The tweet from @Nurse_Rachel_, Haley adds, "was taken completely out of context. It sounds like we're trying to get people out of the hospital before they're ready," but what was communicated to staff in management meetings "was completely different. We want to raise our (nurses') awareness of this issue to try to increase our patient satisfaction, and give them a little incentive as they go. Not a big deal."
These days, with an emphasis on healthcare system efficiency and speedy throughput, it's important for hospitals that regularly have a full census to make room for new patients. That's not wrong, nor tough to understand. It's certainly not poor quality of care if the patient is ready to go home. I messaged @Nurse_Rachel_ to contact me, to get her version of this campaign. She did not.
Haley explains that the hospital was doing the right thing, responding to negative feedback from Press Ganey surveys from patients who said that after being approved for discharge, they waited too long, between 30 minutes in the best scenario, up to "several hours."
"Due to the multiple complaints, this issue has risen to the top of our priority list, and the incentive for the nursing staff is one example of how we are working to improve the process," Haley wrote me in an e-mail.
Nursing staff has a lot to do to finalize paperwork, communicate discharge instructions to the patients and family, arrange for transportation, find the patients' belongings, and continue to care for other patients, she says.