Always Event(s): Always provide the patient with a SMART discharge process. With the involvement of patients and families providers will develop a simple, universal, 5 item checklist as a SMART Discharge ProtocolSM. (SMART is an acronym for: Signs, Medications, Appointments, Results, and Talk with me.) Providers will build on current evidence; create urgency and expectation for use with patients, families, and caregivers; disseminate findings, and promote as a national standard.
Overview: Develop with patients and families a universal SDP as a discharge Always Event. The SDP includes: 1) The SDP process that results in a written plan—SMARTtool, 2) Curriculum for patients, families, staff: Process for using SMARTtool throughout stay as Worksheet and at discharge as a Checklist, 3) Patient access to inpatient/ambulatory records. This initiative will be implemented on three units (surgery, medicine, obstetrics) to demonstrate universality.