Term
| What is discharge planning? |
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Definition
| A centralized coordinated multidisciplinary process that ensures that a patient has a plan for continuing care after leaving a health care agency. |
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Term
| True or False: Discharge planning is optional. |
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Definition
| False. It is mandated by Medicare and JCAHO |
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Term
| What are 3 reasons why we plan discharge? |
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Definition
1. To prevent rehospitalizations
2. Improves quality of life for patients
3. Financial well being of healthcare systems |
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Term
| When does discharge planning begin? |
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Definition
| It begins the moment a patient is admitted to a health care facility |
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Term
| What is one tool used in an acute care setting for discharge planning? |
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Definition
| To help coordinate patient care, the tool is critical/clinical pathways |
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Term
| What are four elements of discharge process? |
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Definition
1. Discharge planning
2. Patient Instructions
3. Medication reconciliation
4. Discharge Summary |
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Term
| What are four characteristics of Patient Instructions in the discharge process? |
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Definition
1. Has appropriate language and literacy within the instructions
2. Contains education materials
3. Brief
4. Focused on critical information needed in order to manage the condition after discharge |
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Term
| At what points does the nurse verify patient medication lists with the patient? (3) |
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Definition
At a point of care transition:
1. Admission
2. Change in level of care
3. Discharge |
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Term
| True or False: Discharge summary begins at admission and remains the same as when the patient was admitted. |
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Definition
| False: The nurse revises the plan of care as the client's condition changes. |
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Term
| What are 3 important elements of the discharge summary? |
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Definition
1. Outcome of hospitalization
2. Dispositions of the patient
3. Provisions for follow up care |
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Term
| To return home and be discharged, what are 4 things that patients need to be able to do? |
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Definition
1. Obtain and self administer medications
2. Perform self care activities
3. Manage nutritional needs
4. Follow up with designated providers. |
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Term
| What are some of the members of the healthcare team that are involved in the discharge process? |
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Definition
Patient,
Family,
Nurse,
Case manager,
Physician,
Physical and Occupational therapist,
Social worker,
Insurer |
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Term
| What determines the appropriate site choice for the patient after discharge? (3) |
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Definition
1. Medical needs such as acute and chronic medical conditions
2. Functional abilities
3. Social aspects of the patient's illness such as decision making capacity |
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Term
| What are some types of facilities that patient could be discharged to according to their needs? (3) |
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Definition
1. Acute care hospitals
2. Exempt care hospitals (inpatient rehab hospitals and long term acute care hospital)
3. Nursing facilities (skilled nursing facilities and extended care facilities) |
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Term
| List a few challenges for patients after discharge |
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Definition
Premature discharge,
Inadequate post-discharge support
Insufficient follow-up
Therapeutic errors
Adverse drug events and other med issues
Failed hand offs
Complications following procedures
Nosocomical infections, pressure ulcers and patient falls. |
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Term
| What is Quality Assurance relating to the discharge process? |
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Definition
| A process in which standards of care are idenifitied, observed and measured to ensure the achievement. It is viewed as an extension of the evaluation phase of the Discharge Planning process. |
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Term
| What is the goal of Quality Assurance relating to the discharge process? |
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Definition
| To produce satisfactory patient outcomes |
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