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Inclusive Patient Discharge
Select an example that demonstrates collaboration with others to solve a problem in a healthcare delivery setting to improve patient outcomes. The collaborative solution must incorporate diversity, equity, and inclusion.
- Describe the problem, including the healthcare delivery setting and impact on patient outcomes.
- Explain the collaborative solution, including the people involved and the improvement in patient outcomes.
- Describe how diversity, equity, and inclusion were incorporated into the collaborative solution.
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Answer
Example of Collaboration in a Healthcare Delivery Setting: Improving Patient Outcomes Through Multidisciplinary Discharge Planning
Description of the Problem
In a large urban hospital setting, patients with congestive heart failure (CHF) were frequently being readmitted within 30 days of discharge, impacting both patient outcomes and hospital resources. Studies have shown that readmission rates for CHF patients are often associated with inadequate discharge planning and lack of follow-up support (American Heart Association, 2022). These readmissions contributed to poor patient experiences, worsened health outcomes, and increased healthcare costs. Addressing this issue required a comprehensive solution that could improve patient outcomes by reducing readmissions. Inclusive Patient Discharge
Collaborative Solution
To address the high readmission rates, a multidisciplinary team was assembled to develop a collaborative discharge planning program specifically tailored for CHF patients. This team included nurses, social workers, pharmacists, primary care physicians, cardiologists, and case managers, all working together to create individualized discharge plans for each patient. Inclusive Patient Discharge
The solution involved several key components:
- Individualized Discharge Plans: The team developed customized discharge plans that accounted for the patient’s unique medical, social, and psychological needs.
- Follow-Up Care Coordination: A case manager coordinated follow-up appointments and communicated with primary care providers to ensure continuity of care after discharge.
- Medication Management: Pharmacists reviewed and simplified medication regimens, provided education to the patient, and scheduled follow-up calls to monitor adherence.
- Patient and Family Education: Nurses provided education on managing CHF symptoms, dietary recommendations, and recognizing signs of worsening conditions.
Improvement in Patient Outcomes
This collaborative approach resulted in a significant reduction in 30-day readmission rates for CHF patients at the hospital. Patients reported feeling more confident in managing their condition and experienced fewer complications post-discharge. Improved coordination of…