© Florida Atlantic University 2011
Interacting with Your Hospitals
Joseph Ouslander, MD Florida Atlantic University
Gerri Lamb, PhD, RN, FAAN Arizona State University
Laurie Herndon, GNP Mass Senior Care
Ruth Tappen, EdD, RN, FAAN Florida Atlantic University
Jo Taylor, RN, MPH The Carolinas Center for Medical Excellence
© Florida Atlantic University 2011
Have you had challenges interacting with your local hospital(s)?
What have you done that has been successful?
Interacting with Your Hospitals
© Florida Atlantic University 2011
Video Clip
Examples of information transfer –
both bad and good, and how the latter can prevent a hospitalization
Interacting with Your Hospitals
© Florida Atlantic University 2011
Purpose of the Transfer Checklist and Resident Transfer Form
Provide essential information to emergency department staff that will lead to the most appropriate evaluation of your resident
Insure that the safe handoff of your resident to the emergency department
Interacting with Your Hospitals
© Florida Atlantic University 2011
The Resident Transfer Form and Transfer Checklist Envelope are tools for facility staff to effectively communicate information critical to evaluating the resident to hospital staff
Interacting with Your Hospitals
© Florida Atlantic University 2011
The Resident Transfer Form has two pages.
The first page has information that ED physicians and nurses identified as essential to make decisions about the resident.
Interacting with Your Hospitals
© Florida Atlantic University 2011
The second page of the
Resident Transfer Form MAY be sent to the ED within 7-12 hours of the transfer, especially if the transfer involves a 9-1-1 transfer or if the resident is unstable on transfer.
If the transfer is non acute, it is likely more efficient to send both pages at the same time.
Interacting with Your Hospitals
© Florida Atlantic University 2011
Implementation Strategies
Remove old forms from the units Consider contacting printer to have
forms printed on NCR paper If not on NCR paper, forms need to
be copied and one copy needs to stay in the facility
Interacting with Your Hospitals
© Florida Atlantic University 2011
This Transfer Checklist can be printed or taped onto an envelope, and is meant to compliment the Transfer Form by indicating which documents are included with the Form
Interacting with Your Hospitals
© Florida Atlantic University 2011
Implementation Strategies
Notify your local Emergency Departments
Notify your EMS/Ambulance Services
Consider alternative format for checklist
Interacting with Your Hospitals
© Florida Atlantic University 2011
Interacting with Your Local Hospitals Schedule in-person meetings
Offer a tour of your facility Create an agenda
Start with who staff you already interact with on a regular basis ED staff Case Managers
Emphasize 2-way communication Set mutual expectations
Interacting with Your Hospitals
© Florida Atlantic University 2011
Make Sure the Hospital Knows Your Facility’s Capabilities
Interacting with Your Hospitals
This tool can be posted in the ER and in Case Managers’ offices
© Florida Atlantic University 2011
Information Transfer From the Hospital
Interacting with Your Hospitals
© Florida Atlantic University 2011
Information Transfer From the Hospital
FHA – FADONA – FMDA – CARES – AHCA
Readmission Initiative
Draft, October 2011
Interacting with Your Hospitals
© Florida Atlantic University 2011
Questions? Comments? Suggestions?
Interacting with Your Hospitals