Post Discharge Follow-Up Call Script

The tool is one element of a transitional care services program and provides a framework for standardized follow-up discharge calls to patients identified as high risk for rehospitalization. The tool can be used for discharges from multiple levels of care, including hospital to home, skilled nursing facility (SNF) to home, or hospital to hospice.

File Type: pdf
Categories: Community Coalitions, Readmissions
Tags: Tools