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Discharge Planning

QuestionAnswer
Discharge planning begins as soon as the patient is admitted to the facility
What is case mangagment? A system of coordinating health care services to ensure cost-effectiveness, accountability, and quality care.
What is the nurse’s role in discharge planning Nurses should identify and anticipate patients continuing needs before the actual time of discharge & coordinate with health team members so that an effective & appropriate discharge planning is implemented.
Describe how DRG’s are used to base hospital payment Hospitals are no longer reimbursed for all costs of procedures on a case by case basis. Payments for hospital services to Medicare patients are based on a flat fee per admission.
A patient is stable following a stroke but has left sided parlysis with a potential for return of function. What setting should the patient be discharged to? Acute Rehab
A stable comatose patient following a head injury requires tube feedings, IV medications, and continuous nursing support. What setting should this patient be discharged to? Long term SNF
A patient requires IV antibiotics and wound care daily and have a daughter that visits frequently to assist with ADL's. Which setting should this patient be discharged to? Home Health Care
Give four examples of DME BSC, Wheel chiar, walker, & O2
Changing from a retrospective to a prospective payment system, changing demographics, nature & prevalence of illness, technology, & increasing consumerism are all factors of what? The influencing of the changes in our health care system.
An example of an acute care setting: Hospital
What is the emphasis of hospice care? It is the care of the dying patient, comfort, nutrition, hydration, dignity & family.
What two things should be done when evaluating the discharge planning process? Follow up contact & re-admission statistics
Name the four goals of case managment. 1.Provide quality health care along a continuum2.Decrease fragmentation of care across many settings.3. Enhance patient's quality of life.5. Contain health care costs
Created by: tammy.mobley
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