Get Discharge Plan 2020-2025

The Discharge Plan serves as a crucial document to facilitate the successful transition of members from healthcare facilities to their homes or other care settings. This guide will provide a step-by-step approach to filling out the Discharge Plan online, ensuring all necessary information is accurately captured.

Follow the steps to complete the Discharge Plan effectively.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred digital editor.
2. Begin by entering today's date in the designated field. This helps to establish a clear timeline for the discharge process.
3. Provide the member’s full name and Member ID number, along with their date of birth. Accurate identification is essential for processing.
4. Fill in the facility's name where the member is currently receiving care. Additionally, include the case manager's and discharge planner's names and contact information to facilitate communication.
5. Indicate the anticipated discharge date. This information helps in planning the discharge process effectively.
6. Specify if stairs are required for entry to the discharge destination. If applicable, indicate how many stairs are involved.
7. Select the discharge destination from the provided options, including home alone, home with family/friends, assisted living facility, custodial nursing home, or other. If other, specify the destination.
8. Determine if any skilled needs are required upon discharge. If yes, specify the types of skilled services needed.
9. If skilled services are needed, list the agency name and the types of therapy or care required, such as nursing, physical therapy, or social work.
10. Assess the need for durable medical equipment and complete any necessary comments regarding equipment evaluation.
11. Identify potential barriers that may affect the discharge process. This could include physical, environmental, or family-related barriers.
12. Indicate if a healthcare proxy or durable power of attorney is established. This is important for legal decision-making concerning the member's health.
13. Confirm whether a Medicaid application is in process, as this can impact discharge planning.
14. Answer whether a medication review and reconciliation has been completed. Attach the discharge medication list if applicable.
15. Record follow-up appointments for the primary care physician and any specialists, including their names, dates, and times to ensure continuity of care.
16. After completing the form, review all entries for accuracy. You can then save changes, download, print, or share the completed Discharge Plan as needed.

Complete your Discharge Plan online today to ensure a smooth transition for the member.