Download

Download Full Text (407 KB)

Keywords

Quality, transition of care, poor communication, resources, elderly, acute care

Disciplines

Nursing

Description

The goal of health systems is to improve the quality and value of care that is provided. One approach to achieve this is to impact the transition of care process, which begins before the day of discharge and continues after the patient has returned home. This process can be further complicated by gaps of care, patient confusion, lack of resources and poor communication with discharge instructions, all of which contribute to patient readmission or emergency room visits within 30 days of discharge. Due to its many complicated discharges, the 9 North Acute Care of the Elderly (ACE) unit was chosen to participate in a postdischarge care transitions call pilot. The purpose was to increase the response rate to the discharge survey phone call, intended to ensure the patient has made a follow-up appointment with their provider, gotten prescriptions filled and to answer any discharge questions the patient may have, with the end goal to prevent re-admissions to the hospital.

Publication Date

5-6-2024

Comments

Nurses Week at Corewell Health William Beaumont University Hospital, Royal Oak, MI, May 6-12, 2024.

Care Transitions from Hospital to Home: A Novel Approach

Share

COinS