Making moves
It's the standard process in which patient information is communicated between clinicians.
What is a handoff?
This service offers nursing, personal care, and medication assistance after discharge.
What is home health?
This group calls and ensures the patient follows up to prevent readmissions.
It's when a patient is moved from one care setting to another.
What is a transition of care?
It may be physical, occupational, or cognitive.
What is therapy?
They begin discharge planning as soon as the patient is admitted.
Who are social workers?
It describes how patients are monitored and supported after they leave the hospital.
What is discharge follow-up?
They provide comfort and end-of-life services.
What is palliative and hospice care?
They play a big role in patient education.
Who are nurses?
It is the process to prepare a patient for their anticipated health care needs after they leave the hospital.
What is discharge planning?
It includes outpatient mental health therapy, case management, and peer counseling.
What is behavior health?
These supplement the needs of patients without traditional support systems.
What are community-based organizations?
These are transitions of care that are often used to evaluate the quality of care.
What are hospital readmissions?
They are appointments when the patient is no longer staying in the hospital.
What are outpatient visits?
Who are providers?