Working follow-up calls into standard discharge procedure can produce optimal outcomes for both patients and rehab programs. For instance, brain injury patients who receive follow-up calls are more likely to consistently take medication. They are also
more likely to attend clinic visits, which correlates with reduced readmission risk.1
Follow-up calls give patients and their caregivers the opportunity to ask questions and resolve any misunderstandings. Nurses are able to review medications and rehab tasks, repeat instructions, advise on new problems and confirm future appointments.
Supporting the Adult Child Caregiver
For most medically complex patients, an adult child takes on the role of caregiver. Initiatives to support the caregiver can help rehab programs reduce readmissions and improve patient outcomes.
There are a variety of initiatives that can be used to support caregivers:
6
- Transitional Support
Training and preparation for the caregiver as the patient transitions from inpatient treatment to at-home care
- Educational Materials
Easy-to-understand content that addresses the appropriate phase of the patient’s care journey
- Case Managers
Dedicated staff who serve as the caregiver’s contact person
- Peer Support Groups
A space where caregivers can find emotional support among their peers and learn relevant coping skills
- Mobile App Technology
Apps, specially designed for rehab, are allowing patients and their families to set goals, track progress and share updates. These apps keep patients and caregivers engaged throughout the rehab journey.
While the rapidly evolving patient population is challenging, rehab programs can thrive by adapting their programs to meet the growing demand. Developing rehab-specific expertise around key areas including staffing, patient and caregiver experience and
tech innovation can enable rehab programs to reach new levels of success.