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Who is eligible for GEM Services? Referral Process can Refer GEM services are for older adult patients who have potential for improvement. Patients have issues that impact their discharge and/or ability
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01
Gather all necessary information about the patient's medical history, diagnosis, and treatment plan.
02
Identify the patient's individual needs, preferences, and goals.
03
Ensure clear communication and coordination among all healthcare professionals involved in the discharge planning process.
04
Assess the patient's support system and identify any potential barriers to a successful discharge.
05
Develop a comprehensive discharge plan that includes appropriate medical follow-up, medication management, and any necessary rehabilitation or home care services.
06
Educate the patient and their caregivers about the post-discharge plan, including any lifestyle modifications, dietary restrictions, or self-care techniques.
07
Provide the patient with written instructions and resources for ongoing support and assistance.
08
Collaborate with community resources and organizations to facilitate a seamless transition from hospital to home.
09
Regularly evaluate and update the discharge plan based on the patient's progress and changing needs.
10
Ensure proper documentation and communication of the discharge plan to all relevant parties.

Who needs impact of discharge planning?

01
Patients who have been hospitalized for a major surgical procedure.
02
Patients with complex medical conditions that require ongoing care and management.
03
Elderly patients who may have difficulty adjusting to their post-hospitalization routine.
04
Patients with chronic illnesses or disabilities that require long-term support and assistance.
05
Patients with mental health disorders who need a comprehensive plan for post-discharge care.
06
Patients with limited support systems or resources to navigate the healthcare system on their own.
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Discharge planning helps ensure smooth transitions for patients from the hospital to their next care setting, reducing readmission rates and improving patient outcomes.
Healthcare facilities and providers are required to file impact of discharge planning.
Impact of discharge planning can be filled out by collecting data on patient outcomes post-discharge and reporting it to the appropriate regulatory bodies.
The purpose of impact of discharge planning is to track and assess the effectiveness of discharge planning processes in healthcare settings.
Information such as readmission rates, patient satisfaction levels, and follow-up care details must be reported on impact of discharge planning.
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