interacting with your hospitals

© Florida Atlantic University 2011

Interacting with Your Hospitals

Joseph Ouslander, MD Florida Atlantic University

Gerri Lamb, PhD, RN, FAAN Arizona State University

Laurie Herndon, GNP Mass Senior Care

Ruth Tappen, EdD, RN, FAAN Florida Atlantic University

Jo Taylor, RN, MPH The Carolinas Center for Medical Excellence


Have you had challenges interacting with your local hospital(s)?

What have you done that has been successful?



Video Clip

Examples of information transfer –

both bad and good, and how the latter can prevent a hospitalization



Purpose of the Transfer Checklist and Resident Transfer Form

Provide essential information to emergency department staff that will lead to the most appropriate evaluation of your resident

Insure that the safe handoff of your resident to the emergency department



The Resident Transfer Form and Transfer Checklist Envelope are tools for facility staff to effectively communicate information critical to evaluating the resident to hospital staff



The Resident Transfer Form has two pages.

The first page has information that ED physicians and nurses identified as essential to make decisions about the resident.



The second page of the

Resident Transfer Form MAY be sent to the ED within 7-12 hours of the transfer, especially if the transfer involves a 9-1-1 transfer or if the resident is unstable on transfer.

If the transfer is non acute, it is likely more efficient to send both pages at the same time.



Implementation Strategies

Remove old forms from the units Consider contacting printer to have

forms printed on NCR paper If not on NCR paper, forms need to

be copied and one copy needs to stay in the facility



This Transfer Checklist can be printed or taped onto an envelope, and is meant to compliment the Transfer Form by indicating which documents are included with the Form



Implementation Strategies

Notify your local Emergency Departments

Notify your EMS/Ambulance Services

Consider alternative format for checklist



Interacting with Your Local Hospitals Schedule in-person meetings

Offer a tour of your facility Create an agenda

Start with who staff you already interact with on a regular basis ED staff Case Managers

Emphasize 2-way communication Set mutual expectations



Make Sure the Hospital Knows Your Facility’s Capabilities


This tool can be posted in the ER and in Case Managers’ offices


Information Transfer From the Hospital



Information Transfer From the Hospital

FHA – FADONA – FMDA – CARES – AHCA

Readmission Initiative

Draft, October 2011



Questions? Comments? Suggestions?

[email protected]


interacting with your hospitals

Documents