discharge planning: exploring strategies to increase social involvement durga kudtarkar master of...

Discharge planning: Exploring strategies to increase social involvement

Durga Kudtarkar Master of Industrial Design

Estimated $17.4 billion

Older adults

Women

African-Americans

Trends

High BMI

Multiple Comorbidities

High Severity

Trends

Medical Services

AMI, CHF, Pneumonia

TrendsMidwest, South, Northeast

Longer length of stay

Discharge to skilled nurse facility or acute

rehabilitation

Discharge After-hours, weekends

Trends

Low Patient Satisfaction

Low Adherence

Poor perception of the adequacy of discharge planning

Trends

What is discharge planning?

Why discharge planning?

Public reporting

Issues with

discharge planning?

Only documentation

Issues with

discharge planning?

Automated standardized forms don’t help

Issues with

discharge planning?

Metrics for Quality?

Issues with

discharge planning?

Doubts in 24 hours…

Are thereexisting

solutions?

Two tier model

Nurse Educator

Medical Nurse

Surgical Nurse

Are thereexisting

solutions?

Are thereexisting

solutions?

Conclusion

Conclusion

Thanks!Images sourced from

http://www.epsilonregistration.com/er/EventHomePage/CustomPage.jsp?ActivityID=378&ItemID=1117http://www.hospitalcompare.hhs.gov/staticpages/help/help-site-navigation.aspxhttp://www.wordsaboutthings.co.uk/saving-money-study/http://ruralcommunitybuilding.fb.org/2010/04/28/broadband-for-older-rural-americans/http://www.newlifemobile.org/Women-s-Ministry.htmlhttp://www.bevsmithtalks.com/Black-populations-fall-in-major-cities/http://www.medicare.gov/publications/pubs/pdf/11376.pdfhttp://www.t-m-partners.net/tmpbiz/Technology/DashboardsReports.aspxhttp://www.theintegrationengineer.com/wp-content/uploads/2009/04/stack_of_documents.jpg http://onproductmanagement.net/wp-content/uploads/2010/05/metrics.jpg http://4.bp.blogspot.com/_f9pvdIisA48/TOn9xzgddWI/AAAAAAAABBM/7CiPd0VClHY/s1600/24.Hours.jpg http://www.mnfl.org/images/large_nurse_pic.jpghttp://scm-l3.technorati.com/10/11/12/21747/copenhagen-denmark-1257714575.jpg http://np-viewsandnews.com/wp-content/uploads/2011/08/WHAT-IS-A-NURSE-PRACTITIONER.jpg http://world-tours123.blogspot.com/2011/04/hong-kong.htmlhttp://www.gaymontana.org/images/volunteer.jpg http://images.cheezburger.com/completestore/2009/11/22/129033984201794083.jpg http://www.hi-consulting.net/cms/images/stories/pcmh.jpg http://info.legalzoom.com/handwritten-wills-legal-louisiana-not-notarized-4135.htmlhttp://harveymillican.files.wordpress.com/2011/03/no.gif http://houseofhealth.co.nz/uploads/images/scales.jpg http://www.thaimedicalnews.com/wp-content/uploads/weightloss-surgery-thailand.jpg http://www.maquet.com/images/thumbs/495_About_CriticalCare_4d.jpg http://www.nejm.org/doi/full/10.1056/NEJMsa0803563http://www.sacredwaste.com/medical_symbol_button-145315775741582369.htmlhttp://img.timeinc.net/time/2007/eating/makes_eat/makes_eat_time.jpg http://www.setoncoastside.org/services/PublishingImages/skilled_nurse_040_smcc.jpg http://www.bocahomecareservices.com/blog/senior-elder-care-tips-surviving-hosptial-stay/http://www.health2apps.com/2011/05/12/press-ganey/http://www.mts-mt.com/uploads/images/learning_center/medication_adherence_header.jpg