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Discharge Planning Part 1: Introduction to OT in Acute Care

presented by Suzanne Holm OTD and Helene Smith-Gabai PhD

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Disclosure Statement:

Financial: Helene Smith-Gabai receives compensation from MedBridge for this course. She also receives Royalties from her AOTA Press published book.

Non-Financial: Helene Smith-Gabai has no competing non-financial interests or relationships with regard to the content presented in this course.

Financial: Suzanne Holm receives compensation from MedBridge for this course. She also receives Royalties from her AOTA Press published book.

Non-Financial: Suzanne Holm has no competing non-financial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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This course sets the stage for understanding occupational therapy’s role in the acute care setting, and how discharge planning and recommendations have evolved as an essential part of a patient’s road to recovery and rehabilitation. The paradigm shift in OT services from Assessment-Intervention-Discharge Planning to Assessment-Discharge Planning is discussed. Occupational therapy practitioners must consider both the internal and external factors when making discharge recommendations to minimize the risk of adverse events and readmissions. Finally, this course reviews the different types of settings that patients may be transferred to after discharge along with their criteria, to help the OT practitioner effectively problem solve in making the most appropriate recommendation.

Meet Your Instructors

Suzanne Holm OTD, OTR, BCPR

Suzanne E. Holm, OTD, OTR/L, BCPR is a licensed occupational therapist, board certified in Physical Rehabilitation, and educator with more than twenty-five years of clinical experience in adult rehabilitation and acute care settings. She is the Occupational Therapy Academic Program Coordinator and Assistant Professor at Regis University in Denver, Colorado and oversees Creighton University’s entry-level…

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Helene Smith-Gabai PhD, OTR/L, BCPR

Helene Smith-Gabai is currently working as an assistant professor in a master’s level occupational therapy program at Brenau University. She earned her OTD in 2004 and her Ph.D. in 2016 at Nova Southeastern University. Her dissertation study was on the discharge planning practices of occupational therapists who practice in the acute care setting. She is…

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Chapters & Learning Objectives

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1. Historical Context of Occupational Therapy Discharge Planning

Chapter one provides a brief historical review of how the profession of occupational therapy became part of the services provided to hospitalized patients. There is also discussion of how the advent of managed care significantly changed the way services are provided in the acute care setting, and why there has been a paradigm shift in OT services from Assessment-Intervention-Discharge Planning to Assessment-Discharge Planning. What is meant by discharge planning is also reviewed.

2. The OT Process and Purpose of Discharge Planning in Acute Care

This chapter describes the general OT process, benefits, and goals of discharge planning within the acute care setting, including factors both internal and external practitioners consider when making discharge recommendations. It also describes the general knowledge, abilities, and clinical reasoning skills needed to make appropriate and effective discharge recommendations. Also reviewed are Medicare’s list of 13 diagnoses that qualify for an acute inpatient rehabilitation stay.

3. Discharge Dispositions and Criteria

To make an appropriate discharge recommendation, practitioners need to have a good understanding of the different discharge dispositions that are available, including their requirements for admission. Practitioners also need to be aware of the activity demands of each practice setting and potential impact on a patient’s occupational performance, progress, and prognosis. This chapter reviews the different types of settings that patients may be transferred to after discharge, and their specific criteria in order to help practitioners effectively make the most appropriate recommendation.

More Courses in this Series

Discharge Planning Part 2: Evaluation & Readmission Reduction

Presented by Suzanne Holm OTD, OTR, BCPR and Helene Smith-Gabai PhD, OTR/L, BCPR

Discharge Planning Part 2: Evaluation & Readmission Reduction

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
This course describes the basic evaluation processes including formal and informal methods used in developing an OT plan of care and discharge recommendations. It also compares the different discharge planning approaches of experienced versus more novice therapists, highlighting the importance of clinical reasoning skills in formulating discharge recommendations. In addition, this course reviews the educational and equipment needs of the soon-to-be discharged patient and concludes with a discussion of the possible risk factors related to readmission and the role of OT in minimizing hospital readmission.

View full course details

Discharge Planning Part 3: Understanding OTs Distinct Value

Presented by Suzanne Holm OTD, OTR, BCPR and Helene Smith-Gabai PhD, OTR/L, BCPR

Discharge Planning Part 3: Understanding OTs Distinct Value

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
This course highlights OTs' unique value in the discharge planning process. Through CMS requirements and AOTA’s support, the OT should provide an essential focus on client-centered care that promotes optimal functioning in day-to-day occupations and ensures that functional deficits persisting at discharge will be addressed. It also highlights the significance of OT as part of the interprofessional team for the discharge planning process. This course concludes with a discussion around ethical dilemmas as related to the OT Code of Ethics and discharge planning issues.

View full course details

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