Patient selection: hospitalized patient
A patient who requires continued care after discharge can be identified on Day 1 but a score for Day 3 was more parsimonious.
Parameters for Day 3:
(1) number of active medical problems
(2) ability of patient's partner to provide home health
(3) dependency for bathing
(4) dependence for bed or chair transfer
(5) medication self-management before admission
|
Parameter
|
Finding
|
Points
|
|
active medical problems
|
|
<number of>
|
|
partner able to provide home health
|
yes
|
0
|
|
|
no
|
4
|
|
bathing
|
independent
|
0
|
|
|
dependent
|
4
|
|
bed or chair transfer
|
independent
|
0
|
|
|
dependent
|
4
|
|
medication self-management
|
able
|
0
|
|
|
incapable
|
4
|
total score =
= SUM(points for all 5 parameters)
Interpretation:
• minimum score: 0
• maximum score: 18 or more (depends on the number of active medical problems)
• A score >= 8 indicates that the patient may require discharge to a post-acute care facility. This can help to identify a patient who may require greater care in discharge planning.
Performance:
• A score >= 8 had a sensitivity of 87% and specificity of 63%.
