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Lenhard A, Daoud M, Donahue L, Jones S, Kip PL, Zapf RL, Minnier TE. How SWAT Changed the Conversation: Implementation of a Discharge SWAT Team Improves Morale and Facilitates Communication During the COVID-19 Pandemic. Prof Case Manag 2024:01269241-990000000-00009. [PMID: 38421720 DOI: 10.1097/ncm.0000000000000712] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/02/2024]
Abstract
PURPOSE OF STUDY Hospital overcrowding and delays in discharge are serious issues in the modern health care landscape and can lead to poor patient outcomes and health care personnel (HCP) burnout. The goal of this project was to develop a collaborative forum where HCP representing the entire spectrum of the inpatient care team, including case management team members, could connect to discuss challenges and barriers to patient discharge. The following describes the development, implementation, and outcomes of the discharge SWAT (Solutions, Wins, Actions, and Tactics) team, which is a 30-min virtual daily meeting where discussion is primarily centered around challenges in discharging individual patients and addressing case manager needs. The primary aim of SWAT meetings is fostering a positive atmosphere to address barriers to discharge while prioritizing patient care and outcomes. PRIMARY PRACTICE SETTING This study was conducted in a 40-hospital academic health system in the United States. METHODOLOGY AND SAMPLE SWAT meetings were first implemented at a representative flagship facility in a health system. HCP at this first facility were surveyed to assess satisfaction with SWAT meetings. SWAT meetings then were implemented at the majority of facilities in a 40-hospital academic health system. During SWAT implementation, average inpatient length of stay (LOS) and patient care transitions were monitored for participating and nonparticipating service lines. RESULTS Among surveyed HCP, the majority view SWAT meetings favorably and reported that it was a valuable use of their time and positively impacted their work in the patient discharge space. Nonprovider and case management staff in particular valued the SWAT meetings and found them beneficial. LOS remained stable for patients under the care of participating providers, despite the upheaval of the ongoing COVID-19 pandemic, and the research team also observed a positive impact of SWAT meetings on appropriate inpatient care transitions.
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Affiliation(s)
- Amanda Lenhard
- Amanda Lenhard, MD, is the Chief of Medicine at UPMC Shadyside, Senior Medical Director for Care Coordination and Discharge Planning at UPMC, and Associate Professor of Medicine at the University of Pittsburgh School of Medicine in Pittsburgh, PA
- Majd Daoud, MD, MHMS, is Project Manager at UPMC Presbyterian Shadyside in Pittsburgh, PA
- Lisa Donahue, DNP, RN, CPPS, is the Senior Director of Patient Safety, Innovation and Quality at UPMC Presbyterian Shadyside in Pittsburgh, PA
- Sherri Jones, MS, MBA, RDN, LDN, SSGB, CPHQ, FAND, is the Quality Manager at UPMC Presbyterian Shadyside in Pittsburgh, PA
- Paula L. Kip, PhD, RN, is Senior Manager, Research Writer at Wolff Center, UPMC, in Pittsburgh, PA
- Rachel L. Zapf, PhD, is Research Writer at Wolff Center, UPMC, in Pittsburgh, PA
- Tamra E. Minnier, MSN, RN, FACHE, FAAN, is the Senior Vice President of UPMC Health Services Division and the Chief Quality and Operational Excellence Officer at Wolff Center, UPMC, in Pittsburgh, PA
| | - Majd Daoud
- Amanda Lenhard, MD, is the Chief of Medicine at UPMC Shadyside, Senior Medical Director for Care Coordination and Discharge Planning at UPMC, and Associate Professor of Medicine at the University of Pittsburgh School of Medicine in Pittsburgh, PA
- Majd Daoud, MD, MHMS, is Project Manager at UPMC Presbyterian Shadyside in Pittsburgh, PA
- Lisa Donahue, DNP, RN, CPPS, is the Senior Director of Patient Safety, Innovation and Quality at UPMC Presbyterian Shadyside in Pittsburgh, PA
- Sherri Jones, MS, MBA, RDN, LDN, SSGB, CPHQ, FAND, is the Quality Manager at UPMC Presbyterian Shadyside in Pittsburgh, PA
- Paula L. Kip, PhD, RN, is Senior Manager, Research Writer at Wolff Center, UPMC, in Pittsburgh, PA
- Rachel L. Zapf, PhD, is Research Writer at Wolff Center, UPMC, in Pittsburgh, PA
- Tamra E. Minnier, MSN, RN, FACHE, FAAN, is the Senior Vice President of UPMC Health Services Division and the Chief Quality and Operational Excellence Officer at Wolff Center, UPMC, in Pittsburgh, PA
| | - Lisa Donahue
- Amanda Lenhard, MD, is the Chief of Medicine at UPMC Shadyside, Senior Medical Director for Care Coordination and Discharge Planning at UPMC, and Associate Professor of Medicine at the University of Pittsburgh School of Medicine in Pittsburgh, PA
- Majd Daoud, MD, MHMS, is Project Manager at UPMC Presbyterian Shadyside in Pittsburgh, PA
- Lisa Donahue, DNP, RN, CPPS, is the Senior Director of Patient Safety, Innovation and Quality at UPMC Presbyterian Shadyside in Pittsburgh, PA
- Sherri Jones, MS, MBA, RDN, LDN, SSGB, CPHQ, FAND, is the Quality Manager at UPMC Presbyterian Shadyside in Pittsburgh, PA
- Paula L. Kip, PhD, RN, is Senior Manager, Research Writer at Wolff Center, UPMC, in Pittsburgh, PA
- Rachel L. Zapf, PhD, is Research Writer at Wolff Center, UPMC, in Pittsburgh, PA
- Tamra E. Minnier, MSN, RN, FACHE, FAAN, is the Senior Vice President of UPMC Health Services Division and the Chief Quality and Operational Excellence Officer at Wolff Center, UPMC, in Pittsburgh, PA
| | - Sherri Jones
- Amanda Lenhard, MD, is the Chief of Medicine at UPMC Shadyside, Senior Medical Director for Care Coordination and Discharge Planning at UPMC, and Associate Professor of Medicine at the University of Pittsburgh School of Medicine in Pittsburgh, PA
- Majd Daoud, MD, MHMS, is Project Manager at UPMC Presbyterian Shadyside in Pittsburgh, PA
- Lisa Donahue, DNP, RN, CPPS, is the Senior Director of Patient Safety, Innovation and Quality at UPMC Presbyterian Shadyside in Pittsburgh, PA
- Sherri Jones, MS, MBA, RDN, LDN, SSGB, CPHQ, FAND, is the Quality Manager at UPMC Presbyterian Shadyside in Pittsburgh, PA
- Paula L. Kip, PhD, RN, is Senior Manager, Research Writer at Wolff Center, UPMC, in Pittsburgh, PA
- Rachel L. Zapf, PhD, is Research Writer at Wolff Center, UPMC, in Pittsburgh, PA
- Tamra E. Minnier, MSN, RN, FACHE, FAAN, is the Senior Vice President of UPMC Health Services Division and the Chief Quality and Operational Excellence Officer at Wolff Center, UPMC, in Pittsburgh, PA
| | - Paula L Kip
- Amanda Lenhard, MD, is the Chief of Medicine at UPMC Shadyside, Senior Medical Director for Care Coordination and Discharge Planning at UPMC, and Associate Professor of Medicine at the University of Pittsburgh School of Medicine in Pittsburgh, PA
- Majd Daoud, MD, MHMS, is Project Manager at UPMC Presbyterian Shadyside in Pittsburgh, PA
- Lisa Donahue, DNP, RN, CPPS, is the Senior Director of Patient Safety, Innovation and Quality at UPMC Presbyterian Shadyside in Pittsburgh, PA
- Sherri Jones, MS, MBA, RDN, LDN, SSGB, CPHQ, FAND, is the Quality Manager at UPMC Presbyterian Shadyside in Pittsburgh, PA
- Paula L. Kip, PhD, RN, is Senior Manager, Research Writer at Wolff Center, UPMC, in Pittsburgh, PA
- Rachel L. Zapf, PhD, is Research Writer at Wolff Center, UPMC, in Pittsburgh, PA
- Tamra E. Minnier, MSN, RN, FACHE, FAAN, is the Senior Vice President of UPMC Health Services Division and the Chief Quality and Operational Excellence Officer at Wolff Center, UPMC, in Pittsburgh, PA
| | - Rachel L Zapf
- Amanda Lenhard, MD, is the Chief of Medicine at UPMC Shadyside, Senior Medical Director for Care Coordination and Discharge Planning at UPMC, and Associate Professor of Medicine at the University of Pittsburgh School of Medicine in Pittsburgh, PA
- Majd Daoud, MD, MHMS, is Project Manager at UPMC Presbyterian Shadyside in Pittsburgh, PA
- Lisa Donahue, DNP, RN, CPPS, is the Senior Director of Patient Safety, Innovation and Quality at UPMC Presbyterian Shadyside in Pittsburgh, PA
- Sherri Jones, MS, MBA, RDN, LDN, SSGB, CPHQ, FAND, is the Quality Manager at UPMC Presbyterian Shadyside in Pittsburgh, PA
- Paula L. Kip, PhD, RN, is Senior Manager, Research Writer at Wolff Center, UPMC, in Pittsburgh, PA
- Rachel L. Zapf, PhD, is Research Writer at Wolff Center, UPMC, in Pittsburgh, PA
- Tamra E. Minnier, MSN, RN, FACHE, FAAN, is the Senior Vice President of UPMC Health Services Division and the Chief Quality and Operational Excellence Officer at Wolff Center, UPMC, in Pittsburgh, PA
| | - Tamra E Minnier
- Amanda Lenhard, MD, is the Chief of Medicine at UPMC Shadyside, Senior Medical Director for Care Coordination and Discharge Planning at UPMC, and Associate Professor of Medicine at the University of Pittsburgh School of Medicine in Pittsburgh, PA
- Majd Daoud, MD, MHMS, is Project Manager at UPMC Presbyterian Shadyside in Pittsburgh, PA
- Lisa Donahue, DNP, RN, CPPS, is the Senior Director of Patient Safety, Innovation and Quality at UPMC Presbyterian Shadyside in Pittsburgh, PA
- Sherri Jones, MS, MBA, RDN, LDN, SSGB, CPHQ, FAND, is the Quality Manager at UPMC Presbyterian Shadyside in Pittsburgh, PA
- Paula L. Kip, PhD, RN, is Senior Manager, Research Writer at Wolff Center, UPMC, in Pittsburgh, PA
- Rachel L. Zapf, PhD, is Research Writer at Wolff Center, UPMC, in Pittsburgh, PA
- Tamra E. Minnier, MSN, RN, FACHE, FAAN, is the Senior Vice President of UPMC Health Services Division and the Chief Quality and Operational Excellence Officer at Wolff Center, UPMC, in Pittsburgh, PA
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