Size Signed Hospital Discharge For Free

Discharge documentation written in 'plain English' informs the patient, their carer/family, and their usual treating health practitioner of the reason for admission, relevant details of their inpatient stay including investigations and treatment and recommendations for ongoing care and follow up.

Develop and use current written discharge instructions that the patient signs and takes a copy with him or her. Assess a patient's ability to understand discharge instructions by asking the patient to repeat the instructions and/or demonstrate what was taught.

Hospital discharge summaries serve as the primary documents communicating a patient's care plan to the post-hospital care team. 1, 2. Often, the discharge summary is the only form of communication that accompanies the patient to the next setting of care.

As an Advances in Patient Safety report notes, "Hospital discharge summaries serve as the primary documents communicating a patient's care plan to the post-hospital care team. Often, the discharge summary is the only form of communication that accompanies the patient to the next setting of care.

There are two CPT codes to choose from for these services ?99238 and 99239 ?and the difference between them comes down to time. If the entire discharge, including all preparation, takes 30 minutes or less, you need to report 99238. If, on the other hand, the process takes more than 30 minutes, you should report 99239.

To continue to paraphrase the APTA's description: All discharge summaries should include patient response to treatment at the time of discharge and any follow-up plan, including recommendations and instructions regarding the home program if there is one, equipment provided, and so on.

Hospital discharge summaries serve as the primary documents communicating a patient's care plan to the post-hospital care team. Often, the discharge summary is the only form of communication that accompanies the patient to the next setting of care.