Models of Discharge Care in Magnet(R) Hospitals Journal Article

Authors: Bobay, K; Bahr, S. J.; Weiss, M. E.; Hughes, R; Costa, L
Article Title: Models of Discharge Care in Magnet(R) Hospitals
Abstract: OBJECTIVE: The aim of this article is to describe how the discharge preparation process is operationalized in Magnet(R) hospitals. BACKGROUND: Nationally, there are intensive efforts toward improving discharge transitions and reducing readmissions. Discharge preparation is a core hospital function, yet there are few reports of operational models. METHODS: This was a descriptive, Web-based survey of 32 Magnet hospitals (64 units) participating in the Readiness Evaluation and Discharge Interventions study. RESULTS: Most hospitals have adopted 1 or more national readmission reduction initiatives. Most unit models include several discharge preparation roles; RN case managers, and discharging RNs lead the process. Nearly one-half of units actively screen for readmission risk. More than three-fourths report daily discharge rounds, but less than one-third include the patient and family. More than two-thirds report a follow-up phone call, mostly to assess patient satisfaction. CONCLUSIONS: Magnet hospitals operationalize discharge preparation differently. Recommended practices from national discharge initiatives are inconsistently used. RNs play a central role in discharge planning, coordination, and teaching.
Journal Title: The Journal of nursing administration
Volume: 45
Issue: 10
ISSN: 1539-0721; 0002-0443
Publisher: Unknown  
Journal Place: United States
Date Published: 2015
Start Page: 485
End Page: 491
Language: eng
Notes: LR: 20151002; JID: 1263116; 2015/10/02 06:00 [entrez]; 2015/10/02 06:00 [pubmed]; 2016/01/07 06:00 [medline]; ppublish