{{ (moduleVm.actions && moduleVm.changeStatus) ? moduleVm.status : '' }} Implementation of a Modified Early Screening for Discharge Tool to Optimize Case Manager Efficiency and Impact Length of Stay

Activity Steps


The COVID epidemic has resulted in acute and post-acute capacity challenges. One such challenge is the difficulty of managing discharge planning with limited staffing. This project was initiated to address concerns that increasing complexity of patients was requiring increased time to appropriately plan for safe patient discharge. A modified ESDP score that substituted the Rankin disability scale with an MLA assessment was implemented. It performed comparably with the standard ESDP in identifying low-risk patients, not requiring CM services. innovative strategies such as this are needed to improve the delivery of CM services provided. Use of early discharge planning that leverages screening tools can ensure timely, appropriate transition from the hospital to the post-acute care setting, while maintaining patient?s goals of care and treatment preferences

Learning Objectives

After completing this continuing education activity you will be able to:

  1. Identify factors challenging traditional/standard discharge planning procedures for case managers working in the acute care setting.
  2. Understand the function and interpretation of the Early Screening for Discharge Planning (ESDP) tool to optimize discharging planning for patients admitted to acute care hospitals.
  3. Recognize the impact of a modified ESDP tool on hospital LOS and case manager workflow in the article's project.

Learning Outcomes

Seventy-five percent of participants will be able to demonstrate knowledge of implementation of a modified early screening for discharge tool to optimize case manager efficiency and impact length of stay (LOS), achieving a posttest score of 70% or greater.
Price: $21.95


  • NAHQ 2.0 CEH

This continuing education (CE) activity is provided by Lippincott Professional Development and has been approved by the National Association for Healthcare Quality (NAHQ) for 2.0 CPHQ CE Hours. CPHQ CE Hours are based on a 60-minute hour. This CE is approved for meeting requirements for certification renewal.

Test Code: PCM1123A HQ
Published: Nov/Dec 2023
Expires: 11/1/2024
Required Passing Score: 7/10 (70%)
Authors: James Grafton, MSN, MHA, RN, CCM; Helene Bowen Brady, DNP, MEd, RN, NPD-BC, NEA-BC; Joanne Kelly, BSN, RN, CCM; Margaret Kelly, BSN, RN, CCM; Kathleen Lang, BSN, RN, CCM; Paula Wolski, MSN, RN-BC; Soumi Ray, PhD; Cori Loescher, MM, BSN, RN, NEA-BC; Madelyn Pearson, DNP, RN, NEA-BC; Mallika Mendu, MD, MBA