Case Management

Pilot program improves throughput and staff satisfaction

Case Management Weekly, May 17, 2006

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San Jacinto Methodist Hospital (SJMH) in Baytown, TX, recently launched a new pilot program called DART-Discharge and Admission Response Team. The program is designed to support SJMH's medical and surgical areas with aspects of the nursing process that are time consuming, particularly the admission and discharge of patients.

During admission, a DART nurse receives a page of information from the admitting office or a report from the ED, greets the patient, and completes the initial admission assessment process. The DART nurse also begins the discharge planning form at the time of admission, as appropriate, and coordinates initial consults with any specialist that may be needed.

DART nurses spend a minimum of 30 minutes on a discharge with a patient, printing off medication lists and instructions, and allowing time for questions. DART nurses also place follow-up calls to patients' 24-hours after a discharge to determine

  • how the patient is doing at home
  • if the patient is experiencing any problems
  • how the patient felt about the care that was provided
  • what improvements could be made

SJMH's Press Ganey scores have significantly improved since implementing DART, prompting plans to expand the pilot program to all units hospital-wide.

Source:Case Management Monthly, June 2006, HCPro, Inc



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