Hospitals often structure discharge around clinical readiness, yet transitions can falter when plans fail to account for real-world factors like caregiver support, housing conditions, transportation, and financial stability. Addressing these challenges is key to preventing delays, reducing readmissions, and ensuring safe transitions from hospital to home or post-acute care.
In this article, Jen Eriks, Clinical Outcomes Engineer at ABOUT Healthcare, highlights the essential role social workers play in bridging clinical care with the realities patients face after discharge, and how collaboration with nurses leads to more effective, person-centered care coordination.
Read the full article in Patient Safety & Quality Healthcare (PSQH).
