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
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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