Hosp Case Manag. 2014 Nov;22(11):145-7.
The Medicare Conditions of Participation require hospitals to give patients a choice of post-acute providers, but that doesn't mean that case managers shouldn't give them the information they need to make informed choices. Experts recommend the following: Give patients a list of providers that can meet their particular needs after discharge, but don't steer them toward a provider in which your hospital has a financial interest. Start the discussion about the discharge destination early in the stay and give family members checklists that include what questions to ask and what to look for when they visit facilities. Be familiar with the post-acute providers in your area. Know the services they provide, their readmission rates, and how quickly they respond to a referral.
医疗保险参与条件要求医院为患者提供急性后期护理服务提供者的选择，但这并不意味着病例管理人员不应向患者提供做出明智选择所需的信息。专家建议如下：为患者提供一份能够满足其出院后特殊需求的服务提供者名单，但不要引导他们选择与贵院有经济利益关系的服务提供者。在患者住院早期就开始讨论出院目的地，并给家庭成员提供清单，包括他们在参观机构时应该问哪些问题以及应该留意什么。熟悉您所在地区的急性后期护理服务提供者。了解他们提供的服务、再入院率以及他们对转诊的响应速度。
