Discharge
SHM Acute Coronary Syndrome (ACS) Discharge Planning Checklist
Developed by the ACS Discharge Workgroup, this checklist includes a list of elements critical to the transition of ACS patient from the inpatient setting. This checklist was inspired by the original SHM Discharge Planning Checklist which focuses on the discharge transition for the aging patient and the SHM Heart Failure Specific Discharge Checklist. Two versions of the checklist are available for download. The first is formatted for immediate use. The second is in a format which can be tailored to fit the specific needs and procedures of your institution.
View the Formatted SHM ACS Discharge Planning Checklist.
View the Modifiable SHM ACS Discharge Planning Checklist.
Healthcare Provider ACS Patient/Caregiver Education Reference Guide
Developed by the ACS Discharge & Transitions Workgroup this reference guide includes a list of key points that need to be communicated to the patient and or the caregiver upon discharge. Two versions of the reference guide are available for download. The first is formatted for immediate use. The second is in a format which can be tailored to fit the specific needs and procedures of your institution.
View the Formatted SHM ACS Education Reference Guide.
View the Modifiable SHM ACS Education Reference Guide.
Baptist Hospital of Miami, AMI Discharge Order Sheet
The AMI Discharge Order Sheet, courtesy of Tom Villanueva, MD is the form used at Baptist Hospital of Miami. This form is used to remind physicians of the standard discharge instructions and required Core Measures. Smoking cessation and follow-up cholesterol check ups are also reminded.
View the Baptist Hospital of Miami AMI Discharge Order Sheet.
Sutter Medical Center, Sacramento, California, Acute Coronary Syndrome Discharge Summary
The Sutter Medical Center website has made available ACS pre-printed orders and hospital forms via their website. These forms focus on the ACS core measures and include an Acute Coronary Syndrome Discharge Summary.
View the Sutter Medical Center Discharge Summary.
The American Heart Association (AHA) Get with the Guidelines (GWTG)
The AHA GWTG site provides Discharge Orders, Discharge Instructions, Post Discharge Medication Tools via the GWTG site.
View the Discharge Pathways via the AHA GWTG site.
Presbyterian Hospitals, NC, Cardiac Discharge Instructions
Courtesy of John E Gardella, MD FCCP, the Cardiac Discharge Instructions authored by Cathy Rabb RRT-RCP Manager - CV Outcomes, was implemented at Presbyterian Hospital - Charlotte, NC, Matthews, NC and Huntersville, NC in late May 2005. The hospital system is a not-for-profit group of community hospitals in western North Carolina affiliated with Novant Health. The main hospital is 500+ beds with the smallest being 50 beds.
Purpose of the Tool:
- To improve education for the cardiac patient at the time of discharge
- To address all relevant quality indicators
Key Advantages Using this Tool:
- Assures that all necessary information is transmitted to the patient at discharge
- Addresses all the cardiac CMS quality indicators
- Received kudos from Joint Commission during their survey
Tips on Using this Tool:
- Place the form on the chart of all patients who might be coded as HF
- Consider carbons so that the form can be filled out in triplicate - one for the patient, a second for the MD, and a final copy for the chart
Important Pitfalls:
- There was concern from some physicians and staff that some of the terminology used is too much for patients. Some MDs commented that the form is more "core measure friendly" than "patient friendly"
- The form refers to Presbyterian Hospital resources (e.g. the "Living with Heart Failure" book). Other institutions will therefore need to modify the form
Resources Used to Develop Tool:
- HF and AMI Best Practice Teams (includes physicians) as well as a subcommittee of bedside nurses
View the Cardiac Discharge Instructions (Presbyterian Hospitals, North Carolina).
UCLA Medical Center, CHAMP Discharge Checklist
UCLA Medical Center has made available their CHAMP Discharge Checklist. This Checklist and other clinical tools can be found on the UCLA Medical Center CHAMP website.
To download the tools and find out how you can become involved in the Cardiovascular Hospitalization Atherosclerosis Management Program (CHAMP):
View the UCLA CHAMP website.
Boston Medical Center, General Medication Calendar
Submitted and authored by Lindsay M. Arnold, Pharm.D., BCPS the General Medication Calendar was implemented in September of 2005 at Boston Medical Center a 547-bed academic, inner-city medical center. The format of the tool is paper based, medications & instructions are typed out and provided to patients prior to discharge.
Key Advantages Using this Tool:
- Provides the patient with a centralized medication list that can easily be posted at home, separate from other discharge instructions
- Provides the patient with a list they can bring to a primary care appointment to discuss and update with changes
- Provides space for additional comments about specific medications, ie take with food, take one hour before meals, etc.
- Provides more specific time options for patients on a more complex medication regimen
Tips on Using this Tool:
- Should be provided in conjunction with verbal education
- Should be provided enough time prior to discharge to allow patient to review and have time for questions
Important Pitfalls:
- May be time intensive as it cannot be linked to current medication list in CPOE system, so all medications are typed out individually
- Currently limited to English, or the languages of the provider
Resources Used to Develop Tool:
- Clinical experience, feedback from patients
View the General Medication Calendar
Boston Medical Center, Medication Calendar - Around the Clock
Submitted and authored by Lindsay M. Arnold, Pharm.D., BCPS and Gail Burniskie, Pharm.D., BCPS, the medication calendar-Around the Clock, was implemented in September 2005 at Boston Medical Center a 547-bed academic, inner-city medical center. The format of the tool is paper based, medications & instructions are typed out and provided to patients prior to discharge.
Key Advantages Using this Tool:
- Provides the patient with a centralized medication list that can easily be posted at home, separate from other discharge instructions
- Provides the patient with a list they can bring to a primary care appointment to discuss and update with changes
Tips on Using this Tool:
- Should be provided in conjunction with verbal education
- Should be provided enough time prior to discharge to allow patient to review and have time for questions
Important Pitfalls:
- May be time intensive as it cannot be linked to current medication list in CPOE system, so all medications are typed out individually
- Currently limited to English, or the languages of the provider
Resources Used to Develop Tool:
- Clinical experience, feedback from patients
View the Medication Calendar - Around the Clock.
Boston Medical Center, Medication Calendar-As Needed Medications
Submitted and authored by Lindsay M. Arnold, Pharm.D., BCPS and Gail Burniskie, Pharm.D., BCPS, the medication calendar-Around the Clock, was implemented in September 2005 at Boston Medical Center a 547-bed academic, inner-city medical center. The format of the tool is paper based, medications & instructions are typed out and provided to patients prior to discharge.
Key Advantages Using this Tool:
- Provides the patient with a centralized medication list that can easily be posted at home, separate from other discharge instructions
- Provides the patient with a list they can bring to a primary care appointment to discuss and update with changes
Tips on Using this Tool:
- Should be provided in conjunction with verbal education
- Should be provided enough time prior to discharge to allow patient to review and have time for questions
Important Pitfalls:
- May be time intensive as it cannot be linked to current medication list in CPOE system, so all medications are typed out individually
- Currently limited to English, or the languages of the provider
Resources Used to Develop Tool:
- Clinical experience, feedback from patients
View the Medication Calendar - As Needed Medications.
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