Transferring to another level of care

Hi again, any thoughts?

Is this homework?

When trying to discharge a patient to a LTAC be sure to tell him/her about the good news of their discharge from the hospital setting and up-sale the LTAC's ability to continue to care for the patient in the appropriate setting until he/she is able to discharge to [fill in the blank].

SNF is the same conversation.....

Remember people can make whatever choices he/she wants to make... Just give them the information they need to make an informed decision to include the amount of money that insurance is not covering now that they have been discharged....

At facility I've worked at, social takes into account patient/family preferences for a particular facility to be transferred to but we're not bound by it, and if they haven't made a choice by the time we need to finalize the transfer arrangements then they are out of luck. Patient's and families have the right to choose their own facility, but it's up to them to make those arrangements, the facility's only responsibility to ensure they are being transferred to the appropriate level of care. I've never known of a patient who remained in the hospital because they didn't want to leave or because they wanted a different facility other than where they were placed by SW.

The patient needs a little chat with the doctor, problem solved.