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Related Concept Videos

Discharge Summary Forms01:31

Discharge Summary Forms

1.1K
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
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Restorative Care01:19

Restorative Care

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Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
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Nursing Implementation01:15

Nursing Implementation

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Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
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Specialized Care Centers and Settings-II01:30

Specialized Care Centers and Settings-II

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Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
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Planning Nursing Care I01:21

Planning Nursing Care I

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The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
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Specialized Care Centers and Settings-I01:30

Specialized Care Centers and Settings-I

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Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
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Related Experiment Video

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Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
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Testing Re-Engineered Discharge Program Implementation Strategies in SNFs.

Lori L Popejoy1, Amy A Vogelsmeier1, Yan Wang1

  • 1University of Missouri, Columbia, USA.

Clinical Nursing Research
|December 22, 2020
PubMed
Summary
This summary is machine-generated.

The Re-Engineered Discharge (RED) program shows promise in reducing hospital readmissions for skilled nursing facility (SNF) patients. Higher adoption of the SNF RED intervention leads to greater benefits in preventing rehospitalizations.

Keywords:
REDReengineered Discharge ProgramSNFSkilled Nursing Facilitydischargedischarge homedischarge outcomesimplementationrehospitalizations

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Area of Science:

  • Healthcare Management
  • Gerontology
  • Public Health

Background:

  • The Re-Engineered Discharge (RED) program, initially developed for hospitals, is being adapted for skilled nursing facilities (SNFs).
  • Reducing hospital readmissions from SNFs is a critical healthcare challenge.
  • Understanding the impact of different implementation strategies is essential for effective program adoption.

Purpose of the Study:

  • To quantitatively evaluate the effectiveness of two RED program implementation strategies (Enhanced and Standard) in SNFs.
  • To compare rehospitalization rates before and after RED implementation.
  • To assess the relationship between intervention adoption and patient outcomes.

Main Methods:

  • A pretest-posttest design was employed across four Midwestern SNFs.
  • Two RED implementation strategies, Enhanced and Standard, were compared.
  • Poisson regression analysis was used to adjust for rehospitalization rates at 30, 60, and 180 days.

Main Results:

  • The Standard RED group exhibited higher odds of readmission in the pre-intervention period compared to the post-intervention period.
  • The adjusted number of rehospitalizations was significantly higher in the pre-intervention period for the Standard group: 45% at 30 days, 50% at 60 days (p=.01), and 39% at 180 days (p=.001).
  • The degree of adoption of the SNF RED intervention influenced its benefits.

Conclusions:

  • The Re-Engineered Discharge (RED) program is a potentially valuable tool for reducing rehospitalizations from SNFs.
  • Effective implementation and high adoption rates of the SNF RED program are crucial for maximizing its benefits.
  • Further research into optimizing SNF RED implementation strategies is warranted.