Result of a proactive overall function judgement

Abstract

A revision to the overall added judgement was completed to evaluate the actions taken in anticipation of care services after discharge from the acute care hospitals. In Hospital A, the 2008 version of late-stage elderly health care revision had not yet been incorporated, I theorized that the introduction of the overall function judgement will construct a more comprehensive pathway of care from pre-hospitalization to home care after discharge, giving better chance of early discharge and above all security and comfort to the patients and family care givers.

The aim was to contribute to the hospital management by increasing the overall judgement assessment number. A project team was set up for early introduction of the system to design methods for a certain and early discharge. System-building and evaluation was done through workshops and information sharing using flow charts. Once the project started, the after reports and check sheets were examined to identify problem points and necessary amendments were added with each case. As a result, problems in discharge support was identified and further changes were implemented. Additionally, the need for intervention by the medical social workers (MSW) and discharge nurse was clarified. By creating a patient data base of pre-hospitalization to family medical history through hearings with the patients and their family members, nurses' overall work load was also lessened. With the new opening of pre-hospitalization support center in November of 2014, it allowed us to familiarize with the patients beforehand and made it easier to anticipate the type of home care after discharge. The project enabled us to provide better discharge plans for the patients.