QAPI Program Utilization_Manual

DISCHARGE PLANNING CONTROL LOG Month: _________________ Year: __________ MR # Patient’s Name (Active) Assessment of Discharge Potential Case Conf. Discuss DC Potential / Plans for continuity of Care POC-485 Update Plan of Care Update Family/Pt discussion of DC planning AFTER DISCHARGE DISCHARGE Nursing Assessment Medication Mgm. and Care plans POC Referral for follow support Contac t with Pt Family after DC Full DC - Transfer Documented MD Informed Pt Instructed Report DON Agency any DC process problem Date Reason (Rehab to Pot, Hospital, etc) Comments: _______________________________________________________________________________________________________________ 48