As part of our documentation quality improvement initiative, we promote practical ways for clinicians to provide clear and actionable communication at transitions of care.
Preparing for discharge begins at admission. Some admissions are straightforward, with dates and dispositions unfolding as expected. Others are complex and require coordinated multidisciplinary planning to facilitate safe transitions.
Connect Care provides a new set of integrated supports that can help clinicians with complex discharges, while improving communication with healthcare providers for all discharges. These tools comprise a "transitions planning package" that includes:
- Improved Admission and Discharge Navigators
- Expected Discharge Date (EDD Management) tools
- Daily Checklists
- Rapid Rounds Lists and Reports
- Transition Planning Sidebars
- Transition Planning Documentation blocks
- LACE Readmission Index calculations and recommendations
- Provincial Standardized Discharge and Transfer Summaries
- Communications to Electronic Health Record (Netcare) and Electronic Medical Records (eDelivery)
The next series of BBHR postings will focus on transition planning tools, highlighting how they work with tips, guides and demonstrations.