SmartChart- Estimated Discharge Date – Update (Live Date- Tuesday, June 20, 2017)

By Don Klingen, CMIO, and Deb Laumer, Director Clinical Informatics

In the May 12 edition of MLH Clinician, we notified folks of impending changes in SmartChart about the Estimated Discharge Date (EDD) to support the PA CARE Act of lay caregiver discharge notification.   In addition to PA CARE Act, our care coordination team and our Navigant Performance Excellence 2020 partners recommend the capture and management of the EDD on admission. This will now be implemented in SmartChart on Tuesday, June 20, 2017.

The EDD is an ongoing, daily care team discussion between physicians, nursing and their care coordinator partners. While most physicians document the EDD in their progress note, for broad communication across disciplines, the EDD in Soarian must be captured by an order.  (In future state, the EDD will be captured within the regular physician documentation workflow in Epic.)

Much of this initiative will be enabled by nursing and/ or care coordination.  One component will be initiated by the Provider, and that is the Estimated Discharge Date (EDD) identified upon admission.  When the Admitting Provider completes the “Admit to” order in Smart Chart CPOE, the EDD will display. The EDD will auto-calculate when the Provider enters the Anticipated Total Length of Stay (midnights) for between 1-3 days.  Should the anticipated Total Length of Stay (midnights) be > 3 days, the Provider will be required to enter the EDD in the Admit-to Order. (Use the calendar identified below for a convenient way to do so.)

The Estimated Discharge Date information will then display when hovering over the diamond-shaped icon in the patient’s name banner in the EMR.

Should revisions to the Estimated Discharge Date order be needed, do not revise the Admit-to Order.  A new stand-alone Estimated Discharge Date Order will need to be completed. This can be done by the physician directly, or nurse /care coordinator during patient care rounds as a verbal order. (This order can be searched by EDD or by using the word estimated in Soarian Orders.)

If a verbal order is used to update the EDD – it will be subject to the same expectations as other verbal orders (requires co-signature by the physician within 24 hours).

Thank you for your participation in this important new PA State Law to include a formal process for lay caregivers to be part of the patient care team.

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