Brigham and Women's Hospitals

Inpatient Discharge Tool

Inpatient COVID-19 Discharge Checklist

Prior to discharge

  • Verify and document preferred language of patient and emergency contact in Epic
  • Verify and document preferred phone number for patient and emergency contact in Epic and ensure active phone and voicemail service
  • Confirm patient’s ability to understand and adhere to home isolation instructions
  • Confirm patient’s ability to manage ADL/iADLs with current level of support at home
  • Confirm patient has resources/social support to receive food and other necessary supplies for the duration of quarantine (see community resources below, consider SW consult)
  • Perform DME needs assessment and consider sponsorship from hospital if item cannot be delivered or obtained by patient’s family/support person

Discharge medications/supplies

  • Provide 90-day supply of all medications, recommend meds-to-bed delivery at BWH
  • Provide a surgical mask to all infected patients who are discharging home

Transportation

  • Verify patient has a ride by private vehicle or enlist care coordination assistance to arrange alternate transportation (infected person should wear mask in vehicle)

Discharge instructions

  • Counsel patient on voluntary isolation procedures and include COVID discharge instructions template in discharge summary

Epic Smart Phrases

SPUCOUNSELING

SPUDISCHARGECOVIDPOSITIVE

SPUDISCHARGECOVIDNEGATIVE

Ambulatory follow-up plan

  • Verify and document patient’s PCP in Epic
  • Provide Epic in-basket message or warm handoff to patient’s PCP
  • ALL PUIs and COVID+ patients admitted to BWH and BWFH will have a post-discharge phone call with an Advanced Practice Practitioner (APP) within 24-48 hours of discharge
  • Schedule a telemedicine follow-up visit within 7 days of discharge for all patients with Partners PCPs
  • Schedule a telemedicine or in person follow-up appointment for patients with a non-Partners PCP

Community resources