title: Estimating date of discharge at ward level: a pilot study.
abstract: Setting a realistic estimated discharge date (EDD) from the commencement of hospitalisation is vital if the government's reimbursement for delayed discharge scheme is to work. Although the pilot project was not totally successful, the authors were able to shine some light on the process. They suggest that there are two elements involved. There is a need for clinical estimate of predicted medical fitness and also a need for collaboration between all parties involved and clear documentation of requirements. The multidisciplinary team involved should include departments such as X-ray and pathology so that agreement can be reached about investigations required and whether these should be undertaken on an inpatient or outpatient basis. The ward team and social services should work together with patients and families to ensure that everybody is involved in a discharge plan that is realistic and regularly updated.