The Duke Multi-Disciplinary Team

Coordinate patient care, determine team priorities, establish patient goals, and plan for potential transfer or discharge

This site aims to share learnings and standard work developed through creating multi-disciplinary teams. For those new to multi-disciplinary discharge focused huddles at Duke, start with the introductory video below. From there, members of the care team can find targeted pocket tools and orientation videos below.

For Triagists placing patients on our localized units, the following tool can be helpful in the triage algorithm.

Guides and Resources for Discharge Rounds

PROVIDERS

Organize the team with clear clinical goals and estimated times of medical stability and discharge readiness.

charge nurses

Coordinate daily needs with bedside teams and escalate barriers to care.

CASE MANAGEMENT

Start transition planning early including referrals to subsequent levels of care.

PT, OT AND SPEECH

Identify needs and coordinate care as patients progress toward medical readiness

PHARMACY

Identify barriers to medication access and ensure safe medication transitions.

UTILIZATION

Confirm appropriate utilization and update medical stability.

UNIT LEADERS

Escalate discharge barriers and coordinate solving complex issues.

All links

All huddle guides and introduction powerpoints are linked here.

Any feedback to our teams working on huddles and localization can be submitted here.