The Key to Readmission Prevention is Follow Up

Care Management

There are many key pieces to a successful discharge. PSA offers Care Management services to make sure none of these important pieces get overlooked.

When you are being discharged from a medical facility the treating physician will write several orders.  Usually orders for in-home services, equipment, and follow up appointments are given to the patient along with a large stack of additional paperwork.

Returning home, it can be difficult to manage these important services on our own while trying to recuperate.  To ensure a successful discharge it is critical all of the ordered services are effectively managed.  Forgetting to go for scheduled lab work or missing a follow up appointment could lead to a devastating readmission to the hospital.

PSA will make sure these services and appointments are coordinated.  Often times our clients will request we stay on for the period of time in home services to present your concerns and work with the provider to ensure you stay focused on your recovery.

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Did you know

Legally a facility doctor in a Nursing Home only has to see a patient once every 30 days unless the nurse notes in your chart that an issue requires the doctor’s attention.

When you are in the hospital, you may request that routine lab work be done during your waking hours, not the middle of the night.

Premature discharges lead to 40% of post-op complications occurring at home.

When an elderly person has urinary tract infection, it is common for them to have “dementia like” symptoms.

A new patient has their belongings logged by the staff. The same staff reconciles the list. See The Potential Problem?

When Seniors are discharged from a hospital, they are told they are going to “Rehab”. No one tells them that this really means they are going to a Nursing Home.

The ratio of patient to staff in a medical facility is not regulated.

Discharge planning begins when you arrive at the hospital, and you should be included in the planning process.

Without an Health Care Directive, if you are unable to speak for yourself, the medical facility will make ALL treatment decisions for you.

Bet you didn’t know that having great insurance can actually be dangerous.

28% of hospitalizations of Seniors are caused by medication errors.

Why would anyone need to leave a nursing home to go to a doctor’s appointment?

You have guaranteed rights as a patient? Do you know what they are?

Privately paid caregivers that provide care in your home are not legally allowed to assist you with your medications.

Seniors can be stuck with large medical bills when the hospital doesn't Admit them. Admission vs. Observation?

Why do they take photos of your body when you’re admitted to a nursing home/rehab facility?

Unscrupulous medical billing practices will often reflect a “balance due” on a bill when the insurance company has already been billed.

Drug resistant infections acquired during a hospital stay have increased 230% since 2001.

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