PP208 – Implementing Multidisciplinary Case Management Huddles in the Emergency Department
In the Emergency Department (ED) at Brigham and Women’s Hospital, care coordination had a difficult time coordinating with members of the multidisciplinary team. Care Coordinators would often plan for discharges independently which led to pertinent issues not being solved collaboratively thus delaying discharge. Due to these difficulties, the Care Coordination Team decided to implement multidisciplinary huddles in the Emergency Department.
The huddles were twice a day in the ED. Each member of the multidisciplinary team was required to attend. Huddles were divided into two parts. The first part, the twenty observation patients were discussed, potential discharge needs were identified, and a plan was derived to facilitate discharge. This enabled every member of the team to know the plan and for care coordination to work collaboratively with all members of the team. The second part of huddle focused on potential discharge issues or needs for case management in the main ED. The huddles lasted no more than 15 minutes.
Since the implementation of the huddles, the multi-disciplinary team has worked together to identify patients with complex discharge needs such as social, medical, or financial needs. The huddles have helped to facilitate safer, quicker discharges from the ED and prevent unnecessary hospital admits. Furthermore, the huddles have enhanced communication between team members.