During the hospital discharge process, discharge planners
generally provide a list of local nursing homes that provide SNF care to patients and their families and may help identify which SNFs have vacancies.
In addition, hospital discharge planners
and home health professionals should carefully assess patients' financial situations, because the high costs of prescription drugs can create financial burdens, especially for low-income Medicare beneficiaries.
Successful nursing home administrators know how to deal with hospital discharge planners
. Fewer know how to deal with physicians--perhaps because they see so few of them in their facilities.
A stamped, addressed return envelope was included with each survey for the individual discharge planner
to mail the survey directly to the researchers.
Approximately 70% of patients discharged from Lehigh Valley Hospital (LVH) do not have home health followup ordered by their physicians or arranged for by discharge planners
. This means discharge instructions for these patients must be especially thorough.
Once an assessment has been conducted, the discharge planner
must translate the care needs and patient preferences into service needs and help the patient and family develop PAC options.
You and your child's discharge planner
should set up home training dates; usually the home care agency or equipment vendor will do the actual training.
In addition, admissions to PAC are often guided by a hospital discharge planner
and PAC providers play a role in deciding which patients to accept.
Adequacy of the discharge plan was conceptualized as the ability of the discharge plan to counteract the disabling effects, whether medical, cognitive, functional or emotional of the patient's illness or disability as rated by the social worker (discharge planner
) at the time of discharge.
The CPDC coordinated a meeting with the following members: the home care rehabilitation clinical nurse specialist, the outcomes coordinator, home care and acute care physical therapists, discharge planner
, home care nursing staff, and orthopedic surgeons.
Whether they work as a discharge planner
, are hospice social workers or private geriatric care managers, they are expected to know and advise on LTC options.
These practitioners include two licensed psychiatrists, a licensed psychologist, a licensed social worker, a licensed mental health counselor, a mental health sick call nurse, four advanced registered nurse practitioners, a discharge planner
and an administrative assistant.