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Interdisciplinary Discharge Preparedness Tool Mobile App

The Interdisciplinary Discharge Preparedness Tool mobile app is a helpful form that helps physicians determine the circumstances under which a hospital discharge should occur for a patient. Designed for long-term care and post-acute care patients, the hospital discharge planning tool makes it easy to start the discharge process.

Physicians can use the form to determine if a longer hospital stay is required, or if the patient is ready to be discharged based on their health and home situation. The discharge planning and evaluation tool covers diagnostic details, patient living conditions, follow-up care recommendations and more.

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  • Mirvac

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Take a peek inside the Interdisciplinary Discharge Preparedness Tool Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico textbox

    Patient Name

  • Ico integer

    Patient Address

  • Ico date

    Date of Birth

  • Ico textbox

    Home Telephone

  • Ico textbox

    Work Telephone

  • Ico textbox

    Mobile Telephone

  • Ico textbox

    Health Card Number

  • Ico textbox

    Attending Physician

  • Ico textbox

    Family Physician

  • Ico date

    Date of Admission

  • Ico date

    Date Tool Initiated

  • Ico textbox

    Diagnosis

  • Ico multiline

    Current Living Situation

  • Ico date

    Expected Date of Discharge (EDD)

  • Ico textbox

    Discharge Destination

  • Ico textbox

    Name

  • Ico date

    Date of Discussion

  • Ico textbox

    Informed By

  • Ico checkbox

    Power of Attorney - Personal Care

  • Ico textbox

    Power of Attorney - Personal Care (Name)

  • Ico checkbox

    Power of Attorney - Finances

  • Ico textbox

    Power of Attorney - Finances (Name)

  • Ico checkbox

    Transportation

  • Ico checkbox

    O2 Assessment

  • Ico checkbox

    Community Referals

  • Ico checkbox

    Nursing

  • Ico checkbox

    Equipment

  • Ico checkbox

    Physical Therapist

  • ...and More!

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