Implementing Multidisciplinary Case Management Huddles in the Emergency Department

Jada Devlin, BSN
Department of Emergency Medicine
Division of Emergency Medicine/CCM
Poster Overview

In the Emergency Department at Brigham and Women’s Hospital, we identified a need to establish a means of communication between medical services to reduce delays in discharge. A thorough literature review was conducted and twice daily huddles were implemented in the ED setting to discuss barriers in discharge and prevent unnecessary hospital admissions. These huddles occurred with two Nurse Case Managers, Two Social Workers, two Patient Care Navigators and the Emergency Department Care Continuum Manager.

Scientific Abstract

In the Emergency Department at Brigham and Women’s Hospital, we identified a need to establish a means of communication between disciplines to reduce delays in discharge. A thorough literature review was conducted and twice daily multidisciplinary huddles were implemented in the ED setting to discuss barriers in discharge and prevent unnecessary hospital admissions.

Clinical Implications
Since the implementation of the ED CCM huddles, the multi-disciplinary team has worked together to identify patients with complex discharge needs such as social, medical, or financial needs. The huddles have helped to facilitate safer, quicker discharges from the ED and prevent unnecessary hospital admissions. Furthermore, the huddles have enhanced communication between team members.
Research Areas
Authors
Donna K Carpenter, RN, BSN and Jada A Devlin, RN, BSN
Principal Investigator
Dany Hilaire

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4 replies on “Jada Devlin, BSN”

This is an interesting approach, and I loved the patient vignette. I’d suggest using less space for the lit review (could bullet main points under “what is known” in background) and analyzing data for patient admission rates comparing patients with similar social and insurance characteristics prior to the implementation of multidisc huddles and since.

Is your finding going to be published? If so, can you tell me the name of you paper and which journal it will be in?
ED is a 24×7 operation environment. Your poster suggests the huddle time were at 9:30am & 2:30pm. What about those arrivals in late afternoon and during the small hours? Were the 2 time settings set because that was when traffic were the heaviest?
Were the outcomes/new info from the huddle sessions added back to the ADT info at the EMR?

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