Telephonic Post-Discharge Follow-Up Workflow for High-Risk Patients
Structured call script, timing, and escalation rules for post-discharge outreach to reduce complications and readmissions.
Workflow: call at 48–72 hours with structured script (medication reconciliation, symptom check, wound/IV concerns), documentation fields, risk scoring during call, criteria for same-day clinic or home visit, and education reinforcement. Assignments: who calls (nurse/care coordinator), second call schedule, and reporting template for outcomes.
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