Diane Archer, justcareusa.org, writes: “It’s hard enough to be in the hospital. Most of us can think only of getting out as quickly as possible. But, leaving the hospital can have its own set of risks if you’re not prepared. So, before you or someone you love leaves, here are seven things that you should do:”
Click on the graphic above to download the booklet, Discharge Planning.
“Discharging patients from the hospital is a complex process that is fraught with challenges, and involves over 35 million hospital discharges annually in the United States. Among Medicare patients, almost 20 percent who are discharged from a hospital are readmitted within 30 days, and the cost of unplanned readmissions is 15 to 20 billion dollars annually. Preventing avoidable readmissions has the potential to profoundly improve both the quality of life for patients and the financial wellbeing of health care systems.
“Researchers in the field of Transitions of Care evaluate the effectiveness of various approaches to improve the discharge process. One classification scheme to categorize these interventions is to consider them as: pre-discharge interventions (patient education, discharge planning, medication reconciliation, scheduling a follow-up appointment); post-discharge interventions (follow-up phone call, communication with ambulatory provider, home visits); and bridging interventions (transition coaches, patient-centered discharge instructions, clinician continuity between inpatient and outpatient settings).
“This topic presents an overview of the discharge process, determination of the appropriate next site of care, and review of interventions to reduce the likelihood of unplanned readmissions and adverse events after discharge. Much of the discussion relates to structures of care available in the United States; there is significant variability in the availability of services and types of facilities across geographic areas.”
Continue reading this article, click here to read “Hospital discharge and readmission” at UpToDate.com.