Implementing PODS (Patient Oriented Discharge Summary) in an acute medical urban health setting in Vancouver, Canada

The transition from hospital to home or community is a vulnerable time for patients and families, who face risks associated with misunderstanding instructions about medications, self-monitoring and when to seek emergency care. The quality of the discharge process can have a significant impact on pat...

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Autores principales:	Agnes Black, Suzanne Nixon, MacLeod Meghan, Christine Wallsworth, Lena Cuthbertson, Beena Parappilly, Jay MacDonald, Kate McNamee, Cheryl Prinzen
Formato:	article
Lenguaje:	EN
Publicado:	The Beryl Institute 2021
Materias:	patient experience discharge planning unplanned readmission co-design pods Medicine (General) R5-920 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/cc77db882a1e4469b0b5935a46a151ec
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spelling	oai:doaj.org-article:cc77db882a1e4469b0b5935a46a151ec2021-11-15T04:34:02ZImplementing PODS (Patient Oriented Discharge Summary) in an acute medical urban health setting in Vancouver, Canada2372-0247https://doaj.org/article/cc77db882a1e4469b0b5935a46a151ec2021-11-01T00:00:00Zhttps://pxjournal.org/journal/vol8/iss3/13https://doaj.org/toc/2372-0247The transition from hospital to home or community is a vulnerable time for patients and families, who face risks associated with misunderstanding instructions about medications, self-monitoring and when to seek emergency care. The quality of the discharge process can have a significant impact on patient confidence, overall patient experience, ability to manage health at home, and hospital readmission rates. Patient Oriented Discharge Summary (PODS) is a standardized form and set of process changes, utilized to overcome communication barriers faced at discharge. We implemented PODS in two Acute Medicine units of a tertiary care hospital in western Canada and used a mixed-methods approach to evaluate the four process changes (PODS form, use of teach-back, engagement of caregivers in discharge teaching, follow-up phone calls). Evaluation showed that 60% of patients received PODS and 87% found the form helpful. There was a large increase in the percentage of patients who felt adequately prepared at the time of discharge, and a 10% increase in the number of patients who rated their overall hospital experience positively. Healthcare providers reported that using PODS they were more confident that patients were adequately prepared to return home. The update of PODS on the implementation units has been sustained at 60% for 18 months. Implementation of the PODS form and process can be accomplished with an interdisciplinary team, leadership support and by working closely with Patient Family Partners. PODS can improve the discharge process even in the complex urban acute medical environment in ways that offer wide-reaching benefits. <strong>Experience Framework</strong> This article is associated with the Quality & Clinical Excellence lens of The Beryl Institute Experience Framework (<a href="https://www.theberylinstitute.org/ExperienceFramework">https://www.theberylinstitute.org/ExperienceFramework</a>). <ul> <li><a href="https://www.theberylinstitute.org/page/PXSEARCH#resource-list-all/?view_28_page=1&view_28_filters=%5B%7B%22field%22%3A%22field_38%22%2C%22operator%22%3A%22in%22%2C%22value%22%3A%5B%22PXJ%20Article%22%5D%7D%2C%7B%22field%22%3A%22field_20%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%2C%7B%22field%22%3A%22field_40%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%2C%22Quality%20%26%20Clinical%20Excellence%22%5D%7D%2C%7B%22field%22%3A%22field_41%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%5D">Access other PXJ articles</a> related to this lens.</li> <li><a href="https://www.theberylinstitute.org/page/Ecosystem-QualityClinicalExcellence">Access other resources</a> related to this lens.</li> </ul>Agnes BlackSuzanne NixonMacLeod MeghanChristine WallsworthLena CuthbertsonBeena ParappillyJay MacDonaldKate McNameeCheryl PrinzenThe Beryl Institutearticlepatient experiencedischarge planningunplanned readmissionco-designpodsMedicine (General)R5-920Public aspects of medicineRA1-1270ENPatient Experience Journal (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	patient experience discharge planning unplanned readmission co-design pods Medicine (General) R5-920 Public aspects of medicine RA1-1270
spellingShingle	patient experience discharge planning unplanned readmission co-design pods Medicine (General) R5-920 Public aspects of medicine RA1-1270 Agnes Black Suzanne Nixon MacLeod Meghan Christine Wallsworth Lena Cuthbertson Beena Parappilly Jay MacDonald Kate McNamee Cheryl Prinzen Implementing PODS (Patient Oriented Discharge Summary) in an acute medical urban health setting in Vancouver, Canada
description	The transition from hospital to home or community is a vulnerable time for patients and families, who face risks associated with misunderstanding instructions about medications, self-monitoring and when to seek emergency care. The quality of the discharge process can have a significant impact on patient confidence, overall patient experience, ability to manage health at home, and hospital readmission rates. Patient Oriented Discharge Summary (PODS) is a standardized form and set of process changes, utilized to overcome communication barriers faced at discharge. We implemented PODS in two Acute Medicine units of a tertiary care hospital in western Canada and used a mixed-methods approach to evaluate the four process changes (PODS form, use of teach-back, engagement of caregivers in discharge teaching, follow-up phone calls). Evaluation showed that 60% of patients received PODS and 87% found the form helpful. There was a large increase in the percentage of patients who felt adequately prepared at the time of discharge, and a 10% increase in the number of patients who rated their overall hospital experience positively. Healthcare providers reported that using PODS they were more confident that patients were adequately prepared to return home. The update of PODS on the implementation units has been sustained at 60% for 18 months. Implementation of the PODS form and process can be accomplished with an interdisciplinary team, leadership support and by working closely with Patient Family Partners. PODS can improve the discharge process even in the complex urban acute medical environment in ways that offer wide-reaching benefits. <strong>Experience Framework</strong> This article is associated with the Quality & Clinical Excellence lens of The Beryl Institute Experience Framework (<a href="https://www.theberylinstitute.org/ExperienceFramework">https://www.theberylinstitute.org/ExperienceFramework</a>). <ul> <li><a href="https://www.theberylinstitute.org/page/PXSEARCH#resource-list-all/?view_28_page=1&view_28_filters=%5B%7B%22field%22%3A%22field_38%22%2C%22operator%22%3A%22in%22%2C%22value%22%3A%5B%22PXJ%20Article%22%5D%7D%2C%7B%22field%22%3A%22field_20%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%2C%7B%22field%22%3A%22field_40%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%2C%22Quality%20%26%20Clinical%20Excellence%22%5D%7D%2C%7B%22field%22%3A%22field_41%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%5D">Access other PXJ articles</a> related to this lens.</li> <li><a href="https://www.theberylinstitute.org/page/Ecosystem-QualityClinicalExcellence">Access other resources</a> related to this lens.</li> </ul>
format	article
author	Agnes Black Suzanne Nixon MacLeod Meghan Christine Wallsworth Lena Cuthbertson Beena Parappilly Jay MacDonald Kate McNamee Cheryl Prinzen
author_facet	Agnes Black Suzanne Nixon MacLeod Meghan Christine Wallsworth Lena Cuthbertson Beena Parappilly Jay MacDonald Kate McNamee Cheryl Prinzen
author_sort	Agnes Black
title	Implementing PODS (Patient Oriented Discharge Summary) in an acute medical urban health setting in Vancouver, Canada
title_short	Implementing PODS (Patient Oriented Discharge Summary) in an acute medical urban health setting in Vancouver, Canada
title_full	Implementing PODS (Patient Oriented Discharge Summary) in an acute medical urban health setting in Vancouver, Canada
title_fullStr	Implementing PODS (Patient Oriented Discharge Summary) in an acute medical urban health setting in Vancouver, Canada
title_full_unstemmed	Implementing PODS (Patient Oriented Discharge Summary) in an acute medical urban health setting in Vancouver, Canada
title_sort	implementing pods (patient oriented discharge summary) in an acute medical urban health setting in vancouver, canada
publisher	The Beryl Institute
publishDate	2021
url	https://doaj.org/article/cc77db882a1e4469b0b5935a46a151ec
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Implementing PODS (Patient Oriented Discharge Summary) in an acute medical urban health setting in Vancouver, Canada

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