Quality improvement initiative- Discharge Planning

Create a Proposal to help follow up to pt. after they get home from hospital with medication review and make doctors appointments
he purpose of the quality improvement initiative.
The target population – Adult 65> Disabilities discharged from hospital
The benefits of the quality improvement initiative.
The interprofessional collaboration that would be required to implement the quality improvement initiative.
The cost or budget justification.
The basis upon which the quality improvement initiative will be evaluated.

References < 5 years old and web obtainable

ANSWER

Quality Improvement Initiative- Discharge Planning

The purpose of the Quality Improvement Initiative

The quality improvement initiative is a discharge plan to improve the care of patients after discharge. The quality improvement initiative aims at engaging and supporting patients after discharge. Discharge planning is considered the interdisciplinary approach to continuity of care, which includes assessment, identification, planning, goal setting, implementation, organization, and evaluation (Patel and Bechmann, 2020). Proper discharge planning is essential in decreasing the chances of being readmitted and also helps in ensuring the medications are prescribed and sufficiently prepares the patient for recovery. In addition, the discharge plan will serve as an effective connection between the inpatient and follow-up patient care. For instance, the patient and the family need to understand what exactly needs to be done after discharge to encourage healing and prevent injury.

The Target population

The target population is for the quality improvement initiative is adult population at the age of 65 and above with disabilities. Adults with disabilities are at a high risk of injuries and readmission due to their poor physical and mental health and high multimorbidity compared to the general aged population. These adults have serious difficulties in climbing stairs, walking, concentration, seeing, hearing, and making decisions. The discharge plans will be personalised guidelines offered to the patients as they transfer from the healthcare setting to their homes to support adults with disabilities.

The Benefits of the Quality Improvement Initiative

The aim of efficient and adequate discharge planning involves boosting the quality care through ensuring the steadiness of care and lowering unnecessary readmissions and difficulties which influence the healthcare services (Henke, Karaca, Jackson, Marder, and Wong, 2017). Considerably, older populations above the age of 65 are living with chronic diseases and disabilities, increasing the hospitalization frequency. A cleared patient is anticipated to continue performing their daily duties with medications as directed and has follow-up plans, including additional testing and follow-up schedules to improve the quality of life. Based on the patient’s needs, an effective discharge plan supports the continuity of health since it creates a vital link between the treatment acquired by the patient in the hospital and post discharged offered by the community. Ideally, determine the type of care that a patient needs after discharge improves recovery and patient outcomes, thus reducing future readmissions. In addition, the discharge plan contains care details offered to foster an effective relationship among the patient, practitioners, and the patient’s relatives, thus boosting patient satisfaction.

The Interpersonal Collaboration

Effective interpersonal collaboration is key to the success of discharge planning. Considerably, discharge arrangement requires an interprofessional team design where the professionals accountable for determining whether the patient can be discharged to develop a discharge plan through communicating guidelines to the designated nurse (Pinelli, Papp, and Gonzalo, 2015). In addition, the discharge plan should include therapists, nurses, physicians, care managers, and caregivers who will effectively customize the discharge strategy to the patient situation.

The Cost Justification

Implementation of discharge planning entails the costs of post-discharge recovery and the support services such as follow-up appointments. The material costs include printing the clinician checklist and booklet. Ideally, after discharge, the patient and the family must be informed through a relevant clinician checklist and booklet that will offer the clinical advice. The follow-up appointments and recovery services such as medication supply for all individuals on discharge will be offered free of charge for six weeks to allow support services and discharge recovery.

Evaluation

The adaptation of the discharge planning was essential in addressing the issue of high readmission rates among adults at the age of 65 and above. The quality improvement initiative will be measured to track the discharge planning activity to monitor, assess and improve the quality of patient care. The quality improvement initiative will be evaluated through rehospitalization rates. Ideally, the discharge plan aims at reducing readmissions. Therefore, healthcare managers will evaluate the effect of the intervention on the readmission of adults at the age of 65 and above.

References

Henke, R. M., Karaca, Z., Jackson, P., Marder, W. D., & Wong, H. S. (2017). Discharge planning and hospital readmissions. Medical Care Research and Review, 74(3), 345-368.

Patel, P. R., & Bechmann, S. (2020). Discharge Planning. StatPearls [Internet].

Pinelli, V. A., Papp, K. K., & Gonzalo, J. D. (2015). Interprofessional communication patterns during patient discharges: a social network analysis. Journal of general internal medicine, 30(9), 1299-1306.