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Friday, May 15, 2020 | History

3 edition of Facilitating discharge from outpatient follow-up found in the catalog.

Facilitating discharge from outpatient follow-up

Yvonne Burkey

Facilitating discharge from outpatient follow-up

the views of specialists, patients and GPs

by Yvonne Burkey

  • 172 Want to read
  • 22 Currently reading

Published by National Primary Care Research & Development Centre in Manchester .
Written in English


Edition Notes

StatementYvonne Burkey, Mary Black, Hugh Reeve.
SeriesSummary report -- 4
ContributionsBlack, Mary., Reeve, Hugh.
The Physical Object
Pagination17p.
Number of Pages17
ID Numbers
Open LibraryOL18768762M
ISBN 100951745271
OCLC/WorldCa81325332

The primary outcome was a continuous measure of time to first psychiatric outpatient treatment follow-up during the first 45 days after hospital discharge. To calculate rates of follow-up, we also categorized the outcome by whether the visit occurred within the first seven or 30 days following by: 4. OBJECTIVE: This study examined whether patients discharged from inpatient psychiatric care would have lower rehospitalization rates if they kept an outpatient follow-up appointment after S: Complete data were collected in on 3, psychiatric admissions in eight Southeastern states; were readmissions. Patients' health care was managed by United Cited by:

AbstractBACKGROUND:Hospital discharges are vulnerable periods for patient safety, especially in teaching hospitals where discharges are done by residents with competing demands. We sought to assess whether embedding a nurse practitioner on a medical team to help physicians with the discharge process would improve communication, patient follow‐up, and hospital S:A 5 Cited by:   Coordinating follow-up is the responsibility of the discharge team. Transitioning medical care can be enhanced through discussion between the team and the identified primary care physician, and by providing written information about the infant’s Cited by:

body map in red book with discharge weight and head circumference. Deviations from normal should be documented as well as the subsequent actions taken and discussions with parents. 15 Ward clerks will ensure any outpatient / follow-up appointments are arranged and carers are notified of appointments – if identified on the Badger discharge File Size: KB. This article examines how acute and community services can work together to ensure appropriate selection, treatment and follow-up of patients. References Allison GM, Muldoon EG, Kent DM et al. () Prediction model for day hospital readmissions among patients discharged receiving outpatient parenteral antibiotic by: 5.


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Facilitating discharge from outpatient follow-up by Yvonne Burkey Download PDF EPUB FB2

Facilitating Patient Understanding of Discharge Instructions: Workshop Summary. Show details Roundtable on Health Literacy; Board on Population Health and Public Health Practice; Institute of Medicine. Facilitating Patient Understanding of Discharge Instructions: Adequacy of hospital discharge summaries in documenting tests with pending results and outpatient follow-up providers.

Journal of General Internal Medicine 24(9) The National Academies Press. doi: / Facilitating Patient Understanding of Discharge Instructions Workshop Summary () Buy Now: $ Download Free PDF Read Online.

Embed. Embed This Book. Copy the HTML code below to embed this book in your own blog, website, or application. Tip: press Ctrl-C or ⌘-C to copy. Size.

Poor health literacy has been identified as an important threat to patient safety, particularly through potentially contributing to adverse drug events. This workshop report reveals how health literacy affects patients' abilities to follow discharge instructions and makes recommendations to improve after-visit summaries to augment patient understanding of directions.

On average, % of discharges received follow-up care within seven days and % within 30 days across all facilities and states.

Average facility-level day follow-up rates ranged from % to % across states. [A table showing state-level follow-up rates is available as an online supplement.] On average, day IPF follow-up rates Cited by: 1. Several prior interventional studies to improve the care transition from hospital to outpatient care have successfully deterred readmissions.

14 In these trials, facilitating early PCP follow-up is just one component of a larger intervention, 15 and a systemic review noted that the interventions were heterogeneous and often consisted of.

Meeting the operational demand for beds. One of the HoEFT’s key performance indicators is to promote patient discharge by 1pm. Models used to determine bed capacity management and short-stay emergency care indicate that, if a patient’s discharge is facilitated by 1pm, the hospital has sufficient capacity to carry out elective work and accommodate patients admitted as an emergency without.

Five patients (%) received written instructions at discharge addressing hypertension, although 59 (%) reported that they were informed about their elevated blood pressure during the ED visit.

Follow-up with a primary care provider within 2–4 weeks of discharge was completed in 57% of by: 2. Hypertensive ED patients: Missed opportunities for addressing hypertension and facilitating outpatient follow-up.

However, we found that no patient who received hypertension-specific discharge instructions completed follow up within our timeline. In our context, it is unclear whether formal discharge instructions provide the same benefit as Cited by: 2.

RNs and NPs in a discharge support or facilitation role have been shown to have a positive impact in earlier completion of discharges, improved rates of outpatient follow-up, and increased patient satisfaction.

Finn and colleagues () published the results of a similar intervention to the one that we implemented.

A discharge facilitator NP Cited by: 4. to hand to the patient. “We have to do education prior to discharge, and we have to follow up postdischarge,” she said. Terri Ann Parnell agreed with Myers and added that it is easy to lose sight of the fact that these documents are the patient’s and that they have to be created and used with the patient always at the center of the process.

In this study, a nurse practitioner (NP) was assigned to a resident inpatient medical team at a tertiary care hospital, with the specific responsibility of facilitating the discharge process. The NP's responsibilities included arranging follow-up appointments, performing medication reconciliation, and following up on tests pending at discharge.

Our primary outcome measure was an expedited post-discharge follow up ≤3 days of discharge. A three-day endpoint defined expedited follow up since it represents the conservative end of the range in the outpatient PE literature 3 and is commonly used in research on telephone follow up, both after hospitalization and ED care.

31, 32Cited by: 9. Nearly 1 in 5 Medicare patients are readmitted related to the following contributing factors: Delay in transfer of discharge summary Test results unknown No follow-up Medications not being reconciled correctly (Jack et al., ).

Hospitals are reimbursed for performance on quality measures – including readmissions (Centers for Medicare and Medicaid ServicesFile Size: 2MB. Facilitating Patient Understanding of Discharge Instructions: Workshop Summary The National Academy of Sciences is a private, nonprofit, self-perpetuating society of distinguished scholars engaged in scientific and engineering research, dedicated to the furtherance of science and technology and to their use for the general Size: 2MB.

Facilitating Patient Understanding of Discharge Instructions: The National Academies Press. doi: / and discusses the specifics of inpatient discharge summaries and outpatient after-visit summaries. The report also contains case studies illustrating different approaches to improving discharge instructions.

Facilitating Patient Understanding of Discharge Instructions: The National Academies Press. doi: / the specifics of inpatient discharge summaries and outpatient after-visit summaries, and case studies illustrating different approaches to improving discharge instructions.

The members of the roundtable hoped that this. Prescriptions filled before discharge, documented plan for dose titration and provision of close monitoring: 6. Arrange early follow-up: 6. HF team member meets with patient at time of discharge and arranges follow-up in Cited by: Although these three factors were strongly predictive, the factor associated with the highest outpatient follow-up rate (62 percent) was starting the outpatient program before discharge.

The average outpatient follow-up rate reported by this study was only 35 percent at 30 days, which was consistent with rates reported in earlier studies (1).Cited by:   • Standard discharge (Attention control group) who will receive the ED’s usual discharge instructions for follow-up care.

These materials typically include an accounting of major procedures and tests performed during the emergency department visit, principal diagnosis at discharge/chief complaint, patient instruction, follow-up care and medication/ by: 5.

Sometimes the patient’s follow-up appointment occurs within the two business days after discharge. If so, and if you discuss the discharge, that appointment meets both the initial contact.There was no statistical difference in day readmissions between patients with follow-up within 14 days and those with follow-up 15 days or longer from discharge (P) or between patients.Outpatient follow-up established prior to discharge with assistance from social work services.

Follow-up visit within weeks encouraged. Pharmacist calls patients in the weeks following discharge until follow-up confirmed: Kabrhel, ED clinicians and case managers educate patients about the importance of : Erin R. Weeda, Sofia Butt.