Case Management

'Ticket to Home' tool helps patients and families prepare for discharge

Case Management Monthly, September 1, 2010

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Children’s Healthcare of Atlanta (CHOA) staff realized they needed to improve the hospital’s discharge process when they reviewed the results of a Press Ganey patient survey. Several respondents indicated that they felt unprepared upon discharge, says Marcia Seay, RN, CCM, manager of CHOA’s case management department. 

The inadequate discharge preparation problem is not exclusive to CHOA—it’s a nationwide issue, says Stefani Daniels, RN, MSNA, CMAC, ACM, managing partner at Phoenix Medical Management, Inc., in Pompano Beach, FL. In fact, one of the hottest issues in healthcare—preventable readmissions—can be traced back to poor discharge preparation, Daniels says.

To improve discharge preparation, the CHOA interdisciplinary team met for a three-day workshop to develop a solution. The team members that attended the workshop blamed poor communication for their patients’ lack of preparedness at the time of discharge. Their solution: a laminated guide they dubbed “Ticket to Home.”

 

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