Implementation and Evaluation of a Unit-Based Discharge Coordinator to Improve the Patient Discharge Experience

Petitgout, Janine M.

doi:10.1016/j.pedhc.2015.02.004

Cited by 17 publications

(15 citation statements)

References 19 publications

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“…A more recent RCT by Mosquera et al demonstrated that with the use of NPs for both care coordination and primary care providers, there was a reduction in the number of emergency room visits and hospital admissions, as well as a reduction in overall health care costs while improving family satisfaction in a medical home model [ 9 ]. Similarly, a hospital-based clinic for CMC also improved outcomes including a reduction in hospital length of stay along with high satisfaction and reduced costs [ 16 ]. Cady et al demonstrated a reduction in hospitalizations with children that received telehealth care coordination by NP [ 1 ].…”

Section: Care Coordinationmentioning

confidence: 99%

“…A similar role was utilized in a project with a NP as a unit-based discharge coordinator. This integral member of a multidisciplinary team helped improve outcomes by enhancing satisfaction, reducing length of stay, and improving the patient discharge process [ 16 , 22 , 23 ]. Incorporating NPs into the acute care setting as onsite providers and care coordinators resulted in improved satisfaction among staff, decreased length of stay, and a decrease in overall healthcare cost [ 24 ].…”

Section: Care Coordinationmentioning

confidence: 99%

“…Safe discharges start at admission with clearly established discharge criteria that ensure that necessary supplies, private duty nursing and medications are obtained in a timely fashion and do not delay discharge [ 23 ]. Discharges need to be thorough, complete, and involve families so that unnecessary adverse events do not occur at a time when these already medically fragile patients are more vulnerable [ 16 ]. Follow-up phone calls made by the NP allowed reinforcement of discharge instructions and encouraged correct use of medications.…”

Section: Care Coordinationmentioning

confidence: 99%

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The Case for the Use of Nurse Practitioners in the Care of Children with Medical Complexity

Samuels¹,

Harris²,

Gonzales³

et al. 2017

Children

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Although children with medically complex illness represent less than one percent of the total pediatric population, their health care expenditures and health care system utilization far exceed the numbers of other pediatric patients. Nurse practitioners, with their educational background focused on health care promotion and education, are uniquely qualified to reduce this inequity with cost effective care. Currently, nurse practitioners are used in a variety of health care settings and can provide acute and chronic care. Incorporating nurse practitioners at each step in the care of children with medical complexity can improve the quality of life for these children and their families, increase family satisfaction and decrease costs.

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Section: Care Coordinationmentioning

confidence: 99%

Section: Care Coordinationmentioning

confidence: 99%

Section: Care Coordinationmentioning

confidence: 99%

See 1 more Smart Citation

The Case for the Use of Nurse Practitioners in the Care of Children with Medical Complexity

Samuels¹,

Harris²,

Gonzales³

et al. 2017

Children

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“…43,86 CCIs were also associated with improved satisfaction across patient populations, including effective studies in children with chronic illnesses (n = 7), 43,44,48,49,52,53,64 patients in the NICU (n = 2), 78,80 and the general hospitalized population (n = 4). 86,87,89,94 CCIs that were associated with improved satisfaction included assistance with scheduling follow-up care, 43,53,89 in-home visits or follow-up telephone calls, 44,48,49,53,64,86,94 and intensive discharge planning. 43,48,53,64,78,80,87,94 Similarly, FEIs were associated with improved satisfaction in children with chronic illnesses (n = 9), † † neonates (n = 3), 72,75,78 and general pediatric patients in the hospital (n = 4).…”

Section: Results Of Individual Studies Regarding Patient And/or Caregmentioning

confidence: 99%

“…86,87,89,94 CCIs that were associated with improved satisfaction included assistance with scheduling follow-up care, 43,53,89 in-home visits or follow-up telephone calls, 44,48,49,53,64,86,94 and intensive discharge planning. 43,48,53,64,78,80,87,94 Similarly, FEIs were associated with improved satisfaction in children with chronic illnesses (n = 9), † † neonates (n = 3), 72,75,78 and general pediatric patients in the hospital (n = 4). 86,90,92,94 Effective FEIs included parental education (n = 13), ‡ ‡ written care plans for home (n = 1), 43 and cognitive behavioral therapy for parents (n = 1).…”

Section: Results Of Individual Studies Regarding Patient And/or Caregmentioning

confidence: 99%

Hospital-to-Home Interventions, Use, and Satisfaction: A Meta-analysis

Hamline

Speier

et al. 2018

Pediatrics

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Hospital-to-home transitions are critical opportunities to promote patient safety and high-quality care. However, such transitions are often fraught with difficulties associated with increased health care use and poor patient satisfaction. OBJECTIVE: In this review, we determine which pediatric hospital discharge interventions affect subsequent health care use or parental satisfaction compared with usual care. DATA SOURCES: We searched 7 bibliographic databases and 5 pediatric journals. STUDY SELECTION: Inclusion criteria were: (1) available in English, (2) focused on children <18 years of age, (3) pediatric data reported separately from adult data, (4) not focused on normal newborns or pregnancy, (5) discharge intervention implemented in the inpatient setting, and (6) outcomes of health care use or caregiver satisfaction. Reviews, case studies, and commentaries were excluded. DATA EXTRACTION: Two reviewers independently abstracted data using modified Cochrane data collection forms and assessed quality using modified Downs and Black checklists. RESULTS: Seventy one articles met inclusion criteria. Although most interventions improved satisfaction, interventions variably reduced use. Interventions focused on follow-up care, discharge planning, teach back-based parental education, and contingency planning were associated with reduced use across patient groups. Bundled care coordination and family engagement interventions were associated with lower use in patients with chronic illnesses and neonates. LIMITATIONS: Variability limited findings and reduced generalizability. CONCLUSIONS: In this review, we highlight the utility of a pediatric discharge bundle in reducing health care use. Coordinating follow-up, discharge planning, teach back-based parental education, and contingency planning are potential foci for future efforts to improve hospitalto-home transitions.

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Public transparency Web sites for radiology practices: prevalence of price, clinical quality, and service quality information

Rosenkrantz

Doshi

2016

Clinical Imaging

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Implementation and Evaluation of a Unit-Based Discharge Coordinator to Improve the Patient Discharge Experience

Cited by 17 publications

References 19 publications

The Case for the Use of Nurse Practitioners in the Care of Children with Medical Complexity

The Case for the Use of Nurse Practitioners in the Care of Children with Medical Complexity

Hospital-to-Home Interventions, Use, and Satisfaction: A Meta-analysis

Public transparency Web sites for radiology practices: prevalence of price, clinical quality, and service quality information

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