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Evolution of Discharge Planning
Discharge Planning Models
A Multidisciplinary Approach
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activities acute care setting admission alternative American Hospital Association appropriate assessment assistance caregiver charge planning chronically ill cial clinical continuing care planning continuum coordination cost cost-benefit analysis cost-effectiveness analysis criteria decision decision-making process developed discharge planner discharge planning process discharge planning services effective elderly ensure environment evaluation facility family members focus follow-up function geriatric goals health care professionals health care providers HMOs hospital's Huntington Memorial Hospital identified implementation individual inpatient institutional involved issues length of stay liability long-term Medicaid Medicare ment monitoring multidisciplinary needs ning nursing assessment nursing care plan nursing home outcome participants patient and family patient education payment physical physical therapist physician posthospital potential problems quality assurance Quality Review Bulletin readmission referral rehabilitation relationship respiratory therapist responsibility risk management role screening social services social worker staff therapist therapy tion treatment utilization review Yes/No Yes/No Yes/No