Internal Medicine — Foundation of Discipline

F4a Formulating, communicating, and implementing discharge plans for patients with common medical conditions in acute care settings - Part A: Discharge plan documentation

Key Features:
- This EPA focuses on providing a safe and informed discharge for patients with common internal medicine conditions.
- This includes developing and executing a discharge plan as well as communicating the plan to patients, caregivers, and other health care providers.
- The observation of this EPA is divided into two parts: discharge plan documentation, and discharge plan communication.

Assessment Plan:

Part A: Discharge plan documentation

Indirect observation (review of case, discharge checklist/discharge summary) by supervisor

Use Form 1. Form collects information on:
- Complex hospital stay: yes; no

Collect 2 observations of achievement
- At least 1 complex hospital stay

Milestones

• ME 2.2. Synthesize patient information to anticipate complications and challenges for patients transitioning away from the acute care setting

• COL 1.3. Integrate the patients’ perspective and context into the collaborative care plan

• ME 2.4. Generate discharge plans that address patient’s therapeutic needs, disease and treatment monitoring needs, and relevant risk factor reduction

• ME 4.1. Ensure follow-up on results of investigation and response to treatment

• ME 5.2. Reconcile current and prior medication lists to enhance patient safety

• ME 5.1. Document the admission to adequately convey clinical course and the rationale for decisions

• COL 3.2. Communicate with the patient’s primary health care professional about the patient’s care

• COL 3.2. Summarize the patient’s issues, including plans to deal with ongoing issues