From: Improving patient discharge and reducing hospital readmissions by using Intervention Mapping
Healthcare providers | |
Discharge information | 1a. Complete discharge information |
1b. Clear discharge information | |
1c. Accurate discharge information | |
Coordination of care | 2a. Ensure that follow-up services are being organized at actual discharge |
2b. Tailor follow-up care to patient needs and preferences | |
2c. Organize timely and accurate follow-up | |
Discharge communication | 3a. Seek direct/personal contact with primary care counterpart |
 | 3b. Discharge information easily accessible to counterpart care providers and patients (and relatives) |
3c. Exchange discharge information on time to primary care counterparts | |
 | 3d. Inform patient (and relatives) personally and in timely manner |
Patients | |
Participation in discharge process | 4. Contribute, if capable, to the continuity of care in the discharge process |
Awareness of health status and treatment | 5. Well aware about medical history and medication use, diagnosis/indication and (side) effects of the treatment, post discharge appointments, scheduled tests and (pending) test results |