{"id":200,"date":"2020-09-04T16:39:41","date_gmt":"2020-09-04T16:39:41","guid":{"rendered":"https:\/\/www.hospitalinnovate.org\/covid19\/?page_id=200"},"modified":"2021-12-16T22:37:26","modified_gmt":"2021-12-16T22:37:26","slug":"discharge-criteria","status":"publish","type":"page","link":"https:\/\/www.hospitalinnovate.org\/covid19\/discharge-criteria\/","title":{"rendered":"Discharge Criteria"},"content":{"rendered":"<p>[vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; equal_height=&#8221;yes&#8221; content_placement=&#8221;bottom&#8221; css=&#8221;.vc_custom_1601581501234{margin-top: 0px !important;margin-bottom: 0px !important;border-bottom-width: 4px !important;padding-top: 0px !important;padding-right: 20px !important;padding-left: 20px !important;background-color: #f2f2f2 !important;border-bottom-color: #2c5d73 !important;border-bottom-style: solid !important;}&#8221;][vc_column width=&#8221;1\/2&#8243; css=&#8221;.vc_custom_1599240257664{padding-right: 20px !important;padding-left: 10px !important;}&#8221;][cesis_icon_paragraph heading=&#8221;Discharge Criteria Overview&#8221; text=&#8221;&#8221; margin_top=&#8221;40&#8243; icon_color=&#8221;#f7941d&#8221; h_icon_color=&#8221;#f7941d&#8221; heading_color=&#8221;#f7941d&#8221; heading_h_color=&#8221;#f7941d&#8221; heading_f_size=&#8221;24px&#8221; heading_f_weight=&#8221;600&#8243; heading_l_height=&#8221;30px&#8221; heading_t_transform=&#8221;none&#8221; icon=&#8221;fa-check-square-o&#8221;][\/cesis_icon_paragraph][\/vc_column][vc_column width=&#8221;1\/2&#8243;][cesis_breadcrumb pos=&#8221;cesis_breadcrumb_right&#8221; force_font=&#8221;custom&#8221; bread_color=&#8221;#2c5d73&#8243; bread_hover_color=&#8221;#2c5d73&#8243; f_size=&#8221;10px&#8221; f_weight=&#8221;300&#8243; t_transform=&#8221;uppercase&#8221; margin_bottom=&#8221;20&#8243;][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; gap=&#8221;20&#8243; equal_height=&#8221;yes&#8221; css=&#8221;.vc_custom_1601581561847{margin-top: 0px !important;padding-top: 0px !important;padding-right: 20px !important;}&#8221;][vc_column width=&#8221;1\/4&#8243; css=&#8221;.vc_custom_1601581576545{padding-top: 8px !important;padding-right: 8px !important;padding-bottom: 8px !important;padding-left: 8px !important;background-color: #f5f5f5 !important;}&#8221;][vc_column_text font_size=&#8221;16px&#8221; text_resize=&#8221;yes&#8221; text_minimum=&#8221;10&#8243; line_height=&#8221;1.25em&#8221; font_color=&#8221;#2c5d73&#8243; css=&#8221;.vc_custom_1601581645102{margin: 0px !important;}&#8221;]<strong>Discharge Criteria<\/strong>[\/vc_column_text][vc_wp_custommenu nav_menu=&#8221;6&#8243;][vc_column_text]<em>Last Updated: July 9, 2021<\/em>[\/vc_column_text][\/vc_column][vc_column width=&#8221;3\/4&#8243; css=&#8221;.vc_custom_1600125979256{padding-top: 8px !important;padding-right: 8px !important;padding-bottom: 8px !important;padding-left: 8px !important;border-radius: 4px !important;}&#8221;][vc_row_inner gap=&#8221;20&#8243; css=&#8221;.vc_custom_1600125910144{padding-left: 10px !important;}&#8221;][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text]<\/p>\n<h3><strong>Team Leads<\/strong><\/h3>\n<ul>\n<li>Jeffrey Schnipper, MD, MPH (Brigham and Women&#8217;s Hospital)<\/li>\n<li>Ryan Greysen, MD, MHS (University of Pennsylvania School of Medicine)<\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_column_text]<\/p>\n<h3>Authors<\/h3>\n<ul>\n<li>Armond Esmaili, MD (University of California, San Francisco School of Medicine)<\/li>\n<li>Ifedayo Kuye, MD, MBA (University of California, San Francisco School of Medicine)<\/li>\n<li>Rachel Weiss, MD (University of Virginia School of Medicine)<\/li>\n<li>Efren Manjarrez, MD (University of Miami School of Medicine)<\/li>\n<li>Jennifer Goldstein, MD, MSc (Elsevier Publishing, formerly ChristianaCare Health System)<\/li>\n<li>Mara Bann, MD (University of Washington School of Medicine)<\/li>\n<li>Lekshmi Santhosh, MD, MAEd (University of California, San Francisco School of Medicine)<\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_column_text]<\/p>\n<h3>Discharge Criteria Group Publication<\/h3>\n<p>Greysen RS, Auerbach AD, Mitchell MD, et al; for the HOMERuN Collaborative Working Group. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC8034037\/\">Discharge practices for COVID-19 patients: rapid review of published guidance and synthesis of documents and practices at 22 US academic medical centers<\/a>. <em>J Gen Intern Med<\/em>. 2021;36(6):1715-1721. DOI: 10.1007\/s11606-021-06711-x[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/2&#8243;][vc_column_text]<\/p>\n<h3><strong>Topic Area<\/strong><\/h3>\n<p>An important issue facing hospitals across the US is determining when it is safe to discharge COVID-19 patients; unlike other infectious conditions, the condition of patients with COVID-19 can worsen in the second week of illness after a period of initial stability. It is critical to understand who can be discharged safely to minimize length of stay and bed occupancy while also reducing post-discharge adverse outcomes such as readmission. In the absence of evidence of help to guide these decisions, HOMERuN has conducted a rapid review of discharge criteria at member hospitals by comparing and contrasting discharge practices at 22 academic medical centers.[\/vc_column_text][vc_column_text]<\/p>\n<h3><strong>Professional Society Guidance<\/strong><\/h3>\n<ul>\n<li>The <a href=\"https:\/\/www.hospitalmedicine.org\/clinical-topics\/coronavirus-disease-2019-covid-19-resources-for-hospitalists\/critical-care\/\" target=\"_blank\" rel=\"noopener noreferrer\">Society of Hospital Medicine<\/a> has compiled clinical guidance from a number of societies, including the Centers for Disease Control and Prevention (CDC), World Health Organization (WHO), and the Infectious Diseases Society of America (IDSA).<\/li>\n<li>To our knowledge, none of these guidelines specifically address the issue of when it is safe to discharge a patient with COVID-19 from the hospital.<\/li>\n<li>The CDC has guidance on when it is safe for a patient to be taken off quarantine, but this is not the same as when it is safe for hospital discharge.<\/li>\n<li>The <a href=\"http:\/\/www.uphs.upenn.edu\/cep\/COVID\/Inpatient%20discharge%20criteria%20update%20415.pdf\">Penn Medicine Center for Evidence-based Practice<\/a> has summarized professional society and public health agency guidelines on discharge criteria, including discharge criteria used at select hospitals.<\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; equal_height=&#8221;yes&#8221; content_placement=&#8221;bottom&#8221; css=&#8221;.vc_custom_1601581501234{margin-top: 0px !important;margin-bottom: 0px !important;border-bottom-width: 4px !important;padding-top: 0px !important;padding-right: 20px !important;padding-left: 20px !important;background-color: #f2f2f2 !important;border-bottom-color: #2c5d73 !important;border-bottom-style: solid !important;}&#8221;][vc_column width=&#8221;1\/2&#8243; css=&#8221;.vc_custom_1599240257664{padding-right: 20px !important;padding-left: 10px !important;}&#8221;][cesis_icon_paragraph heading=&#8221;Discharge Criteria Overview&#8221; text=&#8221;&#8221; margin_top=&#8221;40&#8243; icon_color=&#8221;#f7941d&#8221; h_icon_color=&#8221;#f7941d&#8221; heading_color=&#8221;#f7941d&#8221; heading_h_color=&#8221;#f7941d&#8221; heading_f_size=&#8221;24px&#8221; heading_f_weight=&#8221;600&#8243; heading_l_height=&#8221;30px&#8221; heading_t_transform=&#8221;none&#8221; icon=&#8221;fa-check-square-o&#8221;][\/cesis_icon_paragraph][\/vc_column][vc_column width=&#8221;1\/2&#8243;][cesis_breadcrumb pos=&#8221;cesis_breadcrumb_right&#8221; force_font=&#8221;custom&#8221; bread_color=&#8221;#2c5d73&#8243; bread_hover_color=&#8221;#2c5d73&#8243; f_size=&#8221;10px&#8221; f_weight=&#8221;300&#8243; t_transform=&#8221;uppercase&#8221; margin_bottom=&#8221;20&#8243;][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; gap=&#8221;20&#8243; equal_height=&#8221;yes&#8221; [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":2,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/pages\/200"}],"collection":[{"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/comments?post=200"}],"version-history":[{"count":31,"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/pages\/200\/revisions"}],"predecessor-version":[{"id":1343,"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/pages\/200\/revisions\/1343"}],"wp:attachment":[{"href":"https:\/\/www.hospitalinnovate.org\/covid19\/wp-json\/wp\/v2\/media?parent=200"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}