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discharge planning Questions & Answers 100% Correct!!

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when does discharge planning begin - ANSWERdischarge planning is preparation for moving a patient from one level of care to another and begins at admission LOOK AHEAD what is discharge planning based on - ANSWERindividual patient needs what does discharge planning facilitate - ANSWERdischar...

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  • October 28, 2024
  • 6
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Discharge planning
  • Discharge planning
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papersbyjol
discharge planning Questions &
Answers 100% Correct!!
when does discharge planning begin - ANSWERdischarge planning is preparation for moving a patient
from one level of care to another and begins at admission

LOOK AHEAD



what is discharge planning based on - ANSWERindividual patient needs



what does discharge planning facilitate - ANSWERdischarge planning facilitates a patients smooth,
efficient and effective transition from one level of care to another

EX: hospital to home



what does the interdisciplinary patient care team do? - ANSWERCollaborate as often as needed to
achieve clinical outcomes and determine a patients readiness for discharge

-PT, OT, PN, Speech Therapist, MD, etc.)



key team members whose main focus is discharge planning include - ANSWERpatient care facilitators

care coordinators

social workers

utilization review nurses



job responsibilities specific to these team members include - ANSWER-identify 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 patients/family if appropriate

-act as liaison b/w 3rd party payors and patient advocates

- IDENTIFY HIGH RISK PATIENTS

- evaluate internal and external resources referrals and complete referrals with facilitation of
transportation arrangements to health care facility

, case management - ANSWER-case management coordinates patient access to and patient utilization
of health care services

-case management was developed to reduce costs while at the sam time ensuring quality of care

-CM may function in a health care facility, home, health agency, or insurance agency




objectives of discharge planning - ANSWER- to meet the clinical, social, emotional, and financial
needs f 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 services



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

ex:

-patients w/o support from family or others

-patients who have been abandoned

-patients with unknown or unclear residence status

-patients w/o financial resources

-patients requiring specialized rehab programs

-patients w new onset of moderate to severe functional issues or communication disorders

-patients whose impairments necessitate changes in their education, employment, and or family
roles

-patients w terminal illness

-patients who have been abused, neglected, and or assaulted

-patients with alcoholism or substance abuse disorders



who are high risk patients referred to? - ANSWERcase management for consultation



the role of a case manager - ANSWER-coordinate service across disciplines to reduce fragmentation
in care ( making sure no-one drops the ball on the patient)

-achieve satisfactory clinical outcomes

-shorten length of hospital stay and use resources effectively

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