Article first published online: 31 OCT 2011
Copyright © 2011 Society of Hospital Medicine
Journal of Hospital Medicine
Volume 6, Issue 9, pages 494–500, November/December 2011
How to Cite
Finn, K. M., Heffner, R., Chang, Y., Bazari, H., Hunt, D., Pickell, K., Berube, R., Raju, S., Farrell, E., Iyasere, C., Thompson, R., O'Malley, T., O'Donnell, W. and Karson, A. (2011), Improving the discharge process by embedding a discharge facilitator in a resident team. J. Hosp. Med., 6: 494–500. doi: 10.1002/jhm.924
Preliminary data presented in a workshop at the Association of Program Directors in Internal Medicine,Baltimore, Maryland, April 28, 2010. Funding: Internal Partners Healthcare Physician Education/Care Delivery Reengineering Innovation Grant. The funding source had no role in the design, collection of data, management, analysis, and interpretation of the data; or preparation, review, or approval of the manuscript. Disclosure: To the authors knowledge, no conflict of interest, financial or other, exists for any of the authors
Funding: Internal Partners Healthcare Physician Education/Care Delivery Reengineering Innovation Grant. The funding source had no role in the design, collection of data, management, analysis, and interpretation of the data; or preparation, review, or approval of the manuscript.
Disclosure: To the authors' knowledge, no conflict of interest, financial or other, exists for any of the authors.
- Issue published online: 2 DEC 2011
- Article first published online: 31 OCT 2011
- Manuscript Accepted: 17 MAR 2011
- Manuscript Revised: 4 FEB 2011
- Manuscript Received: 12 NOV 2010
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 reutilization.
A 5-month randomized controlled trial was conducted on the medical service at an academic tertiary-care hospital. A nurse practitioner was randomly assigned to 1 resident team to complete discharge paperwork, arrange follow-up appointments and prescriptions, communicate discharge plans with nursing and primary care physicians, and answer questions from discharged patients.
Intervention patients had more discharge summaries completed within 24 hours (67% vs 47%, P < 0.001). Similarly, they had more follow-up appointments scheduled by the time of discharge (62% vs 36%, P < 0.0001) and attended those appointments more often within 2 weeks (36% vs 23%, P < 0.0002). Intervention patients knew whom to call with questions (95% vs 85%, P = 0.003) and were more satisfied with the discharge process (97% vs 76%, P < 0.0001). Attending rounds on the intervention team finished on time (45% vs 31%, P = 0.058), and residents signed out on average 46 minutes earlier each day. There was no significant difference between the groups in 30-day emergency department visits or readmissions.
Helping resident physicians with the discharge process improves many aspects of discharge communication and patient follow-up, and saves residents' time, but had no effect on hospital reutilization for a general medicine population. Journal of Hospital Medicine 2011;. © 2011 Society of Hospital Medicine.