Discharge Planners / Medical Social Workers

Medical Social Workers & Discharge Planners

Medistar works closely with Discharge Planners and Medical Social Workers to ensure a seamless transition from hospital to home. We understand the need to be responsive to the challenges of educating the patient about the discharge process and of the hand-off of care to the post-acute home health care provider.

This is why Medistar’s Referral Department accepts referrals any day of the week. Our weekend staff assures that any discharges on the weekend are handled promptly and smoothly just as they would be during the week.

Our Care Transitions Team works directly with Discharge Planners to aid in patient education prior to discharge, promptly scheduling home health services, proactively telemonitoring the care for certain patients who may be at risk for hospital readmission, and coordinating care with patients’ Primary Care Physicians. As more scrutiny continues to be placed on reducing avoidable re-hospitalizations, home health care becomes an even more essential component of patients’ continuum of care.

Medistar is a Premier Participant in the Home Health Quality Initiative Campaign to reduce rehospitalizations and is a participant in the Hospital to Home (H2H) national quality initiative, which is cosponsored by the American Collge of Cardiology and the Institute for Healthcare Improvement. Participation in these programs evidences our dedication to working with our healthcare partners to improve the transition of care across the healthcare continuum. 

Learn More about our Discharge Planning Services

Contact us today to learn more about our Discharge Risk Assessment tool that can help identify the most appropriate post-acute care for your patients. Call your local Sales Representative.

For Discharge Planners and Medical Social Workers that practice in our geographic coverage area, we offer a free white paper, Being Uninformed is No Excuse: What is Required of Discharge Planners.

Medistar: "Making a Difference in Home Health" and making a difference in your patients’ continuum of care.