Development of a discharge planning resource for older adult ALC patients

Clarke, Deanna (2024) Development of a discharge planning resource for older adult ALC patients. Practicum Report. Memorial University of Newfoundland. (Unpublished)

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Abstract

Background: Providing alternate level of care services in an acute care hospital is not optimal as it introduces an increased risk for patient injury and systemic bottlenecks. Discharge planning is an effective strategy to streamline safe and timely discharge for older adult alternate level of care patients. Purpose: To develop a discharge planning resource to guide interdisciplinary healthcare teams through the discharge process for older adult alternate level of care patients. Methods: An integrative literature review of 10 sources using inductive analysis and synthesis, consultations with Western Memorial Hospital discharge planners, and an environmental scan were conducted. Results: A relevant discharge planning pathway was found during the environmental scan. Findings from the literature review and consultations informed the adaptation of the pathway to a local context. Implications: The discharge planning pathway has been presented to the NL Health Services Clinical Efficiency team as part of a provincial alternate level of care policy that supports the appropriateness of care. Incorporating a consistent approach to discharge planning for older adults may help improve care equity across the province, reduce inappropriate designations, and identify priorities for government initiatives that support care for older adults.

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