital

Provides a four-module training program to help hospitals implement Project RED.

Define Your Ideal Future State

  • Initiate a new high-level process map.
  • Multidisciplinary participation.
  • Patient admission is the starting point.
  • After hospital care provision is the ending point.
  • Ask each discipline what steps it will now take to prepare the patient for discharge.


Based on your analysis of lean waste and potential failures in the current state as well as data collected on baseline process and outcome metrics, you now have specific data to identify causative variables for process redesign. You can now establish a new process for discharge that includes all the components of Project RED. Each of your roles has been clarified (and possibly redesigned), and you know what each member in the discharge process will do. You addressed the current state issues from the patient's and key stakeholders' viewpoint, so you can now brainstorm solutions directed at root causes of such variables or issues.

As part of your homework for this module, you will design an ideal state map. Include multidisciplinary staff members who are involved with patient discharge in your scoped project work area. Begin with patient admission and end after the post-discharge phone call occurs. By defining this future state process, you can identify any gaps that still may exist. During the Improve phase and your solution generation, you will eliminate all gaps in or barriers to a successful discharge process.

Use the handout "Developing a High-Level Process Map and Swim-Lane Diagram" to create your future state map. The map serves as a visual not only for those involved in the process but also for those to whom you will be transferring improvement knowledge.

Page last reviewed August 2011
Internet Citation: Slide 10: Project RED: Module 4: Re-Engineering Patient Discharge: The Hospital . August 2011. Agency for Healthcare Research and Quality, Rockville, MD.


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