Patients transitioning to post-acute care are the most vulnerable and require high-quality care.
It’s critically important to get the transition from the hospital to another level of care right.
An efficient hospital discharge begins by involving patients and their families in the decision-making process and ensuring that patients are aware of all post-acute facilities available to them by maintaining quality, objective data about potential providers.
Getting the patient transition right drives improved clinical outcomes. When patients receive the appropriate level of care after an acute episode, results include fewer adverse events post-hospital discharge, reduced readmission rates and improved utilization of appropriate services that directly lower the cost of care.
There are four areas of focus to ensure successful transitions from hospital bed to post-acute care facility:
- Partner with Patients during Discharge:
When planning for a patient’s discharge, there are several options from which hospitals and patients can choose – whether a home health agency (HHA), skilled nursing facility (SNF), inpatient rehab facility (IRF) or long-term care hospital (LTCH).
Nearly 20% of patients experience an adverse event post-discharge and it is imperative that discharge planners, patients and families work together to find the facility that best addresses the patient’s unique needs.
Patient choice in the discharge planning process is especially critical following the CMS’s revision to the discharge planning requirements and finalized portions of the IMPACT Act. It is now more important than ever for hospitals to focus on the patient’s goals and treatment preferences and also include the patient and his or her family as active partners in the transition process.