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About this IHI Virtual Expedition

​​​Bed capacity management is a critical issue, and inefficient discharges impact patient flow throughout the hospital. Lack of standardized discharge criteria contributes to unpredictable discharge timing and lengthy delays. To provide your patients with more efficient, timely, and successful transitions from inpatient to home, get a team together for the five session virtual training From Hospital to Home: Using Quality Improvement to Optimize Discharge Effi​ciency from the Institute for Healthcare Improvement (IHI), starting October 8, 2019.

This IHI Virtual Expedition will describe how quality improvement methodologies can be utilized to improve discharge process efficiencies and to increase timely patient discharges after patients have met medically-ready criteria.

What You'll Learn

At the end of this IHI Virtual Expedition, participants will be able to:

  • ​Define discharge criteria that are medically-focused, modifiable and easy to understand by the bedside staff and families
  • Engage bedside nursing staff and families in tracking when patients are medically ready for discharge

  • Create SMART aim, process, outcome and balancing measures to track discharge efficiency success over time

  • Utilize failure reasons to define and implement interventions to improve discharge efficiency

    This IHI virtual expedition has been approved for 5 continuing education credits for nurses and physicians.​​


Session 1: Identifying Medically Ready for Discharge Criteria
Date: Tuesday, October 8, 2019, 3:00 – 4:00pm ET

Session 2: Engaging the Bedside Staff and Families in Tracking Medical Criteria
Date: Tuesday, October 22, 2019, 3:00 – 4:00pm ET

Session 3: Measuring Discharge Efficiency Over Time
Date: Tuesday, November 5, 2019, 3:00 – 4:00pm ET

Session 4: Failure Reasons and Possible Interventions
Date: Tuesday, November 19, 2019, 3:00 – 4:00pm ET

Session 5: Intervention Testing and Scaling Up the Process
Date: Tuesday, December 3, 2019, 3:00 – 4:00pm ET


Christy White small.jpgChristine White, MD, MAT
, is Associate Professor of Pediatrics in the Division of Hospital Medicine and Associate Chief of Staff-Inpatient at Cincinnati Children's Hospital Medical Center. Dr. White has led efforts on patient safety, including initiatives to raise rates of medication reconciliation completion, to improve communication at night, and to improve discharge efficiency through standardization of discharge criteria. This last project, which significantly decreased length of stay without increasing readmission rates, earned the Children's Hospital Association Pediatric Quality Award in 2013.

angela cropped.jpgAngela Statile, MD, MEd, is Associate Professor of Pediatrics in the Division of Hospital Medicine at Cincinnati Children's Hospital in Cincinnati, Ohio. She also serves as Medical Director of the Burnet Campus resident inpatient teams and Assistant Program Director for the Pediatric Residency Training Program. Dr. Statile's quality improvement efforts focus on efficient care processes, including improving daily workflow for rounding inpatient teams, standardizing care coordination efforts, and optimizing discharge preparation by defining medical goals for each patient. More recent efforts focus on employee safety in caring for behavioral mental health patients on medical units.

Lichner K.JPGKelli Lichner, MSN, RN, CPN, is a Clinical Manager at Cincinnati Children's Hospital Medical Center.  Kelli's quality improvement efforts focus on improving the patient and family experience by enhancing interprofessional collaboration. Kelli has instituted a nurse -resident reciprocal shadowing program, initiated a post admission huddle between the medical teams and nursing staff, and ensured transparency of the daily plan of care on the patient's whiteboard.  She also focuses on optimizing the medically ready for discharge process ensuring unit nurse engagement as well as by leveraging the daily system level bed huddle.