eDischarge
New SFGH electronic discharge process:
Medication Reconciliation
E-Prescribing
Electronic PDP (Provider Discharge Plan) and summary
Electronic Discharge Instructions
Why go from paper to electronic?
• Enhance consistency of discharge process & efficiency (using LEAN principles)
• Improve transitions of care, increase data portability (HIE)
• Comply with federal mandate from CMS (ACA and JC)
• Improve patient experience (legibility, comprehensiveness of documentation)
When/Where:
• April 29 th house-wide rollout
• All med surg units affected (4B, 4D, 5A, 5C, 5D, 6A adult patients, 7D)
• Home med collection begins in ED
• ePDP/Discharge Instructions print on med/surg units
• ePrescriptions delivered to Discharge Pharmacy and community Pharmacies
• Providers complete all aspects of discharge process electronically, independent of location
What:
• Medication Reconciliation
• Electronic Prescribing
• ePDP
• Electronic Discharge Instructions
Medication Reconciliation + ePrescribing:
Highlights
• Home Med collection by Pharm Techs, Nursing, Provider Superusers
• Enforced Meds reconciliation on admission, discharge
• Meds autopopulate discharge instructions, discharge summary
• New capability of electronic transmission to pharmacies
• Meds to start, meds to stop are clearly indicated
• Integrates into Care transition document
ePDP:
Highlights
• PDP + Discharge Summary = ePDP
• Enforces required elements by regulatory
• Standardized discharge summary per Transitions Care Committee recommendations
• Permits providers to complete Discharge Summary after discharge
• Automatically notify PCP of DC, who to contact w/ questions
Electronic Discharge Instructions:
Highlights
• Comprehensive document generated for the patient with a clear postdischarge plan of care
• Multidisciplinary document (Provider, SW, Nurse)
• Templated selections (efficiency) + customizations
• Auto-generates for patient: Excused from/Return to work letter , Lab Recs
Questions?
• Help site at http://tiny.ucsf.edu/edischarge
• Contact
• Seth Goldman MD , aCMIO
• Dave Smith, PharmD
• Shobha Sadasivaiah MD, Hospitalist
