discharge planning - ANSWERis preparation for moving a patient from one level of care to another and begins on admission
Discharge planning is based on - ANSWERindividual patient needs.
Key team members whose main focus is discharge planning include: - ANSWERPatient Care Facilitators
Care Co...
discharge planning Questions 100%
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discharge planning - ANSWERis preparation for moving a patient from one level of care to another
and begins on admission
Discharge planning is based on - ANSWERindividual patient needs.
Key team members whose main focus is discharge planning include: - ANSWERPatient Care
Facilitators
Care Coordinators
Social Workers
Utilization Review Nurses
Discharge planning facilitates - ANSWERa patient's smooth, efficient, and effective transition from
one level of care to another.
The interdisciplinary patient care team (PT/OT, RN, speech therapist, MD, etc.) - ANSWERcollaborates
as often as needed to achieve clinical outcomes and determine a patient's readiness for discharge.
Job responsibilities specific to these team members include: - ANSWERIdentify patients requiring
home health and home equipment/supplies.
Assist with and document referrals to home health and medical equipment agencies.
Evaluate medical necessity of admission and the need to continue hospitalization.
Issue Medicare denial of benefits letter to patient/family if appropriate.
Act as liaison between 3rd party payors and patient advocates.
Identify high risk patients.
, Evaluate internal/external resource referrals and complete referrals with facilitation of transportation
arrangements to the health care facility.
objectives of discharge planning - ANSWERTo meet the clinical, social, emotional, and financial needs
of the patient and family using an interdisciplinary approach.
To assist individuals to adopt or alter behavior which will improve or maintain their health using
patient and family educational services.
To prevent unnecessary readmission using individualized patient discharge plans.
discharge obstacles - ANSWEREarly identification of high risk patients or patients with potential
discharge planning obstacles is required to achieve a smooth transition to the next level of care.
Patients identified as high risk are typically referred to case management for consultation.
a few words about case management - ANSWERCase management coordinates patient access to and
patient utilization of health care services.
Case management was developed to reduce costs while at the same time ensuring quality of care.
CM may function in a health care facility, home health agency, or insurance agency.
Examples of discharge planning obstacles include: - ANSWERPatients without support from family or
others
Patients who have been abandoned
Patients with unknown or unclear residence status
Patients without financial resources
Patients requiring specialized rehab programs
Patients with new onset of moderate to severe functional issues or communication disorders
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