UPMC is committed to examining processes and approaches to find opportunities to improve to deliver the very best care and create more personalized experiences for our patients. As, both, a care delivery provider and health insurer, we believe in patient-centered, whole-person care at UPMC.
The prior approach to discharge planning was complex with many touchpoints for the patient. An opportunity existed to hardwire greater accountability that ensures the patient’s care plan is seamlessly coordinated. To improve care coordination and discharge planning effectiveness, across UPMC, we have reimagined our roles and structure. A single Discharge Plan Manager now manages all the patient’s needs for discharge beginning at admission and continuing through the post-discharge call.
The IDFS Clinical Care Coordination and Discharge Planning Staff Education reviews clinical and non-clinical tasks to help prepare new Discharge Plan Managers for their new roles. The self-paced modules and videos that now live in HR Direct Learning provide baseline education with knowledge checks to ensure comprehension before attending a live training containing additional resources for a robust package of materials to support new Discharge Plan Managers during this transition.