Abstract Body: Background: Patients discharged home from stroke neurology service are encountering challenges regarding follow-up appointments and had queries around medication management, necessitating considerable time investment from stroke nurse navigators and residents in approximately 10% of cases.

Objectives/Aims: Within the next two months, the stroke neurology service aims to decrease the occurrence of post-discharge issues from 10% to 6% and reduce the time allocated to nurse navigator duties by a minimum of 20%, thus enhancing efficiency in patient follow-up and medication management processes.

Methods: FOCUS-PDSA (Find a problem, Organize, Clarify, Understand, select intervention; Plan-Do-Study-Act) methodology was used for this project. In a one-year analysis of home discharge calls, we identified patient issues and tracked nurse navigator time per call in the month prior to initiating PDSA cycles. Over two PDSA cycles from March 1 to April 30, we implemented two interventions. First, we educated senior residents in the stroke service to sign discharge summaries instead of interns, reducing nurse navigator time spent on provider tracking. Second, we launched the "ASK me 3" campaign, encouraging patients to inquire about their care via displayed placards and signs in patient rooms and corridors.

Results/Outcomes: In our initial PDSA cycle, only 50% of discharge summaries were signed by senior residents, and there was no significant change in nurse navigator call time. After consulting stakeholders, we revised our intervention to include the name of the senior resident on service in discharge summaries, resulting in 100% compliance and nurse navigator time has been reduced by 30% over a two-month period.

Conclusion: Our data analysis suggests that system-based changes, such as mandating provider names on discharge summaries and implementing the "ASK me 3" campaign, may be more reliable than provider-dependent interventions. If effectively utilized, these tools could be scaled to broader settings, potentially encompassing entire department or multiple departments.