Table 4.
Universal Discharge Component | Description |
---|---|
A. Medication reconciliation performed on the date of discharge | Medication reconciliation marked as complete and/or a pharmacist note documenting medication reconciliation in the electronic health record. |
B. Medication education provided to patient on date of discharge | Educational materials specific to a class of medications, a specific medication, or device (e.g., respiratory inhaler, oxygen equipment) provided to patient and/or pharmacist note documenting the education in the electronic health record. |
C. Education on diagnosis, prognosis, self-care requirements, or procedures provided to patient on the date of discharge | Educational materials for any medical conditions listed in the discharge summary is documented in the electronic health record's Patient Education Note. |
D. Disease management education provided to patient on the date of discharge | Instructions about how to seek additional care in case of clinical deterioration, or specific to the patient's medical condition recorded in the electronic health record. |
E. Structured Discharge Summary completed upon hospital discharge: | Discharge summary recorded as finalized by the attending physician in the electronic health record within two [2] business days of hospital discharge. |
F. Phone contact attempted within two business days post discharge with patient or caregiver. | Call attempt documented in the electronic health record as successful or unsuccessful within two [2] business days after hospital discharge. |
G. Follow-up appointment within seven days of hospital discharge is specified in discharge instructions | Appointment information (at a minimum: location, date, time) in the electronic health record with at least one provider scheduled for seven or fewer days after hospital discharge; the provider location could be outside of the index hospital-affiliated clinics. |
H. Discharge instructions provided to patient on the date of discharge | Documentation in the electronic health record that discharge instructions were provided to patient on the same date as discharge. |
Footer: Study staff masked to treatment group assignment reviewed the electronic health record for all study participants to assess the presence or absence of each discharge component (see Methods for details).