Improving Discharge Procedures to Reduce Unnecessary Emergency

Improving Discharge Procedures to Reduce Unnecessary Emergency

Improving Discharge Procedures to Reduce Unnecessary Emergency

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This DNP project is unable to be implemented in the facility chosen due to covid19 pandemic that cause that facility laid off employees due to dropping census to an 80% of the ED visits. The project will be worked in a different way which will not include staff or patients participation in questionnaires due to covid19 events. However, this project is already in use in the state of New York. I was activated to be deploy as a covid19 responder for NYC H+H hospital system were epicenter started. Now, the way that the discharge procedures are managed in NYC is through Epic electronic medical record system and is proven to work. I had the experience to work with this discharge procedure and this includes preferred patient language materials, appointment for follow up with primary care, specialists and ambulatory free clinics or private clinics. Patient gets high quality of care and discharge instructions. The way it works is when you discharge a patient from the ED you will had the preferred language, add diagnosis this diagnosis prompts out education material regarding etiology, treatments and enough material to keep patient inform of their current condition after finishing this step, you get to chose with whom patient will follow up if is an specialist, primary care or clinic, you click on any of these options and it will prompt an appointment and a scheduler phone number for the patient to call and confirm their follow up appointment. The next step is to add treatment antibiotics etc this will prompt information of the prescribed medication and the pharmacy for medication pick up. I learned that discharge procedures in NYC is all online and patient only gets copy of what is needed to follow up. This discharge procedures shows the way every provider in NYC is communicating. The patient plan of care is not changed in the contrary it continues because all the providers are in the same track since they have access to everything that was done in the ED and the plan to follow for their expedite recovery and helps patients to be compliant. My project is with the same focus and vision. I understand this was reduces unnecessary visits to ED just because patient couldn’t follow up for not having an appointment or appropriate treatment etc. This reduces overcrowding ED, reduces health care cost and reduces poly-pharmacy since all providers are communicating. NYC data cannot be share with my project since it was not the facility of intended practice it just happened to be the facility that is actually providing high quality of discharge to their patients.



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