Alternatives

Advantages (Strengths)

Disadvantages (Weakness)

Best Case Scenario

Worst Case Scenario

Discharge by the multi-disciplinary team

Safe, and appropriate discharge

Time-consumed, require effective communication

“When there is effective coordination between members of multidisciplinary team”

“In the absent of coordination of multidisciplinary team members”

Perform comprehensive patient assessment within twenty-four hours of admission

Appropriate referrals to other disciplines. Identify on patients with special needs

Overcome any non medical factor could delay discharge

Comprehensive assessment requires highly skill and cooperation of multidiscipline

“When the assessment performed by skillful persons”

“In the absent of skill to perform the assessment”

Determine estimated discharge date (EDD)

Enhance achievement of care plane objectives with specific time frame

Give indicator about available bed over the time

To determine EDD within 24 hour based on initial assessment is difficult

“When the determination is based on proper comprehensive assessment”

“When the determination is based on improper, non comprehensive assessment”

Involved patients and their families in the discharge planning

Enable them to understand and contribute to their discharge plan and make decisions for their future care

Improve their satisfaction

It require cooperative patients and families

“When patients and their families are cooperative”

“In the absent of cooperation”

Determine the responsibility of each health care team member in discharge planning

Ensure that the high standards of discharge planning are maintained and applied

It makes it easy to determine the cause of defect in discharge process

It requires high level of coordination

“In the exist of effective process to control adherence to the responsibilities”

“In the absent of effective process to control responsibilities adherence”