Discharge Planning
Discharge planners work to provide the patient with proper care, whether it is in a community facility or a return to home with access to community support services. On admission, Discharge Planning plans for and coordinates the discharge or transfer of patients within the continuum of care.
Planning helps to facilitate a timely discharge, becoming a key coordination link for members of the care team.
Discharge Planners at The Brant Community Healthcare System are multi-skilled.
They are required to have:
- RN certification
- the ability to work with people in crisis
- teaching skills
- extensive knowledge of our community and it's services.
Discharge planners are involved in:
- facilitating, negotiating and coordinating
- patient advocate, liaison
- pre-admit screening
- admit but no bed screening
- crisis intervention
- emergency housing
- bed utilization
- transfers - repatriation, out of catchment area, palliative care, reactivation, rehab, medically complex, detox. centre, LTC, Retirement homes, group homes, Acquired Brain Injury
- Quick Response Service
- IV Outreach
- air transports
- funeral arrangements
- community linkages - Community Care Access Centre (CCAC) etc.
- conferencing with families/physicians/care teams
- patient rounds
- Public Guardian and Trustee
- Financial Information - Involuntary Separation, copayments
- chart reviews
- family tours of The Willett site, particularly Palliative Care Unit
- rehab assessments
- sit on care teams internally and externally
Your Discharge Planning Team at the Brant Community Healthcare System:
- Katherine Webb , Discharge Planner
- Christina Kleinsteuber, Discharge Planning Assistant
- Carrie Wozny, Discharge Planner
- Sarah Jorgenson, Discharge Planner
- April Barnett, Discharge Planner
Discharge Planning programs
Quick Response Service
The goal of the QRS (Quick Response Service) is to prevent unnecessary admission to the hospital as well as to prevent visits to the Emergency Department. The population it serves is mostly seniors.
QRS works in collaboration with community services such as CCAC and Long Term Care as well as other hospital services such as IV Therapy.
Outreach Program
The objective of the Outreach Program is to provide Long Term Care Residents the choice of receiving IV Therapy in their own environment (preventing hospital admission).
Through the Outreach program more patients can receive treatment while in the comfort of their own 'home' environment.
IV Therapy works with Discharge Planning to facilitate care for the patient in the patient's home, allowing for the prevention and reduction of hospital admission.
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