SMART Discharge Protocol:An Always Event

Sherry Perkins, RN, PhDChief Operating Officer/Chief Nursing Officer

Anne Arundel Medical Center

Mitchell Schwartz, MD Chief Medical OfficerKristina Andersen, RN, BSN, Study Coordinator

Cheryl Bergamaschi, RN, MSN, Study Coordinator

Anne Arundel Medical Center

Annapolis, Maryland

Objectives

• Define 5 key components of SMART Discharge Protocol

• Discuss implementation process and tools

• Identify key elements to success

What’s the problem?

5

• Simple- Miller’s Law

• Universal- Before you cross the street…

• Patient-Family Centered

Our Approach

SMART Discharge Protocol

Measurement

11

• Patient Satisfaction- HCAHPS questions related to discharge

• ED Visit and Readmission Rates within 30 days

• % of Patients with Access to Inpatient Medical Records

• % of Discharge Instructions that include all 5 SMART components

Patient & Family Advisors

Leadership commitment and support

RN & MD Collaboration

Planning the next steps

Key Elements

13

Always listening, Always partners,

Always SMART