Catalog Number : ngd1841
Title : ED Discharge Instructions and Communication
Speaker : Sue Dill

Webplay Recording Date : 6-18-2013
Webplay Price : $ 200 for two weeks viewing

Webinar Purpose:

A recent study found that 78% of all patients who were discharged did not understand one component or more of their discharge instructions. This has resulted in unnecessary returns to the emergency department or readmission to the hospital. This webinar will explain the evidence based literature and put it into practice. This is also important because of reimbursement issues. Hospitals forfeited $280 million dollars as of October 1, 2012 because of higher than expected readmissions.

Target Audience:

• Emergency department physicians, ED practitioners, ED nurses, ED directors, social workers, discharge planners, outpatient navigators, Chief Nursing Officer, Nurse Educator, Risk Manager, Compliance Officer, Patient Safety Officer, Hospital Legal Counsel, Performance Improvement Staff, Health Information Manager, Members of the Hospital Readmission Design Team, Members of the Team to Prevent Unnecessary Readmissions, Pharmacists, Director of Regulatory Affairs, and anyone else who is interested in preventing unnecessary readmission and returns to the emergency department.

Webinar Objectives:

• Discuss what emergency physicians and providers should document in the discharge instructions for the patient
• Describe that all discharge instructions should be legible and in writing
• Recall the importance of using teach back to make sure the patient understands the discharge instructions
• Discuss the importance of using an interpreter when discharge instructions are provided for patients with limited English proficiency

A Few of the Topics that will be covered:

Preventing Unnecessary Readmission and Returns to the ED

• Introduction
• Patient Protection and Affordable Act
• CMS Value Based Purchasing
• Readmissions and Discharges
• Tips to prevent unnecessary readmissions and returns
• CMS Hospital Worksheet on discharge planning
• CMS hospital CoP regulations on discharges
• Detailed list of things the ED can do to prevent returns
• CMS ED Throughput measures
• AHA publication on preventing hospital readmissions

Communication

• Introduction
• Major root cause of medical errors
• TJC patient centered communication standards
• Translators and interpreters
  • Use of children or family members
• SBAR, ticket to ride, I PASS THE BATTON, Safe Handoffs etc.
• ENA Safer Handoff Form
• Bedside report
• AHRQ patient safety culture

The Joint Commission Discharge Planning Tracer

• RC chapter standard on discharge planning information
• PC requirements for coordination care and treatment after discharge
• Medical record requirements
• Medications
• Written discharge policies required

Discharge Instructions

• Definition
• Sample discharge instructions
• Components of discharge instructions
• Positive aspects of discharge instructions
• Evidenced based literature
• Nine areas of good discharge instructions
• Types of discharge instructions
• Use of interpreters
• Low health literacy
• Teach back
• CMS and Joint Commission standards
• Pictures and pictograms
• Preventing malpractice exposure
• Follow up appointments
• Call backs
• TJC discharge planning tracer
• Medication lists
• Pending test results
• Discharge summary

Contact Hours:

• Nursing participants: Instruct-online has approved this program for 1.8 contact hours, Iowa Board of Nursing Approved Provider Number 339
• All other participants: Must attend the entire Webinar and complete a Webinar critique to receive a 1.5 Hour Attendance Certificate for each program

Completion of offering required prior to awarding certificate.

Full tuition is refunded immediately on request if the participant has not been sent the program materials and instructions. Once the instructions (including access codes) have been sent, a full refund will be issued only after the program runs and it is verified that the participant did not access the program.