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CMW sneak peek: Expediting discharges with a case manager/nurse practitioner model

Case Management Weekly, August 19, 2009

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Organizing and executing discharges in a timely manner at a busy teaching hospital is quite an overwhelming responsibility.

Nancy Kays, RN, CM, faced this task each day at Massachusetts General Hospital in Boston. Kays coordinated discharges with residents who were also trying to care for patients, attend meetings, and teach interns.

When the hospital made a goal of getting all discharge patients out by 10 a.m., it was not possible for Kays and the residents to keep up.

As a result, assistant chief nurse Theresa Gallivan, RN; Hasan Bazari, MD, the internal medicine residency training program director and assistant chief of medicine; and Andrew Karson, MD, the director of the clinical decision support unit, used grant money to hire a nurse practitioner, Karen Pickell, ANP-BC.

The original goal was to have Pickell manage several patients for the team and assist with the discharge paperwork process to help with the hospital’s goal of getting patients discharged by 10 a.m.

Check out the August 2009 issue of Case Management Monthly to read the full article, and discover the benefits of becoming a Case Management Monthly subscriber.

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