Development and Implementation of Rapid Discharge Plan in a Municipal Healthcare System
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Abstract
In scenarios where patient demand exceeds hospital capacity, such as natural disasters, terrorist attacks, or staffing shortages, the rapid discharge of patients who are identified through reverse triage methodologies can create surge capacity. Numerous resources and studies have evaluated this concept, but current tools tend to be extensive and siloed, which may make them difficult to use during emergencies. To prepare the largest municipal healthcare system in the United States for situations requiring rapid patient discharge, New York City Health + Hospital’s Central Office Emergency Management sought to develop a short, synthesized, and user-friendly plan. After consulting experts and reviewing existing peer-reviewed papers, gray literature, and internal facility documents, the team created a 7-page Response Action Checklist - Risk-based, Abbreviated, Patient Identification Discharge Tool (RAPID) to synthesize important content. This tool was successfully utilized during a resident labor action in May 2023, illustrating that its utility may extend beyond the system in which it was used. Future work should be done to validate and improve upon this tool.
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Abstract
In scenarios where patient demand exceeds hospital capacity, such as natural disasters, terrorist attacks, or staffing shortages, the rapid discharge of patients who are identified through reverse triage methodologies can create surge capacity. Numerous resources and studies have evaluated this concept, but current tools tend to be extensive and siloed, which may make them difficult to use during emergencies. To prepare the largest municipal healthcare system in the United States for situations requiring rapid patient discharge, New York City Health + Hospital’s Central Office Emergency Management sought to develop a short, synthesized, and user-friendly plan. After consulting experts and reviewing existing peer-reviewed papers, gray literature, and internal facility documents, the team created a 7-page Response Action Checklist - Risk-based, Abbreviated, Patient Identification Discharge Tool (RAPID) to synthesize important content. This tool was successfully utilized during a resident labor action in May 2023, illustrating that its utility may extend beyond the system in which it was used. Future work should be done to validate and improve upon this tool.
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Ryan Leone, Laura G. Iavicoli, David Silvestri, et al.
Development and Implementation of Rapid Discharge Plan in a Municipal Healthcare System. Authorea. 30 June 2025.
DOI: https://doi.org/10.22541/au.175126285.58377310/v1
DOI: https://doi.org/10.22541/au.175126285.58377310/v1
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