#02 - Discharge Planning and Escalation Tile

May 14 · 08:46 min

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In this Episode:

The Discharge Planning Tile empowers rounding across the system by providing a fast way to review patients, log barriers to care progression, and update expected discharge dates. This helps drive down length-of-stay by improving rounding processes and communication across a care providers system


Hello and welcome to today's webinar, which will provide an overview of the Discharge or Transition Planning Tile. This Tile is in use at several hospitals and hospital systems across North America.

Now, the data that you'll see on the Tile today has been anonymized, but is representative of what you would normally see on the Tile. The purpose of this Tile is to help accelerate the progression of patients throughout their patient stay. And, it's particularly helpful as a tool to facilitate multidisciplinary rounds and nursing handoffs.

The Tile can help to reduce excess days by providing visibility on whether patients are receiving the care that they need, when they need it, throughout their stay. As with all of our Tiles, you'll access it through Tile Viewer by clicking on the Tile icon.

Now, before we dive deep into the Tile, I'd like to go over a few points of orientation. As with all of our Tiles on the top right, you'll see a legend icon, which you can click on to provide definitions of the different icons and variables that you'll see on the Tile. Next to that you'll see a gear icon which will bring up a settings pane, which will allow the user to configure the Tile to their specific needs. So for example, you can sort the Tile by any number of parameters.

You can also filter the Tile by a number of parameters. So for example, I can filter to a specific unit, I can filter to see all patients associated with a certain attending physician, I might filter to see all patients with an anticipated discharge date within the next few days, or perhaps I'm a care manager and I want to filter all patients who have one or more tasks associated with my department. In addition, you can save settings by clicking down here, which will save your configurator settings for the next time you return to the Tile.

Now in addition to that, there's also a quick search button at the top, which will allow you to search the Tile for a patient name, an MRN or encounter ID, a unit, a bed, or an attending physician. So if, for example, I'm a nurse manager preparing for rounds, I might search for my unit... which will bring up a convenient view of all of the patients on my unit, and allows for quick navigation between them.

Now let's click on a patient to take a closer look of what information is shown on the Tile. So this is the information associated with a patient, and starting over here on the far left, you'll see basic information such as the room and the bed that the patient is located in as well as their name, and you'll see their unit as well as their MRN or encounter ID. You'll see their date of birth or age, a little gender indicator, as well as indicators for their patient class and their current level of care. You'll see their attending physician, their payor, their diagnosis and their facility of origin.

Next to that information, you'll see a few icons which tell me important information about this patient. So for example, this icon indicates this patient is a readmission, and this one tells me that they're a fall risk. You could also click on a number of icons to bring up additional, contextual information in a hover.

Now, the next column over gives me important dates regarding this patient. So for example, it'll tell me their date of admission, and how long they've been in-hospital. It'll tell me their GMLOS, or Geometric Mean Length of Stay, so that I could track to that. It'll tell me their anticipated date of discharge and expected by care provider that's been entered into the system. And it'll also tell me the date and time of their discharge order if one has been entered by a provider into the system.

The next column over, removed for this demo, provides a disposition trajectory based off of a machine learning algorithm. So eight, would for example, tell me the most likely post-acute disposition for this patient, as well as the readmission risk likelihood for this patient.

Now, the next column over, shows me the selected disposition for this patient and it can pull this directly from the EMR. In the far right column, it shows me all the tasks that are pending for this patient so that I can track towards them to make sure that the patient is receiving the care that is outlined for them in their hospital directed care plan. So for example, this patient still requires arrangement of a transportation plan, as well as a post-discharge follow up appointment.

Now, where as these tasks are pulled directly from the EMR, I can also click on a patient, and edit and add additional details as well. So on the far left, as a provider, I can track what I believe to be the anticipated date of discharge for this patient. I can also add planned dispositions for this patient directly through the Tile. Over here, these are the tasks that you saw previously, and I can edit these tasks.

So if for example I believe a task has already been completed, I can mark it as such. And then over here on the far right, I can manually add additional tasks as well and these are organized by department.

So if for example during multidisciplinary rounds I don't have the time to enter an order, I can quickly enter a task directly through the Tile so that I can track towards it at a later date.

So if for example, I believe that this patient is going to require Home O2 Setup, as a provider, I can add that task directly through here. I can also add notes to that task to provide additional context for myself as well as other users. I can apply these changes and now you'll see that the Tile has added the anticipated date of discharge that a provider may have entered to the Tile for what they believe is the expected discharge date for this patient. It's also added the additional dispositions and tasks that have been added by a provider.

You'll see over here the blue tasks at the top, these are tasks that have flown directly through to the Tile from the EMR. And on the bottom beneath the gray line, you'll see the tasks that have been manually added for tracking through the Tile so that the user can easily distinguish between these two different types of tasks.

Now over here I want to quickly point out two additional important buttons.

There is an MD Present button over here, which many clients are using to track whether the attending physician is present at rounds for that patient or not. You'll also see an assist button over here, which will allow the user to escalate tasks for this patient to a departmental leader, or to mission control, or the command center if they need help with the completion of this task. So for example, if I want to escalate the discharge transportation plan arrangement for this patient because I need help doing so, I can escalate it to a department or to mission control.

I can also add an escalation comment for additional context, and save the escalation. And now you'll see that the assist button is red, indicating that a task has been escalated for this patient.

Now, in addition to the Discharge Planning Tile, there is also a Discharge Escalations Tile that shows all of the escalations. At the top over here, you can see escalations by facility, and this can also be configured to show escalations by unit, and I can quickly switch between facilities to see the escalations.

Now, each panel over here represents an escalation. So at the top you have patient details such as their name and their encounter ID as well as their location. And you can also see what specific task has been escalated. So this particular case, this patient needs help with post-discharge follow-up appointment arrangement. Down here. And this is the patient for whom we've just escalated the task.

Now as with the Discharge Planning Tile, this Tile is also configurable so that I can filter it by any number of parameters. So if for example I'm a care management director, I can filter to only those patients that have a care management associated... ...escalation, so that I can configure the Tile to a view that makes the most sense for me. You'll also notice over here that there's a little bell icon.

What this allows me to do is to snooze an escalation. If for example, I've dealt with an escalation and there's nothing further to do in the short term, I can snooze it. I can enter a quick snooze reason... ...and you'll see that once it's snoozed it automatically goes to the bottom of the list, and it's faded out to indicate that this has been temporarily snoozed. And that's an overview of the Discharge Planning and Discharge Escalation Tiles.

Again, these Tiles are used to ensure visibility to the progression of patients throughout their stay. They're particularly helpful as facilitation tools for multidisciplinary rounds or nursing handoffs and they're highly configurable to meet the needs of each specific user.

Thank you very much.

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