A Performance Improvement Initiative for Implementing an Evidence-Based Discharge Bundle for Lung Transplant...

Area of Science:

• Medical Quality Improvement
• Transplant Surgery Outcomes

Background:

• Lung transplant recipients experience high hospital readmission rates, increasing mortality and costs.
• Evidence supports discharge bundles in reducing 30-day hospital readmissions for hospitalized patients.

Purpose of the Study:

• To develop and implement an evidence-based discharge bundle to decrease 30-day hospital readmissions in lung transplant recipients.
• To improve the standardized patient discharge process for lung transplant recipients at an academic medical center.

Main Methods:

• A gap analysis using focus groups identified strategies to reduce readmissions.
• A standardized discharge bundle was collaboratively developed with the transplant team.
• The bundle included enhanced discharge planning, communication protocols, medication templates, standardized appointments, and post-discharge calls.

Main Results:

• The 30-day hospital readmission rate for lung transplant recipients did not change during the evaluation period.
• However, team members reported enhanced communication, efficiency, and standardization of follow-up care.
• Staff satisfaction with the discharge process improved.

Conclusions:

• While the discharge bundle did not reduce readmissions, it positively impacted the lung transplant team's workflow and satisfaction.
• Further research may be needed to optimize discharge bundles for reducing readmissions in this specific patient population.