Foundation Program Sites

Complex Discharge

Read our Final Report and Guidelines

Implementation Support

Checklists: The checklist translates the Bree guidelines into action steps for that sector (i.e., clinician, health delivery site, public health, etc.). The action items have been arranged into levels 1, 2, and 3 to correspond to the difficulty level of implementing the action into the sectors’ setting. Bree staff co-created the checklists with report workgroup members and topic experts.

Background

In a survey from August of 2021, hospitals in Washington state reported that more than 900 patients who were ready to be discharged were stuck in the hospital. In one widely reported example, Harborview Medical Center announced in summer 2022 that they will only accept patients in urgent need of specialized care, as they have more than 100 medically stable patients in need of long-term post-acute care. It can be difficult to find appropriate post-acute care for a number of reasons, including patient’s complex behavioral health or social needs and a lack of appropriate post-discharge care sites. While COVID-19 is a contributing factor to hospital capacity concerns, the primary issue appears to be access to appropriate post-acute care facilities.

Read our Charter

 

Past Meeting Materials

Date Materials
January 2023 January Agenda
Draft Charter and Roster
HCA Legislative Presentation
February February Agenda
January Minutes
Discussion Slides
Draft Charter Roster
March March Agenda
February Minutes
Discharge Glossary
Workgroup Survey Results
April April Agenda
March Minutes
Common Barriers Framework
Draft Sample Discharge Metrics
May May Agenda
April Minutes
Draft Data Recommendations
Draft Evidence Review Table
June June Agenda
May Minutes
Draft Data Recommendations
Draft Evidence Review Table
Discharge Discussion Slides
July July Agenda
June Minutes
Draft Recommendations 0720
Complex Discharge Evidence Table 0720
August August Agenda
July Minutes
Draft Recommendations 0817
September September Agenda
August Minutes
Draft Recommendations 0921
October October Agenda
September Minutes
Draft Recommendations 1019
November November Agenda
October Minutes
Draft Recommendations 1109
December December Agenda
November Minutes
Scorecard
January 2024 January Agenda
December Minutes
Draft Recommendations
Read our Charter

 

Workgroup Chair

Name Title Organization
Darcy Jaffe, MN(chair) Senior Vice President, Safety and Quality Washington State Hospital Association

Read our Final Report and Guidelines

Background

In a survey from August of 2021, hospitals in Washington state reported that more than 900 patients who were ready to be discharged were stuck in the hospital. In one widely reported example, Harborview Medical Center announced in summer 2022 that they will only accept patients in urgent need of specialized care, as they have more than 100 medically stable patients in need of long-term post-acute care. It can be difficult to find appropriate post-acute care for a number of reasons, including patient’s complex behavioral health or social needs and a lack of appropriate post-discharge care sites. While COVID-19 is a contributing factor to hospital capacity concerns, the primary issue appears to be access to appropriate post-acute care facilities.

Read our Charter

 

Past Meeting Materials

Date Materials
January 2023 January Agenda
Draft Charter and Roster
HCA Legislative Presentation
February February Agenda
January Minutes
Discussion Slides
Draft Charter Roster
March March Agenda
February Minutes
Discharge Glossary
Workgroup Survey Results
April April Agenda
March Minutes
Common Barriers Framework
Draft Sample Discharge Metrics
May May Agenda
April Minutes
Draft Data Recommendations
Draft Evidence Review Table
June June Agenda
May Minutes
Draft Data Recommendations
Draft Evidence Review Table
Discharge Discussion Slides
July July Agenda
June Minutes
Draft Recommendations 0720
Complex Discharge Evidence Table 0720
August August Agenda
July Minutes
Draft Recommendations 0817
September September Agenda
August Minutes
Draft Recommendations 0921
October October Agenda
September Minutes
Draft Recommendations 1019
November November Agenda
October Minutes
Draft Recommendations 1109
December December Agenda
November Minutes
Scorecard
January 2024 January Agenda
December Minutes
Draft Recommendations
Read our Charter

 

Workgroup Chair

Name Title Organization
Darcy Jaffe, MN(chair) Senior Vice President, Safety and Quality Washington State Hospital Association