Discharge Coordinator

Job summary

The Division of QEH Medicine encompasses all acute medical services for both inpatient and outpatients. The Division is complex and comprises a variety of different staff groups including nursing, medical, scientific and delivery of the Division's Service Plan is dependent on the ability to balance new and existing national priorities within the Trust's corporate and operational line with the Trusts Service Plan the Division of QEH Medicine provides nursing and medical care for all acute medical patients.Establishes and maintains the highest standards of care delivery. Provides a working and training environment that allows all staff to perform their duties to the best of their post holder will provide and coordinate admission/discharge information for multidisciplinary teams across the working for Discharge Team is under development within the Trust and the post holder will be required to work at weekends on a roster basis.

This is a 12 months Secondment role.

Main duties of the job

Actively manage Simple/complex discharges from that all relevant paperwork is completed to ensure an efficient and timely discharge ( Discharge passport, OOB referral, homeless referral).Daily records of ECIST coding and pathways.Assisting and supporting the MDT to drive and co-ordinatedischarges, ensuring effective, timely intervention from all disciplines.Monitor length of stay, delayed transfers of care or patient daily whiteboard meetings and MDT meetings to ensure accurate EDDs & the medically fitTo actively monitor care pathways and lead discharge arrangements for all patients on designated with patients and relatives on admission and discuss expectations, discharge dates and working for Discharge Team , working shift patterns and at weekends on a roster basis.Escalate any delays in discharge to the Discharge Lead.?To liaise with residential/nursing homes providing regular updates to ensure positive relationship quality care for every patient, every organise and co-ordinate family/best interest meetings including sourcing of suitable venue, time and arrange with MDT.Communication, both written and verbal, with all members of the multidisciplinary team is key to the success of this with multi-agency up any outstanding requests that are causing a delay with the discharge process for the patient.

About us

Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:

Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development Widening access (anchor institution) and employability Improving the experience of staff with disability Improving the EDI literacy and confidence of trust staff through training and development Making equalities mainstream Job description

Job responsibilities

Liaise with multidisciplinary teams involved in providing care and services to ensure that discharge planning progresses smoothly and in a timely manner.Support discharges within inpatient clinical management pathways and determined length of be responsible for assisting with the discharge planning pathway for, coordinating appropriate multidisciplinary meetings prior to discharge in order to achieve a seamless transition into the community.

Communicate inpatient episodes to external agencies to assist in effective resource post holder will ensure relevant information from patient notes /demographics, clinical information and medication is imported correctly for completion of electronic discharge notifications (EDNs) and discharge documentation. High quality care for every patient, every dayEnsure timely completion of discharge summaries in conjunction withmultidisciplinary teams to meet Trust wide and national targets with a focus on 24 hour target.Provide Ad Hoc training on the use of the discharge pathway systems and support to administrative, nursing and medical staffs on all the wardsEnsure Discharge pathway systems demographics information is up to date, update if required and are sent to the correct conjunction with the Trust Complex Care Coordinator, compile weekly and monthly situation reports (SitReps) to identify delayed discharges on all the medical and care of the elderly wards and send to Trust senior management team and external agencies.Support multidisciplinary teams to deliver discharge objectives.

To review and monitor action plans where remedial steps are indicated to issues arising from the daily discharge pathway systems review and departmental as a point of contact for colleagues within community hospitals, primary care, social services and voluntary agencies in relation to concerns related to the hospitals discharge procedure and process.Facilitate and support staff with discharge planning of patients whose care is being provided on outlying wardsMaintain a daily electronic list of patients with outstanding discharge pathway systems for completion within the Trust and National target timesMonitor progress of discharge pathways systems completion, identifyingand reporting the reasons for any delayed discharge summariesInvestigate the outstanding discharge pathway systems list from IT department to identify reason(s) for non-completion.Prioritise and assist with the completion of outstanding discharge pathway systems to meet the Trust and national the role the post holder will evaluate processes and propose/make changes to working practices and procedures or service development to enhance Trust post holder to look at pathways and contribute to action plans submitted to the senior management discharge pathway systems is fully compliant for discharge, completing relevant information from patient notes including demographics, medication, and clinical EDNS [and/or patient notes] are available for coding within set timescales.Identify, investigate and correct as appropriate discharge pathway systems with wrong admission/discharge date to improve data quality and discharge pathway systems completion rate.Arrange discharge pathway systems system training to administrative and medical staffs, and provide system support when required.Escalate non-compliance of discharge pathway documentation completion to service manager as appropriate.Provide IT support to clinical staff to ensure all relevant medical and socialinformation is recorded on electronic discharge forms.Support nursing and medical staff in completion of electronic referrals documentation for discharge, ensuring that the multi-professional team achieve targets of completion dates to facilitate discharge quality care for every patient, every dayInterrogate social services databases to identify relevant information for patients admitted via A&E and transfer the information on to the electronic appropriate, communicate inpatient episodes to external agencies to assist in effective resource management.Provide support to enable accurate coding for acute medicine inpatient conjunction with the Trust Complex Care Coordinator, produce weekly and monthly management SitReps identifying delayed discharges.Respond to GP queries regarding electronic discharge summaries in a timely and effective manner.Identify and liaise with IT teams and the Service Manager to implement and improve IT systems.Responsible for introducing and implementing new software or updates toadministrative and medical staffs.Support the medical and nursing teams in completion of electronic forms by providingIT advice and training when up rejected referrals from social services and liaise with the ward for in the compilation of the weekly Delayed Discharge Tracker list and prepare documents for Patient and Risk for Tracker meeting and send it to the relevant staff and appropriate, support the nursing and multidisciplinary teams in accessing external with the Business Manager in improving communication across organisations within Clinical Governance and Caldecott share learning with other teams and actively contribute in data collection and audit projects where appropriate both locally and Trust forceProvide Line-management to admin support assign to support this post.Provide Line management and plan training programmes, including appraisals for the admin support assigned to this post.

Provide day to day supervision, training and work allocation to the admin support assigned to this post.Provide Ad Hoc training on the use of the discharge pathway s system and support to administrative, nursing and medical staffsFinancialHave an awareness of the financial and business planning aspects of thedepartment, where appropriate to role.Communications and RelationshipsHigh quality care for every patient, every dayWorking closely with all members of the multidisciplinary teams both internal and external to the regards for the spiritual and cultural needs of the patient.Patient/relatives contact which can be challenging, especially when attending inpatients on medical patients and/or relatives when correcting information on the Discharge pathway systems prior or subsequent to discharge [giving a copy to the patient/relative and re-sending amended copy to GP where liaise with the Trust Complex Discharge Co-ordinator for completion of agreed Trust report.

Having autonomy in making changes in pathways for evidence based improvements.Dealing with distressing information patient care, especially whilst dealing with discharge pathways on the acute and emergency ward.Respond to GP and PAL office queries regarding electronic discharge summaries.Knowledge of social service database, discharge pathway systems and monitor and track timelines of referrals to other agencies both internal and external, following through with medical teams as required escalating to service manager as appropriateFollow up rejected referrals from social services.Support the medical and nursing teams in completion of electronic forms by providing IT advice as and when required.GeneralTo work mainly unsupervised, using guidelines, Policies and experience to support decision making, referring to the Business Manager for advice on issues outside act in such a manner as to justify public trust and confidence, uphold and enhance the reputation of the Trust and service to safeguard the interests of individual maintain to accurate and legible records of all clerical and legal documentation with regard to Statutory and Trust Policies.

To partake in the personal Development plan and Individual Performance review programmes as per KSF guidelines.

Be accountable for personal practice, critically evaluating own performance, ensuring the use of reflective practice to promote a high standard of delivery.Supervise the Administrative Support, carrying out 1:1s, PDP maintain confidentiality of patient manage the discharge pathway systems completion list, prioritising using own judgement to meet deadlinesThis post entails physical effort standing, a lot of walking, sitting in front of a PC for long time period post requires concentration and is subject to frequent interruptions by the MDT,GPs and ward administrators post holder will be exposed to distressing situations/information when supporting discharge pathways which may include adult protection issues and discussions at High quality care for every patient, every dayMDTs and whilst compiling the discharge tracker meeting information or investigating outstanding discharge documentation.General InformationReview of this job descriptionThis job description is intended as an outline indicator of general areas of activity and will be amended in the light of the changing needs of the organisation. To be reviewed in conjunction with the post holder on a regular basis.

Person Specification

Qualifications

Essential

Educated to degree level or equivalent Significant experience in an NHS acute setting Professional Clinical qualification or equivalent experience in case management in primary, secondary or social care

Desirable

Previous experience as a Discharge Advisor Leadership course mentor L3

Experience

Essential

Recent experience of working in an acute NHS care setting Significant experience of working with multi agencies both internal and external to NHS Trusts Significant experience of working with professionals from other disciplines Significant experience of working with the general public. Professional development clinical supervision

Skills, Knowledge and Ability

Essential

Ability to work unsupervised using own initiative using evidence and experience to inform safe decision making Good written and verbal communication skills: ability to communicate complex and sensitive information with patients and carers, where there may be barriers to understanding Knowledge and understanding of "Discharge Planning process and pathway" Understanding of Intermediate care and continuing care Ability to provide clear, concise and objective reports and feedback to colleagues and other professionals, both verbally and in writing Ability to support the provision of a high standard of evidence-based care that is responsive to the needs of patients and carers, assessing risk and considering a range of options Flexible approach to work and ability To priorities and co-ordinate activities with other professionals Ability to work proactively and independently manage own workload without direct supervision and be accountable for their own professional actions

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