Case Management

CMW Sneak Peek: Collaboration accelerates discharge planning process

Case Management Weekly, October 22, 2008

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St. Luke’s Episcopal Hospital in Houston had several problems in its ICU: LOS rates had risen, beds were being used inappropriately, bed availability was scarce, and multidisciplinary rounds were inconsistent. To turn things around, the unit took a collaborative approach to discharge planning.

“The focus was to have everybody [get involved]—to have the nurses take a little more responsibility because they were the ones at the bedside and to educate [staff members],” says Monica Ard, BSN, RNC, ICU case manager at St. Luke’s.

Ard and Debbie Hartgraves, LCSW, advanced practice social worker of the progressive care unit at the hospital, decided to spur a collaborative discharge planning program that included:

  • Developing a multidisciplinary team (comprising a case manager, social worker, a nurse manager, and bedside nurse)
  • Implementing multidisciplinary rounds twice per week

Check out the October 2008 issue of Case Management Monthly to get the full story, and discover all the benefits of being a Case Management Monthly subscriber!



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