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...
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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