Abstract
To integrate and make full use of medical data effectively, we constructed the computerized discharge planning management system which was retrieved from the data warehouse. The computerized management system consisted of four stages--clinical assessments, planning, scheduling, and tracking. The risk evaluation for discharge planning was standardized and enrolled in the basic patient profiles in the electrical medical records. Responsible nurses for discharge planning were selected the intervention cases from the clinical assessments, which composed of the stability of the diseases, physical conditions, and activities of daily life. The discharge planning was normalized to clarify the problems and the current challenges for hospital discharge by inter professional works. We clarified the effect of the computerized discharge planning management on the length of stay. The number of patients more than 50 days in hospital stays was significantly reduced after introducing the system. The utilization ratio of the normalized planning had improved significantly among each half-yearly (respectively, 8.7%, 59.2%, 76.8%, p<0.0001). As the standard planning ratio was increasing, conferences and medical social worker consulting were held more early, and the length of stay was also significantly shortened (67.0±51.2, 45.4±32.7, 39.5±28.2, respectively, p<0.05).
The discharge planning management system could lead to early implementation of discharge planning conferences and be resulted to decrease long-term inpatients.
