Offline
Transitions of care

Discharge planning

Coordinate medication reconciliation, follow-up, equipment, and post-acute placement before the patient leaves.

Discharges today
14
Med rec complete
11 / 14
Follow-up booked
9 / 14
Open tasks
22

Today's board

  • Rm 412 · Garcia, M.
    Awaiting SNF bed (Riverside)
    blocked
  • Rm 408 · Patel, S.
    Cleared · transport at 2:30p
    ready
  • Rm 514 · Nguyen, K.
    Home O2 pending vendor confirm
    in progress
  • Rm 320 · Chen, M.
    PCP follow-up not yet booked
    blocked
  • Rm 217 · Reyes, J.
    Med rec complete · awaiting ride
    in progress

Readmission risk (top of list)

  • Garcia, M. · 38% · CHF · low health literacy
  • Chen, M. · 24% · COPD · lives alone
  • Adams, T. · 19% · diabetes · transport barrier

Auto-generated discharge packet

  • Plain-language summary (8th grade)included
  • Translated copy in patient's languageincluded
  • Medication schedule with imagesincluded
  • Red-flag symptoms · when to callincluded
  • Follow-up appointments QR-codedincluded