Planning for Discharge
At Greenwich Hospital, plans for a safe discharge begin the day the patient is admitted. Nurse case managers work with patients and their caregivers throughout the patient’s stay to provide a smooth transition from being a hospitalized patient to a discharged person able to get on with life.
The patient’s health care team (physicians, nurse case managers, social work case managers and/or therapy staff) work to prepare patients for discharge. The following needs will be assessed and coordinated for the patient:
- Transportation on the day of discharge
- Support services: Meals on Wheels, shopping, homemaker/companion services
- Home care services: Visiting nurse, home health aide, therapy and/or social services
- Rehabilitation facility placement or referral
- Skilled nursing facility placement
- Medical equipment and supplies
- Medication prescriptions
Discharge time is after breakfast.
Greenwich Hospital Responsibilities for Discharge Coordination
Regardless of where the patient is going at discharge, Greenwich Hospital works with the patient and the patient’s family to make this transition as smooth as possible.
If the patient is going:
The hospital provides the patient with discharge instructions and information on medications or treatments needed after discharge.
Home with home care services
The patient’s physician and nurse provide a report of the patient’s status to the home health agency. The patient’s physician gives the home health agency treatment orders.
To a facility
The patient’s physician and nurse provide a report of the patient’s status to the facility prior to discharge. The patient’s physician gives the facility treatment orders. The social worker arranges for transportation to the facility if needed.
Patient/Family Responsibilities for Discharge Coordination
A smooth and coordinated discharge process is assured when patients and family members communicate with hospital staff throughout the patient stay.
- Greenwich Hospital Social work case managers help patients understand and access their insurance benefits. Case managers work with all insurance companies including Medicare and Medicaid.
- The patient/family should inform the patient’s nurse of any discharge needs as soon as possible. The patient/family should make arrangements to leave Greenwich Hospital after breakfast unless otherwise instructed on the day of discharge.
- If the patient/family has questions about the patient’s discharge plans, contact the nurse case manager or call the Greenwich Hospital Case Management Department at 203-863-3366.
Special written instructions on wound care, medications, and other patient care are provided by the Greenwich Hospital Patient Education Department. Read the comprehensive list of Patient Education Fact Sheets