Initiative Initiation Charter

Project Title Implement a Discharge Program in In-Patient Unit/Ward

Objective Owner/
Ms. Ilse Ackermann
Project Sponsor

Project Manager Ms. Mary Jane Buraga

Strategic
Alignment/ Patient Excellence – Promote a comprehensive approach of preventative, curative and
contribution to rehabilitative to support healting and wellness; ensure safe, efficient and reliable processes
Strategic KPI &
CBAHI – the hospital has a process for admission, transfer, referral and discharge.
target

Start Date 23-Jun-16 End Date 30-Dec-17

Scope:
 Timely discharge of patient;
 To provide patient and family's satisfaction with the care they receive; and
Project  To provide effective and efficient systems for multidisciplinary referral, treatment and
description support.
Out of Scope:
 Patient who require other consultation and other reasons of current admission before
and after discharge;
 Discharge Against Medical Advice (DAMA), Out-on-Pass, and Patient Transfer
 Availability of In-patient Discharge Policies and Procedure;
 Structured and process of discharge planning system;
Requirements  Completion of patient discharge plan and checklist;
 75% of team members will attend the bi-monthly meeting (every 2nd and last Tuesday)
 Patient and family are active partners of the care process; and
 Effective use of hospital resources
 By the end of April 2018, healthcare providers (doctors, nurses and allied health
professionals) will ensure timely discharge of patients by adhering to the Expected
Project Objectives Date of Discharge in TrakCare
 By the end of April 2018, there will be a safe process of patient discharge by
implementing an Electronic Discharge Journal and following the Administrative Policy
on In-Patient Discharge
 Policy and Procedures on In-Patient Discharge Planning;
 Discharge Monitoring Evaluation Tool;
 Discharge Journal/Electronic Journal/Baseline data
Deliverables  Morning doctors' discharge rounds;
 Regular discharge assessment by nurses;
 Bed utilization reporting system;
 Multidisiplinary Collaboration;
 Culture-sensitive and effective Discharge Planning Program
 Lack of standardized policy-driven discharge planning program
Initial Risk
 Lack of communication and coordination among different health service providers and
Assessment patients
 Poor compliance among healthcare professionals
Project Estimate
Costs N/A

Initiator Ms. Mary Jane Buraga

Approval of
Project Sponsor Ms. Ilse Ackermann