Degree Name
Nursing Practice, DNP
Publication Date
4-28-2025
First Advisor
Mary Newkirk
Second Advisor
Jacquie Sands
Abstract
The immediate period following hospital discharge is critical for ensuring continuity of care and reducing adverse outcomes. However, the current post-discharge processes utilized in community care could be more effective. The fragmented approach involves multiple individuals, often leading to patient confusion, missed visits, and inefficient communication. These issues contribute to high rehospitalization rates, frequent emergency room visits, and increased healthcare costs. This project proposes a streamlined post-discharge policy managed by a centralized team of one provider and a Nurse Care Manager. The policy aims to refine the processes currently used in each market into a consolidated, well-defined care model to enhance the effectiveness of post discharge visits, improve patient adherence to follow-up care, and market compliance. The project utilizes a comprehensive needs assessment and literature review, supporting the implementation of a coordinated care approach to address the current system's inefficiencies. The benefits of this approach are significant, including improved patient compliance, reduced readmission rates, and substantial cost savings for the healthcare system. This approach is especially beneficial for vulnerable populations and those with multiple comorbidities who are at higher risk of poor post-discharge outcomes. The proposed policy is feasible and aligns with stakeholder goals, providing reassurance about its relevance and promising significant benefits for patients, providers, and the healthcare system.
Rights Management
This work is licensed under a Creative Commons Attribution 4.0 International License.
Recommended Citation
Parkinson, Deniece S., "Policy Project Optimizing Post-Discharge Process: Creating a Policy for Improved Efficiency" (2025). Doctor of Nursing Practice Projects. 198.
https://arch.astate.edu/dnp-projects/198
