CHA Member Survey: Patients Facing Barriers to Safe Discharge 

CHA would like feedback on your hospital’s experiences working with patients facing barriers to safe discharge. The survey will take approximately 15-20 minutes to complete. Your responses will be shared in aggregate form only and will be used for advocacy about this issue with key interested parties including legislators and media.

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* 1. Facility Name?

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* 2. Your role within the hospital?

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* 3. Consider the age breakdown and characteristics of patients with barriers to safe discharge. Characteristics can include: payer type (e.g. uninsured, Medicaid), undocumented, experiencing homelessness, no family or uninvolved family, medically complex (e.g., any patient who no longer needs hospital-level care but still requires significant medical care), mental health disorder, substance abuse disorder, convicted of a felony, or other.

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* 4. For pediatric patients (where applicable): Consider your hospital's most common patient with barriers to safe discharge. Which of the following characteristics does this patient have?

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* 5. For adult patients (where applicable): Consider your hospital's most common patient with barriers to safe discharge. Which of the following characteristics does this patient have?

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* 6. For senior patients (where applicable): Consider your hospital's most common patient with barriers to safe discharge. Which of the following characteristics does this patient have?

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* 7. Consider your hospital's most common patients with barriers to safe discharge. Please rank order the following factors that contribute most to difficulties in discharging these patients across all patient ages?

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* 8. If you answered other above, please provide additional detail.

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* 9. What is your hospital's average avoidable cost per day for patient care with patients who are medically prepared for discharge but cannot be discharged due to other reasons?

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* 10. Please rank the following barriers that your hospital faces in discharges patients.

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* 11. If you answered other above, please provide additional detail.

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* 12. For what your hospital considers to be patients with barriers to safe discharge, please estimate the following for calendar year 2022 (make your best estimation).

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* 13. In addition to the case management and/or discharge planning team, are other hospital staff contributing significant amount of time trying to place patients with barriers to safe discharge? If so, who?

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* 14. Has your hospital created additional processes to address this patient population and mitigate delays in discharge? If so, what are they? Write N/A if your hospital has no additional processes.

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* 15. Please rank the following factors would make the biggest difference in reducing lengths of stay in your hospital for patients with barriers to safe discharge.

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* 16. If you answered other above, please provide additional detail.

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* 17. Has your hospital identified any creative solutions to mitigate delays that could be replicated across hospitals and health systems in Colorado? If so, please explain.

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* 18. Please describe (4 to 6 sentences) a compelling case example of a time when your hospital experienced challenges discharging a patient to an appropriate care setting. CHA hopes to use these case examples to help illustrate "real-life" challenges that hospitals face discharging this patient population.

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* 19. Is there anything else you would like CHA to know regarding your experiences discharging this patient population?

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