AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits
Implementation Materials: Menu of Implementation Strategies
The Menu of Implementation Strategies lists potential ways facility teams may choose to integrate the preventable hospitalization/ED transfer reports into clinical practice. The menu provides possible uses for the reports with, in this case, a focus on averting preventable hospital and ED transfers.
Implementation strategies are developed to include multiple disciplines besides nursing, to promote the most effective use of the reports and improve communication across disciplines. Teams are encouraged to identify implementation strategies that may not be included on the list but are suited to integrate seamlessly into workflow at their facility.
The Preventable Hospital/ED Visits Menu of Implementation Strategies table below summarizes potential uses for each report, as described in each report section. Go to Tables 3, 5, 7, 9, and 11.
Preventable Hospital and ED Visits Menu of Implementation Strategies
Existing | New | |
---|---|---|
Transfer Risk Report – High Risk and Medium Risk | ||
1. Care plan meetings | ||
2. Dietary Department internal review | ||
3. Nurse shift change report | ||
4. Nursing leadership meeting | ||
5. Pharmacist medication review meeting | ||
6. Rehab Department internal review | ||
7. Weekly transfer risk meeting | ||
8. Weekly wound review meeting | ||
ED Treat and Release Report | ||
1. Care Plan Meetings | ||
2. Dietary Department internal review | ||
3. Nurse shift change report | ||
4. Nursing leadership meeting | ||
5. Pharmacist medication review meeting | ||
6. Rehab Department internal review | ||
7. Weekly transfer risk meeting | ||
8. Weekly wound review meeting | ||
Monthly Summary of Hospital Transfers by Facility or Unit Report | ||
1. Nursing leadership meeting | ||
2. Quality improvement review | ||
3. Root cause analysis for hospital admissions/ED visits | ||
Monthly Summary of Hospital Transfers by Provider | ||
1. Nursing leadership meeting | ||
2. Root cause analysis for hospital admissions/ED visits | ||
Key Metrics Trend Report | ||
1. Nursing leadership meeting | ||
2. Quality improvement review | ||
3. Root cause analysis for hospital admissions/ED visits |
Next Item: Implementation Steps and Timeline