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Discharge Planning


Discharge Planning

Article Author:
Paula Patel
Article Editor:
Samuel Bechmann
Updated:
5/17/2020 11:46:53 AM
For CME on this topic:
Discharge Planning CME
PubMed Link:
Discharge Planning

Definition/Introduction

Discharge planning is the process of transitioning a patient from one level of care to the next. Ideally, discharge plans are individualized instructions provided to the patient as they move from the hospital to home or instructions provided to subsequent healthcare providers as they move to a longer-term care facility.[1] In the United States, discharge planning is required for hospital accreditation.[2] The goal of adequate and efficient discharge planning is to improve a patient's quality of life by ensuring continuity of care and to reduce the rate of unplanned readmissions and/or complications, which may decrease the financial burden on the healthcare system.[3][4] 

Issues of Concern

Increased life expectancy in the general population has led to an increased incidence of people living with chronic diseases and hospitalizations. The management of chronic conditions directly correlates with a patient's quality of life.[5] Due to the increased frequency of hospitalization of more complex patients, the discharge phase often comes earlier in their care and is much more important to the quality of the care they receive. A discharged patient is expected to be able to take medications as directed, continue to perform daily activities, and have the means to follow the plan for outpatient care, which may include rehabilitation programs, further testing, follow up appointments, and/or lifestyle modifications. The lack of adequate discharge planning and failure of any of these elements can result in readmission and decreased quality of life.[6]

Before releasing a patient from the hospital, it must be assured that the discharge can be completed in a safe manner.[7] Assessment for safe discharge by the physician involves several key factors that determine whether the patient will meet the requirements to heal and maintain health outside of a hospital setting. These key factors include the patient's physical ability to follow discharge instructions and perform activities of daily living, the patient's psychological ability to understand and follow discharge instructions, and a support system and financial means to obtain the appropriate follow-up care.[8] 

Institutions with high rates of readmission incur financial penalties, which include reduced or no reimbursement for readmission visits.[9] Comprehensive discharge planning is one element of a strategy that can help prevent readmissions. Although there are currently no standardized rules or regulations, patient safety and clinical outcomes remain the primary goals of discharge planning.[2] 

Clinical Significance

Patients with multiple chronic illnesses are more likely to be hospitalized, and coordinating their care after discharge can be challenging.[10] Discharge planning uses an interprofessional approach to provide additional support when patients experience changes in their health status caused by a new medical condition or worsening of a chronic medical condition complicated by other co-morbid diseases.[11]

Specific patient populations may require robust and meticulous discharge planning. For example, elderly patients, patients admitted for psychiatric treatment, and those who experienced major life events like myocardial infarction, cerebrovascular accidents, or major surgical procedures will require a more robust discharge plan. Such patient populations will often require additional coordination of care with rehabilitation facilities, long term care, or home health care, as these services may increase the patient’s quality of life and reduce the rate of re-admission.[10][12] 

The implementation of electronic health records (EHR) has streamlined the process of discharge planning. An EHR is shown to facilitate communication between providers, and many have the ability to coordinate patient care between clinicians and facilities.[4][10] Most EHR systems consist of built-in educational materials for patients that are easily printed and provided with the discharge summary.[10] These educational materials often contain an explanation of the diagnosis, information regarding prescribed medications, and the laboratory and imaging results from the hospitalization. The customization of an EHR allows the physician to address the various needs of the patient with greater ease.

In order to try and discharge patients to their homes where they can heal and recover, it is imperative to perform an assessment of their home situation, caregiver support, and access to necessary follow-up care. By assessing their home situation, you must factor in their mobility, ease of food preparation, toileting, and other activities of daily living. In the event that the patient requires on-going medical care that may not be available at the current facility or at home, the patient may need to be discharged from the inpatient service to a facility where this care can be provided.[5]

Nursing, Allied Health, and Interprofessional Team Interventions

Effective collaboration is the key to successful discharge planning. The discharge planning process involves an interprofessional team approach. Physicians are responsible for deciding the patient is safe for discharge, creating the discharge plan in conjunction with the rest of the team, and communicating instructions to the discharge nurse or designated discharge personnel.[13] While having a well thought out discharge plan is important, it is just as critical to communicate this plan to the necessary providers as well as the patient. By communicating the discharge plan effectively to the patient, the provider can have an impact on the quality of care the patient receives.[10] This is particularly important for elderly patients who will likely have a more complex discharge plan and require more assistance in executing the necessary elements of their plan. Discharge planning may include nurses, therapists, social workers, patients, family members, physicians, occupational and physical therapists, case managers, caregivers, and at times, insurance companies.[7] Each patient's discharge plan is customized to their own particular situation and may not necessarily involve all of these specialists.

The effectiveness of discharge planning is difficult to evaluate due to the complexity of the intervention and the numerous variables involved.[14] The quality of discharge planning correlates with a lowered rate of readmission within 30 days, which directly affects reimbursement from Medicare and Medicaid.[15] [Level 2] In the United States, efforts by The Department of Defense to implement TRICARE will allow patients to consolidate their personal healthcare information to create their own healthcare homepage.[10] This can potentially help the patients and future caregivers to understand the patient's follow-up plan. Furthermore, the information provided to the patient at the time of discharge fosters better communication between the physicians, patient, and their families.[16] [Level 3] Patient loyalty to return to the same hospital for readmission is associated with the quality of discharge planning.[15] [Level 2]


References

[1] An D, Cochrane Review Brief: Discharge Planning from Hospital to Home. Online journal of issues in nursing. 2015 Mar 12;     [PubMed PMID: 26882432]
[2] Hunter T,Nelson JR,Birmingham J, Preventing readmissions through comprehensive discharge planning. Professional case management. 2013 Mar-Apr;     [PubMed PMID: 23241896]
[3] Gonçalves-Bradley DC,Lannin NA,Clemson LM,Cameron ID,Shepperd S, Discharge planning from hospital. The Cochrane database of systematic reviews. 2016 Jan 27;     [PubMed PMID: 26816297]
[4] Gholizadeh M,Janati A,Delgoshaei B,Gorji HA,Tourani S, Implementation Requirements for Patient Discharge Planning in Health System: A qualitative study in Iran. Ethiopian journal of health sciences. 2018 Mar;     [PubMed PMID: 29983513]
[5] Nunes HJ,Queirós PJ, Patient with stroke: hospital discharge planning, functionality and quality of life. Revista brasileira de enfermagem. 2017 Apr;     [PubMed PMID: 28403308]
[6] Zurlo A,Zuliani G, Management of care transition and hospital discharge. Aging clinical and experimental research. 2018 Mar;     [PubMed PMID: 29313293]
[7] Rodakowski J,Rocco PB,Ortiz M,Folb B,Schulz R,Morton SC,Leathers SC,Hu L,James AE 3rd, Caregiver Integration During Discharge Planning for Older Adults to Reduce Resource Use: A Metaanalysis. Journal of the American Geriatrics Society. 2017 Aug;     [PubMed PMID: 28369687]
[8] Galvin EC,Wills T,Coffey A, Readiness for hospital discharge: A concept analysis. Journal of advanced nursing. 2017 Nov;     [PubMed PMID: 28440958]
[9] Kripalani S,Theobald CN,Anctil B,Vasilevskis EE, Reducing hospital readmission rates: current strategies and future directions. Annual review of medicine. 2014;     [PubMed PMID: 24160939]
[10] Burton LC,Anderson GF,Kues IW, Using electronic health records to help coordinate care. The Milbank quarterly. 2004;     [PubMed PMID: 15330973]
[11] McMartin K, Discharge planning in chronic conditions: an evidence-based analysis. Ontario health technology assessment series. 2013;     [PubMed PMID: 24167538]
[12] Chung DT,Ryan CJ,Hadzi-Pavlovic D,Singh SP,Stanton C,Large MM, Suicide Rates After Discharge From Psychiatric Facilities: A Systematic Review and Meta-analysis. JAMA psychiatry. 2017 Jul 1;     [PubMed PMID: 28564699]
[13] Bray-Hall S,Schmidt K,Aagaard E, Toward safe hospital discharge: a transitions in care curriculum for medical students. Journal of general internal medicine. 2010 Aug;     [PubMed PMID: 20443072]
[14] Mabire C,Dwyer A,Garnier A,Pellet J, Meta-analysis of the effectiveness of nursing discharge planning interventions for older inpatients discharged home. Journal of advanced nursing. 2018 Apr;     [PubMed PMID: 28986920]
[15] Henke RM,Karaca Z,Jackson P,Marder WD,Wong HS, Discharge Planning and Hospital Readmissions. Medical care research and review : MCRR. 2017 Jun;     [PubMed PMID: 27147642]
[16] New PW,McDougall KE,Scroggie CP, Improving discharge planning communication between hospitals and patients. Internal medicine journal. 2016 Jan;     [PubMed PMID: 26439193]