SMART Discharge Protocol:An Always Event
Sherry Perkins, RN, PhDChief Operating Officer/Chief Nursing Officer
Anne Arundel Medical Center
Mitchell Schwartz, MD Chief Medical OfficerKristina Andersen, RN, BSN, Study Coordinator
Cheryl Bergamaschi, RN, MSN, Study Coordinator
Anne Arundel Medical Center
Annapolis, Maryland
Objectives
• Define 5 key components of SMART Discharge Protocol
• Discuss implementation process and tools
• Identify key elements to success
What’s the problem?
5
• Simple- Miller’s Law
• Universal- Before you cross the street…
• Patient-Family Centered
Our Approach
SMART Discharge Protocol
Measurement
11
• Patient Satisfaction- HCAHPS questions related to discharge
• ED Visit and Readmission Rates within 30 days
• % of Patients with Access to Inpatient Medical Records
• % of Discharge Instructions that include all 5 SMART components
Patient & Family Advisors
Leadership commitment and support
RN & MD Collaboration
Planning the next steps
Key Elements
13
Always listening, Always partners,
Always SMART
