CoPs Discharge Planning


As a doctor, do you observe that your patient will need transitioning care once discharged from the hospital? Or as a nurse, do you foresee increased involvement for yourself post, discharge of your patient from the hospital?

Discussions are continuously taking place on the final upcoming hospital discharge planning rules and the relevant conditions of participation in it. Different views and opinions are being voiced. Professionals engaged in healthcare are submitting opinions for discussion. The comments and suggestions coming from them are widely varied. They offer views into a huge spectrum of issues that need attention.   Some of the suggestions recommend an overhaul of sections of healthcare. And this is because the perspectives of professionals are often mutually very contrasting. Discharge from a nurse’s point of view is quite different from that of a surgeon who operated upon the patient.

A word that is repeatedly discussed is ‘transition’. The updates even point to replace ‘discharge’ with transition. A patient should be well looked after and the hospital should plan their recovery to the maximum extent possible. And discharge has always sounded to mean the end of responsibility of medical caregiver.

Once a patient is out of the gate, it is as if the responsibilities vanish. Updates to the discharge planning rules and conditions of participation are going to change this attitude. The idea is to replace the earlier concept with the mindset of seeing through a patient till complete recovery.

From all these, it is clear that hospital and post-discharge caregivers like nurses will have more clearly defined roles. The hospital will have to plan the discharge at the time of admitting a patient, once they have completed the primary investigation and diagnosed the treatment path. The stricter conditions will demand much better case management from them.

Nurses are responsible for the post-treatment recovery process. Their jobs will also be more clearly defined and noted down. Many see this as an opening to higher responsibilities for nurses in the complete medical care. Discussions on increasing the scope of nurses’ responsibilities are growing. It is quite clear that the role of the hospitals, doctors, and nurses will be well-documented in the condition of participation for discharge planning. And it will be stricter. Professionals engaged in peripheral care support will also have stricter norms as do the hospitals.

Infirm patients, patients who underwent major surgeries and patients on a wheelchair, are some of the cases who will need clear discharge planning through individual case management on the part of the hospital.

On  January 16th in a live webinar, Dr. Toni G Cesta will take all the professionals through the complete journey of Condition of participation in discharge planning. She will stress the roles and challenges of RN case managers and social workers. With her extensive experience in these domains, she can tell us the specific challenges to face, and the ways to overcome them. She will also guide interdisciplinary care team on how the patient can be taken through the continuum.    She will also guide on the verbal and written communication to clearly define the transition of the patient’s treatment. She will also highlight the positive impact that effective discharge planning can have on hospitals, especially for critical care patients. From the webinar, you will get a clear idea of the overall scenario, how the complete conditions of participation in patient discharge planning will improve the healthcare of the country.

As a doctor, do you observe that your patient will need transitioning care once discharged from the hospital? Or as a nurse, do you foresee increased involvement for yourself ...
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