Case Management

How can discharge planning prevent readmissions?

Case Management Monthly, March 1, 2010

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The handoff of the patient from the hospital to another care provider is a critical transition. The success of the discharge and the prevention of readmission are often dependent on the best practice components included in the handoff.

Many case managers see things only from the perspective of their own hospital setting. Case managers should communicate with the caregivers in the receiving setting prior to discharge in order to understand the patient’s needs at the next level of care.

Case managers should consider holding meetings with each of the care providers who represent the patient’s transition alternatives, including home care, SNFs, long-term care facilities, and even the receiving family members. These handoff meetings can give hospital-based case managers insight into the needs of newly discharged patients and caregivers

This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to Case Management Monthly.

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