Open Forum

This week, I noticed that many of my organization's standardization efforts have focused on intake/registration/rooming, all front-end processes.

What seems to be lacking is standardization in the "discharge" process, on end of visit actitivites (reviewing new medications, referrals, pending authorizations, follow-up visits, etc.)

There are challenges there, such as not having nurses at every site, providers not utilizing after-visit summaries because they haven't finished notes, etc.

Just wondering if anyone has a robust "discharge" process they would be willing to share. Might be a good start for a gap analysis or a future state map.

------------------------------
Scott Kaye , PhD RN-BC CEN CPEN CCRN CJCP NPD-BC AMB-BC
Clinical Director
Bayside NY
(917)365-5839
scottpaulkaye@hotmail.com
------------------------------

Sent from my iPhone

Hi Scott,

Providers are responsible to sign orders, before checkout regardless of who is placing those orders in my state.

The provider can sign for those activities without completing note using our EMR (EPIC). Orders, referrals and medication review can then be added to AVS. Once signed it takes 2 additional "clicks" for the provider to place on AVS.

This said, I would expect initial pushback from the providers, change is never easy.

------------------------------
Lauren Leimbach BSN RN CWCA
Centrastate Med Ctr
Morganville NJ
(732)610-4583
------------------------------

Thank you! This is also helpful! Can I ask, in your locations who reviews this with the patient once generated?

I've been hearing from multiple institutions that the front desk staff generates the AVS. I imagine for some orders and referrals the front desk staff is capable of reviewing with the patient. But for some medications and orders, I imagine this is not ideal. 

Appreciate your response! 

------------------------------
Scott Kaye , PhD RN-BC CEN CPEN CCRN CJCP NPD-BC AMB-BC
Clinical Director
Bayside NY
(917)365-5839
scottpaulkaye@hotmail.com
------------------------------

Original Message:
Sent: 07-05-2024 09:56
From: Lauren Leimbach
Subject: Standard Discharge Process

Hi Scott,

Providers are responsible to sign orders, before checkout regardless of who is placing those orders in my state.

The provider can sign for those activities without completing note using our EMR (EPIC). Orders, referrals and medication review can then be added to AVS. Once signed it takes 2 additional "clicks" for the provider to place on AVS.

This said, I would expect initial pushback from the providers, change is never easy.

------------------------------
Lauren Leimbach BSN RN CWCA
Centrastate Med Ctr
Morganville NJ
(732)610-4583
------------------------------