Stakeholder Presentation Write-Up
Organizational performance and patient outcomes in the healthcare organization are based on the patient care processes of the healthcare organization. One of the main problems in this environment is patient discharge delay. This occurs because the interdisciplinary healthcare team members, including nurses, physicians, case managers, and physical therapists, do not communicate and coordinate properly. This has broad-reaching effects on hospital operations, patient readmission rates, and patient satisfaction: Stakeholder Presentation Write-Up.
Thus, structured interdisciplinary bedside rounds (SIBRs) and Situational, Background, Assessment, and Recommendation (SBAR) communication strategies may constitute a way to solve these problems. The objective is to promote greater interprofessional collaboration and provider communication and, thus, a better discharge process.
Organizational or Patient Issues
Delays in patient discharge are a problem for the organization, as wait time is inefficient, readmissions are high, and patient satisfaction is poor. As Gonçalves-Bradley et al. (2022) mentioned, nurses and other healthcare staff are not always well organized, which could delay the move to appropriate discharge. Such delays further impact not only the operational expense through longer hospital stays but also the resulting patient outcomes.
Consistent use of delayed discharge frequently results in patient length of stay increases, bed turnover that falls, and financial penalties due to excessive readmission. Severely damaging the hospital’s image and patient retention rate is patient dissatisfaction. To improve the operational efficiency of the hospital and the quality of care provided to patients, this must be resolved, which will, in turn, result in a better patient experience and clinical outcomes.
Relevance of an Interdisciplinary Team Approach
Tackling the problem of delayed discharge is an interdisciplinary team approach. The approach involves the union of healthcare professionals from various disciplines, including nurses, doctors, physical therapists, case managers, and allied health professionals. Together, these professionals can cooperate and provide more holistic care and better communication, which is important in ensuring timely discharge.
Warren and Warren (2023) highlight that working interdisciplinary results in improved decision-making, improved effectiveness in the use of resources, and improved patient outcomes. In this collaborative environment, when an interdisciplinary team has a ready availability, an educated decision can be made regarding the patient’s readiness for discharge, arranging for follow-up care, and planning out all of the resources needed for this patient’s discharge and for the healing process.
Notably, one major benefit of an interdisciplinary team when addressing a problem of delayed discharge is the ability to minimize communication breakdown, coordinate care, and make discharge planning decisions based on a comprehensive view of what a patient needs, not how the different roles would like to administrate patient flow. By dissolving the silos between the different departments, team members are able to collaborate in real-time and minimize the amount of time discharge takes, therefore maximizing the hospital patient flow.
Interdisciplinary Plan Summary
The suggested interdisciplinary plan is aimed at promoting collaboration among healthcare providers with the objective of minimizing delays of discharge readmissions and improving patient satisfaction. The plan shall execute Structured Interdisciplinary Bedside Rounds (SIBRs) and SBAR communication competencies as the major strategies. These are evidence-based strategies that enhance communication, decision-making, and the discharge process overall.
SIBRs consist of real-time inpatient bedside communication to enable healthcare professionals to determine readiness for discharge and negotiate plans of care directly with the patient and family. SBAR offers a communications model that gives healthcare professionals a formal method of communicating critical patient information efficiently and effectively among staff.
Besides, evidence favors the implementation of these tools because they minimize errors in communication and enhance teamwork. For example, SBAR has been associated with better patient safety and coordination of care, as shown by Fernández et al. (2022), whereas SIBRs, as shown by Schwartz et al. (2021), have been shown to work well in enhancing interprofessional communication and minimizing avoidable delays in patient discharge. By integrating these tools into workflows on a daily basis, the interprofessional team will be more cohesive in its practice to guarantee that discharge planning is well communicated and carried out in a timely fashion.
Implementation and Resource Management
Running this interdisciplinary model will require good management of human and fiscal resources. Initially, staff must be trained in the use of SIBRs and the SBAR form of communication. All staff concerned, that is, physicians, nurses, case managers, and physical therapists, will have access to training sessions. An estimate of around $20,000 has been made for the cost of training—materials as well as teaching sessions.
Furthermore, technological advances would have to occur so that the hospital can engage in these communication initiatives. They include investments in upgrading the EHR system so that SBAR template integration is possible, as well as in upgrading the virtual communication platform to enable collaboration among remote team members. These technological advancements are estimated to cost up to around $15,000.
Consequently, executing the plan will also require staff time. Formal bedside rounds will require about 30 minutes of staff time a day. This time will be planned to minimize the impact on normal workflows.
In addition, accounting will need some administrative support with scheduling and documentation at $10,000 per year. The total cost to implement the plan, or put differently, the cost of training, technology purchase, and staff time, is $45,000.
This will be critical in order to manage these resources effectively and in making sure the plan is implemented waste-free without wastage, prioritizing critical activities to be done first, process streamlining, training, and support of staff members during transition. The cost of the plan is justified by anticipated cost savings of shorter discharge times, improved outcomes, and lower readmission rates.
Evaluation
The plan will be determined to be successful via a series of evidence-based parameters such as patient discharge time, patient readmission within 30 days of discharge, and patient satisfaction rates. One of the primary measures of success will be a reduction in patient discharge delays, as these directly impact hospital efficiency and patient flow. Schwartz et al. (2021) state that structured interdisciplinary rounds (SIBRs) can improve communication, reduce discharge delays, and hasten patient exit. A major marker of success will be a decrease in patient readmission in the first 30 days after discharge, indicating the efficiency of discharge planning and post-care.
Dhaliwal and Dang (2024) point out that readmissions are a central measure of success in healthcare, and poor coordination and communication between healthcare providers can significantly impact readmissions. The plan will also be evaluated via patient satisfaction surveys to determine their effect on patient experience. According to Fernández et al. (2022), higher patient satisfaction scores are associated with better discharge communication, particularly with SBAR. The hospital can then monitor these metrics, decide whether the interdisciplinary approach has been successful in meeting its objectives, and adjust it so that this success will continue.
Conclusion
An evidence-based, pragmatic, and interdisciplinary plan is a practical solution to the problem of timely discharge of patients. Using the SIBR and SBAR communication frameworks, hospitals can improve collaboration between healthcare professionals and patient outcomes. The initial costs are offset with projected long-term benefits in readmission rates, patient satisfaction, and hospital efficiency because of an investment of time in training, technology, and staffing costs. This plan should be succeeded by leadership and stakeholder support, resulting in patient care and organizational performance improvement.
References
Dhaliwal, J. S., & Dang, A. K. (2024, June 7). Reducing hospital readmissions. Nih.gov; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK606114/
Fernández, M. C. M., Martín, S. C., Presa, C. L., Martínez, E. F., Gomes, L., & Sanchez, P. M. (2022). SBAR method for improving well-being in the internal medicine unit: Quasi-experimental research. International Journal of Environmental Research and Public Health, 19(24), 16813. https://doi.org/10.3390/ijerph192416813
Gonçalves-Bradley, D. C., Lannin, N. A., Clemson, L., Cameron, I. D., & Shepperd, S. (2022). Discharge planning from hospital. Cochrane Database of Systematic Reviews, 2022(2). https://doi.org/10.1002/14651858.cd000313.pub6
Schwartz, J. I., Gonzalez-Colaso, R., Gan, G., Deng, Y., Kaplan, M. H., Vakos, P.-A., Kenyon, K., Ashman, A., Sofair, A. N., Huot, S. J., & Chaudhry, S. I. (2021). Structured interdisciplinary bedside rounds improve interprofessional communication and workplace efficiency among residents and nurses on an inpatient internal medicine unit. Journal of Interprofessional Care, 38(3), 1–8. https://doi.org/10.1080/13561820.2020.1863932
Warren, J. L., & Warren, J. S. (2023). The case for understanding interdisciplinary relationships in health care. Ochsner Journal, 23(2), 94–97. https://doi.org/10.31486/toj.22.0111
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Question 
For this assessment, you will create an 8-12 slide PowerPoint presentation for one or more stakeholder or leadership groups to generate interest and buy-in for the plan proposal you developed for the third assessment.
Introduction
As a current or future nurse leader, you may be called upon to present to stakeholders and leadership about projects that you have been involved in or wish to implement. The ability to communicate a plan—and potential implications of not pursuing such a plan—to stakeholders effectively can be critically important in creating awareness and buy-in, as well as building your personal and professional brand in your organization. It is equally important that you know how to create compelling presentations for others’ delivery and ensure that they convey the same content you would deliver if you were the presenter.
You are encouraged to complete the Evidence-Based Practice: Basics and Guidelines activity before you develop the presentation. This activity consists of six questions that will create the opportunity to check your understanding of the fundamentals of evidence-based practice as well as ways to identify EBP in practice. The information gained from completing this formative will help promote success in the Stakeholder Pre
Demonstration of Proficiency
- Competency 1: Explain strategies for managing human and financial resources to promote organizational health.
- Explain how the interdisciplinary plan could be implemented and how the human and financial resources would be managed.
Professional Context
This assessment will provide y
Scenario
In addition to summarizing the key points of Assessments 2 and 3, you will provide stakeholders and/or leadership with an overview of project specifics as well as how success would be evaluated—you will essentially be presenting a discussion of the Plan, Do, and Study parts of the PDSA cycle. Again, you will not be expected to execute the project, so you will not have any results to study. However, by carefully examining the ways in which your plan could be carried out and evaluated, you will get some of the experience of the thinking required for PDSA.
When creating your PowerPoint for this assessment, it is important to keep in mind the target audience: your interviewee’s organizational leadership. The overall goal of this assessment is to create a presentation that your interviewee could potentially give in his or her organization.
Stakeholder Presentation Write-Up
Be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.
- Explain an organizational or patient issue for which a collaborative interdisciplinary team approach would help achieve a specific improvement goal.
- Summarize an evidence-based interdisciplinary plan to address an organizational or patient issue.
- Explain how the interdisciplinary plan could be implemented and how the human and financial resources would be managed.
- Propose evidence-based criteria that could be used to evaluate the degree to which the project was successful in achieving the improvement goal.
- Communicate the PowerPoint presentation of the interdisciplinary improvement plan to stakeholders in a professional manner, with writing that is clear, logically organized, and respectful with correct grammar and spelling using current APA style.
There are various ways to structure your presentation; following is one example:
- Part 1: Organizational or Patient Issue.
- What is the issue that you are trying to solve or improve?
- Why should the audience care about solving it?
- Part 2: Relevance of an Interdisciplinary Team Approach.
- Why is using an interdisciplinary team relevant, or the best approach, to addressing the issue?
- How will it help to achieve improved outcomes or reach a goal?
- Part 3: Interdisciplinary Plan Summary.
- What is the objective?
- How likely is it to work?
- What will the interdisciplinary team do?
- Part 4: Implementation and Resource Management.
- How could the plan be implemented to ensure effective use of resources?
- How could the plan be managed to ensure that resources were not wasted?
- How does the plan justify the resource expenditure?
- Part 5: Evaluation.
- What would a successful outcome of the project look like?
- What are the criteria that could be used to measure that success?
- How could this be used to show the degree of success?
Again, keep in mind that your audience for this presentation is a specific group (or groups) at your interviewee’s organization and tailor your language and messaging accordingly. Remember, also, that another person will ultimately be giving the presentation. Include thorough speaker’s notes that flesh out the bullet points on each slide.
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