Transcription of DISCHARGE PLANNING TOOLKIT - Lifespan Network
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1 DISCHARGE PLANNING TOOLKIT This TOOLKIT is offered by The Beacon Institute through a grant from the Maryland Office of Health Care Quality 2 DISCHARGE PLANNING TOOLKIT TABLE OF CONTENTS Introduction SECTION I: STAFF RESOURCES New Requirements for DISCHARGE PLANNING Includes information on the new Mega-Rule requirements for DISCHARGE PLANNING that became effective 11/28/17. Procedure/ checklist for DISCHARGE PLANNING Tool for monitoring completion of new Mega-Rule requirements DISCHARGE PLANNING checklist List of actions to consider prior to and on the day of DISCHARGE Assessment of Post- DISCHARGE Needs checklist of items to include in a DISCHARGE plan Readmission Risk Worksheet Listing of factors for increased risk of hospital readmission. DISCHARGE Care Plan Care plan that can be used as is, or incorporated into facility s care plan format. Being Sensitive to Cultural Differences Factors to consider in respect to individuals' beliefs and practices; web resources to gain insights about specific groups Resident and Caregiver Education Review of items which need to be considered for effective education on post- DISCHARGE care.
Discharge Planning Checklist List of actions to consider prior to and on the day of discharge Assessment of Post-Discharge Needs Checklist of items to include in a discharge plan Readmission Risk Worksheet Listing of factors for increased risk of hospital readmission.
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