Boston Medical Center awarded grant to re-engineer hospital discharge

August 20, 2007

(Boston)-Researchers from Boston Medical Center (BMC) received a $1.2 million grant to benefit the ReEngineering Hospital Discharge program (RED) and Louise, a computerized workstation that electronically prepares discharge plans for patients. The two projects supported by the Agency for Healthcare Research and Quality and the National Heart, Lung, and Blood Institute/National Institute of Health will coincide with one another.

In a recent issue of the Journal of Patient Safety, Brian Jack, MD, the vice chair of family medicine at BMC, was featured in an article on how the nation's hospitals handle patient discharges. Jack, an associate professor of family medicine at BUSM, promoted RED, a checklist with 11 components that confirms patients are ready to be discharged. The objective is to reduce inappropriate readmissions, increase patient satisfaction, and promote primary care services in the community after a hospital stay. "Our goal is to decrease medical errors and adverse events after a hospital discharge, and ensure that patients are well-prepared when they leave the hospital," says Jack.

In the process of developing RED, a computerized animated character based on patient's needs and preferences was created. The character, known as Louise, determines the patients' understanding of self care, medication use, and the transition from hospital to ambulatory care.

Louise will converse with patients at the point of discharge, on a kiosk wheeled into the patient's room. "Our intent is to develop the technology and content to make it possible for Louise to interact with patients after discharge on a hand-held device, and on a kiosk in their primary care physician's office" says Jack.

The research funded will improve delivery, monitoring and updating of patient-centered health information to ensure patients have the information needed to make better health care decisions. Preliminary research shows that those who received these interventions were more likely to see a primary care doctor within 30 days of discharge; are prepared for discharge and their follow-up appointments; are more likely to understand their medications; and are less likely to visit an emergency department.

The National Quality Forum has endorsed the basics of Jack's research; having a ReEngineered Discharge system in place was listed as 1 of 30 practices that a hospital needs to be considered a safe institution.

Boston University

Related Health Articles from Brightsurf:

The mental health impact of pandemics for front line health care staff
New research shows the impact that pandemics have on the mental health of front-line health care staff.

Modifiable health risks linked to more than $730 billion in US health care costs
Modifiable health risks, such as obesity, high blood pressure, and smoking, were linked to over $730 billion in health care spending in the US in 2016, according to a study published in The Lancet Public Health.

New measure of social determinants of health may improve cardiovascular health assessment
The authors of this study developed a single risk score derived from multiple social determinants of health that predicts county-level cardiovascular disease mortality.

BU study: High deductible health plans are widening racial health gaps
The growing Black Lives Matter movement has brought more attention to the myriad structures that reinforce racial inequities, in everything from policing to hiring to maternal mortality.

Electronic health information exchange improves public health disease reporting
Disease tracking is an important area of focus for health departments in the midst of the COVID-19 pandemic.

E-health resource improves men's health behaviours with or without fitness facilities
Men who regularly used a free web resource made significantly more health changes than men who did not, finds a new study from the University of British Columbia and Intensions Consulting.

Mental health outcomes among health care workers during COVID-19 pandemic in Italy
Symptoms of posttraumatic stress disorder, depression, anxiety and insomnia among health care workers in Italy during the COVID-19 pandemic are reported in this observational study.

Mental health of health care workers in china in hospitals with patients with COVID-19
This survey study of almost 1,300 health care workers in China at 34 hospitals equipped with fever clinics or wards for patients with COVID-19 reports on their mental health outcomes, including symptoms of depression, anxiety, insomnia and distress.

Health records pin broad set of health risks on genetic premutation
Researchers from the University of Wisconsin-Madison and Marshfield Clinic have found that there may be a much broader health risk to carriers of the FMR1 premutation, with potentially dozens of clinical conditions that can be ascribed directly to carrying it.

Attitudes about health affect how older adults engage with negative health news
To get older adults to pay attention to important health information, preface it with the good news about their health.

Read More: Health News and Health Current Events is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to