Roles of the Multidisciplinary Team in Discharge Planning from Hospital: Difference between revisions

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== Introduction ==
== Introduction ==
Successful [[Discharge Planning|discharge planning]] has positive implications for patients and healthcare staff.  It reduces the hospital readmission rate at 1 and 3 months, reduces length of stay in hospital, increases the chance of patients returning to the same hospital, increases patient satisfaction and improves patient flow through the hospital.<ref>Henke RM, Karaca Z, Jackson P, Marder WD, Wong HS. [https://pubmed.ncbi.nlm.nih.gov/27147642/ Discharge Planning and Hospital Readmissions]. Med Care Res Rev. 2017 Jun;74(3):345-368</ref> <ref>Gonçalves-Bradley DC, Lannin NA, Clemson LM, Cameron ID, Shepperd S. [https://pubmed.ncbi.nlm.nih.gov/26816297/ Discharge planning from hospital]. Cochrane Database Syst Rev. 2016 Jan 27;2016(1)</ref>  This reduces the risk of elective procedures being cancelled or patient being held in emergency departments or waiting in corridors.<ref name=":0">Ibrahim H, Harhara T, Athar S, Nair SC, Kamour AM. [https://www.dovepress.com/multi-disciplinary-discharge-coordination-team-to-overcome-discharge-b-peer-reviewed-fulltext-article-RMHP Multi-Disciplinary Discharge Coordination Team to Overcome Discharge Barriers and Address the Risk of Delayed Discharges]. Risk Manag Healthc Policy. 2022 Feb 2;15:141-149.</ref> Moreover, by reducing length of stay in hospital there is reduced the risk of [[Hospital Acquired Pneumonia|hospital acquired infections]], medication errors, [[Thrombosis|thrombotic events]], [[Pressure Ulcers|pressure ulcers]], cognitive or functional decline.<ref name=":0" />


== Sub Heading 2 ==
[[Multidisciplinary Team|Multidisciplinary]] collaboration promotes effective discharge planning.<ref>Patel H, Yirdaw E, Yu A, Slater L, Perica K, Pierce RG, Amaro C, Jones CD. [https://pubmed.ncbi.nlm.nih.gov/30688821/ Improving Early Discharge Using a Team-Based Structure for Discharge Multidisciplinary Rounds]. Prof Case Manag. 2019 Mar/Apr;24(2):83-89.</ref>  In order to have successful multidisciplinary team (MDT) discharge planning, there needs to be communication, coordination and collaboration between MDT members, understanding each disciplines roles, as well as patient involvement.<ref>Carroll A, Dowling M. [https://pubmed.ncbi.nlm.nih.gov/17851351/ Discharge planning: communication, education and patient participation.] Br J Nurs. 2007 Jul 26-Aug 8;16(14):882-6</ref>


== Sub Heading 3 ==
== Roles of the Multidisciplinary Team ==
 
==== Physiotherapist ====
 
* Identifying current physical and mobility status. <ref name=":1">Jette DU, Grover L, Keck CP. [https://pubmed.ncbi.nlm.nih.gov/12620087/ A qualitative study of clinical decision making in recommending discharge placement from the acute care setting]. Phys Ther. 2003 Mar;83(3):224-36</ref>
* Ascertaining patients goals. <ref name=":1" />
* Collecting patients social history and home set up.<ref name=":1" />
* Creating ongoing treatment plan. <ref name=":2">Wright JR, Koch-Hanes T, Cortney C, Lutjens K, Raines K, Shan G, Young D. [https://pubmed.ncbi.nlm.nih.gov/34935968/ Planning for Safe Hospital Discharge by Identifying Patients Likely to Fall After Discharge]. Phys Ther. 2022 Feb 1;102(2)</ref>
* Management advice. <ref name=":2" />
* Equipment prescription and provision.<ref>WellChild. Appendix B1: Discharge Checklist: child/young person with complex needs/NIV. Available from: https://www.wellchild.org.uk/wp-content/uploads/2021/07/Appendix-B1-Discharge-Checklist-CYP-with-complex-needs-NIV.pdf (Accessed 28/08/22)</ref>
* Balance and falls assessment and onwards referrals.<ref name=":2" />
* Participate in family meetings.<ref>Waring J, Marshall F, Bishop S, et al. An ethnographic study of knowledge sharing across the boundaries between care processes, services and organisations: the contributions to ‘safe’ hospital discharge. Southampton (UK): NIHR Journals Library; 2014 Sep. (Health Services and Delivery Research, No. 2.29.) Chapter 4, Discharge planning and care transition. Available from: https://www.ncbi.nlm.nih.gov/books/NBK259993/
 
</ref>
* Training for families or carers. <ref name=":3">East London Health & Care Partnership. Roles and responsibilities in discharge planning. xAvailable from:https://www.eastlondonhcp.nhs.uk/downloads/ourplans/Children/Professionals/Discharge%20roles%20and%20responsibilities.pdf (Accessed 28/08/22)</ref>
* Community referrals.<ref name=":3" />


== Resources  ==
== Resources  ==

Revision as of 15:54, 28 August 2022

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Introduction[edit | edit source]

Successful discharge planning has positive implications for patients and healthcare staff.  It reduces the hospital readmission rate at 1 and 3 months, reduces length of stay in hospital, increases the chance of patients returning to the same hospital, increases patient satisfaction and improves patient flow through the hospital.[1] [2]  This reduces the risk of elective procedures being cancelled or patient being held in emergency departments or waiting in corridors.[3] Moreover, by reducing length of stay in hospital there is reduced the risk of hospital acquired infections, medication errors, thrombotic events, pressure ulcers, cognitive or functional decline.[3]

Multidisciplinary collaboration promotes effective discharge planning.[4]  In order to have successful multidisciplinary team (MDT) discharge planning, there needs to be communication, coordination and collaboration between MDT members, understanding each disciplines roles, as well as patient involvement.[5]

Roles of the Multidisciplinary Team[edit | edit source]

Physiotherapist[edit | edit source]

  • Identifying current physical and mobility status. [6]
  • Ascertaining patients goals. [6]
  • Collecting patients social history and home set up.[6]
  • Creating ongoing treatment plan. [7]
  • Management advice. [7]
  • Equipment prescription and provision.[8]
  • Balance and falls assessment and onwards referrals.[7]
  • Participate in family meetings.[9]
  • Training for families or carers. [10]
  • Community referrals.[10]

Resources[edit | edit source]

  • bulleted list
  • x

or

  1. numbered list
  2. x

References[edit | edit source]

  1. ↑ Henke RM, Karaca Z, Jackson P, Marder WD, Wong HS. Discharge Planning and Hospital Readmissions. Med Care Res Rev. 2017 Jun;74(3):345-368
  2. ↑ Gonçalves-Bradley DC, Lannin NA, Clemson LM, Cameron ID, Shepperd S. Discharge planning from hospital. Cochrane Database Syst Rev. 2016 Jan 27;2016(1)
  3. ↑ 3.0 3.1 Ibrahim H, Harhara T, Athar S, Nair SC, Kamour AM. Multi-Disciplinary Discharge Coordination Team to Overcome Discharge Barriers and Address the Risk of Delayed Discharges. Risk Manag Healthc Policy. 2022 Feb 2;15:141-149.
  4. ↑ Patel H, Yirdaw E, Yu A, Slater L, Perica K, Pierce RG, Amaro C, Jones CD. Improving Early Discharge Using a Team-Based Structure for Discharge Multidisciplinary Rounds. Prof Case Manag. 2019 Mar/Apr;24(2):83-89.
  5. ↑ Carroll A, Dowling M. Discharge planning: communication, education and patient participation. Br J Nurs. 2007 Jul 26-Aug 8;16(14):882-6
  6. ↑ 6.0 6.1 6.2 Jette DU, Grover L, Keck CP. A qualitative study of clinical decision making in recommending discharge placement from the acute care setting. Phys Ther. 2003 Mar;83(3):224-36
  7. ↑ 7.0 7.1 7.2 Wright JR, Koch-Hanes T, Cortney C, Lutjens K, Raines K, Shan G, Young D. Planning for Safe Hospital Discharge by Identifying Patients Likely to Fall After Discharge. Phys Ther. 2022 Feb 1;102(2)
  8. ↑ WellChild. Appendix B1: Discharge Checklist: child/young person with complex needs/NIV. Available from: https://www.wellchild.org.uk/wp-content/uploads/2021/07/Appendix-B1-Discharge-Checklist-CYP-with-complex-needs-NIV.pdf (Accessed 28/08/22)
  9. ↑ Waring J, Marshall F, Bishop S, et al. An ethnographic study of knowledge sharing across the boundaries between care processes, services and organisations: the contributions to ‘safe’ hospital discharge. Southampton (UK): NIHR Journals Library; 2014 Sep. (Health Services and Delivery Research, No. 2.29.) Chapter 4, Discharge planning and care transition. Available from: https://www.ncbi.nlm.nih.gov/books/NBK259993/
  10. ↑ 10.0 10.1 East London Health & Care Partnership. Roles and responsibilities in discharge planning. xAvailable from:https://www.eastlondonhcp.nhs.uk/downloads/ourplans/Children/Professionals/Discharge%20roles%20and%20responsibilities.pdf (Accessed 28/08/22)
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