A Comprehensive Discharge Approach for the Elderly in Psychiatric Settings

Abstract

The financial state of hospitals is negatively impacted by the burdens of patients returning to the hospital setting due to unresolved issues upon discharge. The elderly population is identified as one of the highest utilizers of care contributing to a significant burden in our healthcare systems. This vulnerable group requires an extensive of services while in the hospital to ensure their success upon discharge. A comprehensive approach to the discharge process begins on the day of admission, continues throughout the course of hospitalisation, and at the time of discharge. This plan includes: (a) identifying and preparing for a patient??s anticipated healthcare needs, (b) implementing a patient-centered approach that meets the individual needs of the patient, (c) assessing and recommending plans of care from the multidisciplinary team members, (d) providing education and support to patient, family, and caregiver(s), and (e) actively engaging the patient, family, and caregiver(s) in the process. The goal of this project is to integrate a comprehensive discharge process that will result in a decrease rate of recidivism among the elderly patients hospitalised in psychiatric units. It is also expected that hospitals that provide a comprehensive discharge approach to this population will not only achieve a reduction in financial spending but also improvements in patients?? satisfaction scores from their hospital experience. With the implementation of this performance improvement project, the cost is expected to range between $18,732.00- $26,760.00 in potential savings, promoting financial stability, and gains to the organisation.

KEYWORDS: elderly patients, healthcare, patient discharge, psychiatric