An initiative to improve patient discharge satisfaction.
OBJECTIVE
To provide patients with knowledge needed to make a smoother transition from inpatient rehabilitation to the community or another level of care.


METHODS
The Journey to Discharge concept developed from efforts to clearly communicate the stages a patient travels through on the path to discharge from inpatient rehabilitation.


RESULTS
The creation and implementation of this concept led to marked improvement in patient satisfaction scores as measured by Press Ganey Associates. Specifically, measures of discharge-specific questions increased from the 39th percentile in fiscal year (FY) 2009 to the 84th percentile in FY 2011 and gains were maintained through FY 2012 and into this year.


CONCLUSIONS
The Journey to Discharge guides Marianjoy Rehabilitation Hospital associates in helping patients understand expectations for their inpatient rehabilitation stay. This patient-centered initiative demonstrates an innovate approach to better understanding of the rehabilitation process and to easing the patient's transition across the continuum of care (Brady, 2013). The concept includes a post discharge follow-up component designed to ensure patients are following instructions, thereby potentially lowering the incidence of readmission following discharge.


CONCLUSIONS
Optimizing patient discharge preparation can lead to improvement in satisfaction scores. Discharging well-prepared patients, coupled with proactive post discharge follow-up has the potential to lower the incidence of readmissions.
Marianjoy Rehabilitation Hospital, Wheaton, IL, USA; Adjunct Faculty in Continuing Education, College of DuPage, Glen Ellyn, IL, USA.
Sally
S
Strong
Arlene
A
Bettin
D006801:Humans; D010348:Patient Care Team / Q000592:standards; D010351:Patient Discharge / Q000592:standards*; D010353:Patient Education as Topic / Q000592:standards*; D017060:Patient Satisfaction; D010549:Personal Satisfaction; D058996:Quality Improvement; D019145:Rehabilitation Nursing / Q000592:standards*
Discharge; Press Ganey; education; multidisciplinary; outcomes; quality improvement transition