A plan developed for a patient before leaving the hospital.
What is Discharge Planning
100
Quality of Life improves with this type of care.
What is Home Health Care
100
Information transfer and coordination of care over time
What is emphasis of continuity of care
100
The extent to which the individual experiences a sequence of separate healthcare incidents as connected, coherent, and contingent upon their medical requirements and personal circumstances.
What is continuity of care
200
Early assessment and intervention
What is an emphasis of case management
200
Effective way to ensure patient receives all discharge information.
What is Discharge Checklist
200
Service that helps patients taking many prescription drugs.
What is Medication Management
200
care of individual patient
What is component of continuity of care
200
The document the patient receives before leaving the hospital
What is Patient Instructions
300
Education and competencies of future nurse case managers
What is an influence on case management
300
Believed to occur in 20% of patients following discharge
What is Medication Errors
300
The most frequently occurring event reported in Home Health Care patients.
What are Falls
300
Care delivered over time
What is component of continuity of care
300
Undesirable outcome of Home Health Care.
What is Unplanned Hospital Admission
400
activities within acute care hospital setting
What is within the walls (WTW)
400
People that may be susceptible to adverse events post-discharge.
What are High Risk Patients
400
The preferred environment for patients during care.
What is Home
400
Key feature involved within continuity of care
What is discharge planning
400
A collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for an individual.
What is Case Management
500
case management in outpatient and community-based environments
What is beyond the walls (BTW)
500
Information that does not get transferred from the hospital to the primary care provider.
What are Failed Handoffs
500
Only 25% of wounds in home health care patients.
What is Vascular Leg Ulcers
500
Unit of measurement of continuity of care
What is the individual
500
The number of times Marjorie Crear went to the hospital last year.