Patient Discharge Planning Checklist

Complete this discharge checklist to ensure safe patient transition from hospital to home or next level of care. Poor discharge planning contributes to 20% of hospital readmissions.

  • Industry: Healthcare
  • Frequency: Before every discharge
  • Estimated Time: 25-35 minutes
  • Role: Discharge Planner / Case Manager / Nurse
  • Total Items: 36
  • Compliance: CMS CoP, TJC Standards, UK NICE NG27, Project RED, BOOST

Discharge Criteria Met

Verify patient meets medical discharge criteria.

  • Physician discharge order written?
  • Patient clinically stable for discharge?
  • Vital signs stable and within acceptable range?
  • Pain adequately controlled?
  • Patient able to ambulate safely (or has assistance)?
  • Diet tolerated (if applicable)?

Medication Reconciliation & Prescriptions

Complete medication review for discharge.

  • Medication reconciliation completed?
  • New prescriptions written/sent electronically?
  • Patient able to afford/access medications?
  • High-risk medications (anticoagulants, insulin) reviewed?
  • Medication teaching completed with patient/caregiver?
  • Written medication list provided?

Follow-Up Appointments

Schedule and communicate follow-up care.

  • PCP follow-up appointment scheduled?
  • Specialist follow-up scheduled (if needed)?
  • Appointment date/time/location provided in writing?
  • Follow-up lab/imaging appointments scheduled?
  • Pending test results communicated to outpatient provider?

Patient/Caregiver Education

Ensure patient understands self-care instructions.

  • Diagnosis and hospital course explained?
  • Warning signs to watch for reviewed?
  • When to call doctor vs. go to ER explained?
  • Activity restrictions explained?
  • Diet instructions provided?
  • Wound care instructions provided (if applicable)?
  • Teach-back method used to confirm understanding?

Equipment & Home Services

Arrange necessary equipment and services.

  • Durable medical equipment ordered (walker, O2, etc.)?
  • DME delivered or arrangements confirmed?
  • Home health services ordered (if needed)?
  • Outpatient PT/OT arranged (if needed)?
  • Transportation arranged for discharge?
  • Caregiver available and prepared to assist?

Documentation & Communication

Complete discharge documentation and handoffs.

  • Discharge summary completed?
  • Discharge summary sent to PCP?
  • Patient signed discharge instructions?
  • Copy of discharge paperwork given to patient?
  • If SNF: Transfer documents sent?
  • Contact number for questions provided?

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