Transcript Slide 1
Project RED
The Re-Engineered Discharge
JCR’s AHRQ-funded Project
August 2010
Deborah Nadzam
Susan Whitehurst
Project RED Checklist
Eleven mutually reinforcing components:
1. Medication reconciliation
2. Reconcile discharge plan with national guidelines
3. Follow-up appointments
Adopted by
4. Outstanding tests
National Quality Forum
5. Post-discharge services
as one of 30 US
6. Written discharge plan
"Safe Practices" (SP-15)
7. What to do if problem arises
8. Patient education
9. Assess patient understanding
10. Discharge summary sent to PCP
11. Telephone reinforcement
11 RED Components Enable
Discharge Advocates to:
Prepare patients for hospital discharge
Help patients safely transition from
hospital to home
Promote patient self-health management
Support patients after discharge through
follow-up phone call
Project Expectations
Secure executive sponsorship
Assign project team and project leader
Identify targeted population of patients*
Determine approach for generating After
Hospital Care Plan (ACHP)*
Identify discharge advocate(s) and staff
to make post-discharge phone calls
Participate in focus group conference call
Project Expectations cont’d
Participate in training
Schedule bi-weekly consulting calls with
assigned JCR consultant
Provide data to JCR re: readmission,
ALOS
Participate in all-site web conference
discussions
Participate in case-study interviews
Current Status
30 participants
– Proceeding with training and implementing
20 more expected to enroll
Possible additional AHRQ funding to
support 75 more hospitals
Project RED Training
Course designed and available to
participants via JCR’s BlackBoard
Recorded webinars, with homework!
– Module 1 – Designing a strong PI program
– Module 2 – Operationalizing Project RED (A)
– Module 3 – Operationalizing Project RED (B)
Live Module 4 – content and open
discussion
Several handouts and tools
After Hospital Care Plan
Ready for Project RED?
Next Steps
– Secure leadership commitment
– Identify targeted populations to begin
– Determine approach for developing After
Hospital Care Plan
– Identify staff: Project Leader, Project
Team, Discharge Advocate(s)
Identify Targeted Patient
Population
Start small!
Approaches to consider
– Specific patient care unit
– Diagnostic group
– Physician’s patient group
– Combination of above
Also
– English-speaking patients
– Discharged home
– Access to telephone
Care Plan Development
Developing the Patient’s
Care Plan
Accessing the care plan
template
Accessing information for
the care plan
Saving individual patient’s
care plan
Printing the care plan
Storing the care plan
– Permanent part of the
patient record?
Generating the AHCP
“Manual” – use of template for discharge
advocate (DA) to enter all required data
www.ahrq.gov/qual/goinghomeguide.htm
Provide template to your IT department
and request that they integrate with
existing systems
Purchase software and integrate it with
your existing systems
To participate in JCR’s
AHRQ-funded project focused on
Project RED
Contact Deborah Nadzam
[email protected]
630-261-5048