Improving Multidisciplinary Approach to Complex Discharge Patients: An Evidence Based Approach

Abstract

Eskenazi Hospital’s rehabilitation therapists have identified a gap in how complex discharge patients care is approached. With increased caseloads and high role demands, the therapy team is not able to provide this population with the level of services they may benefit from during their stay. Moreover, a defined approach to discharge planning for this population is needed to identify barriers to discharge from admission. This capstone student worked collaboratively with identified stakeholders to complete an in-depth needs assessment and propose a multidisciplinary guideline for providing the best level of care for this population. A proposed method to facilitating patient routines during hospitalization was created through multiple rounds of feedback and implementation.