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Project RED The Re-Engineered Discharge
JCR’s AHRQ-funded Project
August 2010
Deborah Nadzam
Susan Whitehurst
Project RED ChecklistEleven mutually reinforcing components:
1. Medication reconciliation 2. Reconcile discharge plan with national guidelines 3. Follow-up appointments 4. Outstanding tests 5. Post-discharge services 6. Written discharge plan 7. What to do if problem arises 8. Patient education 9. Assess patient understanding10. Discharge summary sent to PCP11. Telephone reinforcement
Adopted by
National Quality Forum
as one of 30 US
"Safe Practices" (SP-15)
11 RED Components Enable 11 RED Components Enable Discharge Advocates to:Discharge Advocates to:
Prepare patients for hospital discharge
Help patients safely transition from hospital to home
Promote patient self-health management
Support patients after discharge through follow-up phone call
Project Expectations
Secure executive sponsorship Assign project team and project leader Identify targeted population of patients* Determine approach for generating After
Hospital Care Plan (ACHP)* Identify discharge advocate(s) and staff
to make post-discharge phone calls Participate in focus group conference call
Project Expectations cont’d
Participate in training Schedule bi-weekly consulting calls with
assigned JCR consultant Provide data to JCR re: readmission,
ALOS Participate in all-site web conference
discussions Participate in case-study interviews
Current Status
30 participants– Proceeding with training and implementing
20 more expected to enroll Possible additional AHRQ funding to
support 75 more hospitals
Project RED Training
Course designed and available to participants via JCR’s BlackBoard
Recorded webinars, with homework!– Module 1 – Designing a strong PI program
– Module 2 – Operationalizing Project RED (A)
– Module 3 – Operationalizing Project RED (B)
Live Module 4 – content and open discussion Several handouts and tools
After Hospital Care Plan
Ready for Project RED?
Next Steps– Secure leadership commitment
– Identify targeted populations to begin
– Determine approach for developing After Hospital Care Plan
– Identify staff: Project Leader, Project Team, Discharge Advocate(s)
Identify Targeted Patient Population
Start small! Approaches to consider
– Specific patient care unit
– Diagnostic group
– Physician’s patient group
– Combination of above
Also– English-speaking patients
– Discharged home
– Access to telephone
Developing the Patient’s Care Plan
Accessing the care plan template
Accessing information for the care plan
Saving individual patient’s care plan
Printing the care plan Storing the care plan
– Permanent part of the patient record?
Care Plan Development
Generating the AHCP
“Manual” – use of template for discharge advocate (DA) to enter all required data
www.ahrq.gov/qual/goinghomeguide.htm Provide template to your IT department
and request that they integrate with existing systems
Purchase software and integrate it with your existing systems
To participate in JCR’s AHRQ-funded project focused on
Project RED
Contact Deborah Nadzam
630-261-5048
