Get Discharge Planning Assessment Form 2020-2026

This guide will help you navigate the process of completing the Discharge Planning Assessment Form online. By following these detailed instructions, you will ensure that all necessary information is accurately documented for effective discharge planning.

Follow the steps to complete the form online...

1. Click ‘Get Form’ button to obtain the Discharge Planning Assessment Form and open it in your editor.
2. Begin by entering the date in the designated field at the top of the form. This helps document when the assessment was completed.
3. In the 'Admitting Diagnosis' section, clearly state the reason for the patient's admission to facilitate better care planning.
4. For 'Living Arrangements,' select the type of housing (house, apartment, mobile home, etc.) and provide details such as the number of steps to enter, and whether an elevator is available.
5. Complete the 'Caregiver After Discharge' section, indicating whether a caregiver will be present. If yes, fill in their name, relationship to the patient, and contact numbers.
6. Assess the patient’s mental status by checking the appropriate box to indicate if they are oriented, confused, or unable to answer questions.
7. Document the previous functional status of the patient in the specified space, providing necessary details for context.
8. Indicate if the patient has a vascular access device and their independence with activities of daily living by checking the Yes or No boxes.
9. If applicable, note any financial concerns or transportation issues by checking Yes or No and providing descriptions where necessary.
10. Detail any previous home health care or home medical equipment the patient has received if applicable, including service descriptions and vendors.
11. Address any patient/family concerns by checking Yes or No and providing specific descriptions if there are concerns.
12. In the assessment section, select the necessary home health care services required after discharge, making sure to indicate any specific therapies or equipment needed.
13. If required, confirm the 'Choice Menu Receipt' has been signed, stating the agency involved.
14. List any durable medical equipment needed by the patient, providing a description of each item if applicable.
15. Finalize by communicating the discharge plan with the patient/family, ensuring to collect their signature and printed name along with the date of discussion.
16. Once all sections are complete, make sure to save any changes made to the form. You can also choose to download, print, or share the completed form as needed.

Start filling out the Discharge Planning Assessment Form online today to ensure a smooth discharge process.