Provide Telephone Reinforcement of the Discharge Plan Transmit the Discharge Summary to the Postdischarge Clinician Teach the Content of a Written Discharge Plan in a Way the Patient Can UnderstandĪssess the Degree of Patient Understanding Reconcile the Discharge Plan With National Guidelines Identify the Correct Medicines and a Plan for the Patient To Obtain Them Organize Postdischarge Medical Equipment and At-Home Services Obtain and Review Patient Information From Medical RecordsĪrrange To Meet With Patient, Family, and Other Caregiversįollow Up on Test or Lab Results That Are Pending at Discharge Steps To Deliver the In-Hospital RED Components What Is the Patient Information Workbook and the RED Workstation? What Are the Components of the After Hospital Care Plan? Tool 3: How To Deliver the Re-Engineered Discharge at Your Hospital Step 11: Plan To Measure the Progress of RED Implementation Step 10: Provide the RED for Diverse Populations Step 9: Decide How To Generate the After Hospital Care Plan Step 8: Train Discharge Educators and Followup Telephone Callers Step 7: Assign Responsibility for RED Components Step 6: Revise Current Discharge Workflow To Eliminate Duplication Step 4: Identify Which Patients Should Receive the RED Step 3: Analyze Your Readmission Rates and Determine Your Goal Step 2: Identify Your Implementation Leadership Step 1: Make a Clear and Decisive Statement Tool 2: How To Begin the Re-engineered Discharge Implementation at Your HospitalĮleven Steps To Implement the Re-Engineered Discharge Reasons To Re-Engineer Your Discharge Process Learn about how five California hospitals adapted and implemented RED and the subsequent impact on RED program sustainability in “ Implementation and adaptation of the Re-Engineered Discharge (RED) in five California hospitals: a qualitative research study.”Īgency for Healthcare Research and Quality.Learn how a hospital that participated in AHRQ’s RED Training Program reduced readmissions by 32% in, “Implementation of the Re-Engineered Discharge (RED) toolkit to decrease all-cause readmission rates at a rural community hospital.”.Read about lessons learned from implementing RED in ten hospitals across the country in, " How Hospitals Reengineer Their Discharge Processes to Reduce Readmissions" J Healthcare Qual 2016 Mar-Apr 38(2):116-26. (Winner of the 2016 JHQ Impact Article of the Year).Case Study: AHRQ's RED Toolkit Leads to Lower Readmissions, Better Care Transitions in Two Texas Hospitals.Case Study: AHRQ's RED Toolkit Inspires Improved Patient Discharge at Nacogdoches Memorial Hospital.Case Study: Memorial Hospital Uses AHRQ Resources to Cut Readmissions, Promote Patient Self-Management.Case Study: AHRQ's RED Toolkit Helps Lower Readmissions in Dignity Health Hospitals.Case Study: Penn Medicine Chester County Hospital Implements AHRQ Toolkit to Reduce Readmissions.Case Study: Pennsylvania Psychiatric Institute Slashes Readmission Rates with AHRQ-based Discharge Program.Select for the Taking Care of Myself: A Guide for When I Leave the Hospital, a booklet for patients based on the RED Toolkit. The Agency for Healthcare Research and Quality contracted with BUMC to develop this toolkit to assist hospitals, particularly those that serve diverse populations, to replicate the RED. Research showed that the RED was effective at reducing readmissions and posthospital emergency department (ED) visits. Researchers at the Boston University Medical Center (BUMC) developed and tested the Re-Engineered Discharge (RED). A variety of forces are pushing hospitals to improve their discharge processes to reduce readmissions.
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