Discharge Planning is a process, not a single event. Medicare defines discharge planning this way: “A process used to decide what a patient needs for a smooth transition from one level of care to another”.
As a result of that process, the discharge plan may be to return home or someone else’s, a rehab facility, a nursing home or some other place outside the hospital.
What You Need To Know
You should know several things about your discharge plan including:
- Expected date of discharge.
- Diagnosis/es at the time of discharge
- Medications/prescriptions at the time of discharge
- Transportation needs at the time of discharge (car, cab, wheelchair van, ambulance, bus/metro, etc.)
- Medical equipment needs (cane, crutches, walker, wheel-chair, oxygen, hospital bed, etc)
- Home-care needs (visiting nurse, physical/speech/ occupational therapy, home health aid, etc.)
- Rehab needs (acute, sub-acute, outpatient)
- Special foods and/or diet restrictions
- Physical activity restrictions
- Follow-up medical tests/procedures/appointments
If you have any questions or need more information about your discharge plan please ask to see the social worker/nurse case manager if you are currently in a hospital or call ADRC at (202) 724-5626 and ask for the Transition Care Specialist.