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uh... sometimes i don't even know the point of multidisciplinary rounds.

I mean, it is such a time suck.

The way I see it, PT tells us where they need to go and social work just needs to make that happen.

Sad to me, but early on there were many times where I thought to myself,

oh, patients waiting for placement, not medically active, moving on, not my problem.

But the more I did patient care, the more I realized that I had some pretty large knowledge

gaps about where I was sending my patients to.

Yeah, and you are not alone here. I used to have no idea what my role was in discharge

planning or even that I had a role at all. But when I became a geriatrician, that all changed. And I'll give you an example. So recently I cared for this patient, he had dementia, he was admitted because of safety concerns at home, and he really couldn't take care of himself at home. He didn't have

the needs to qualify him for a rehab and the case manager and family members they

were looking to me for the recommendation on where he should go next.

That patient could have gone to a nursing home, an assisted living facility,

home with services like a visiting nurse or a home health aid or just had adult day health.

Yeah, there's just so many options and if I didn't know these places could offer

patients how could I appropriately advocate for him and what would be best?

And that's exactly what we hope to do today. Breakdown are many different

disparate options for patients. There's subacute rehab, skilled nursing facilities, nursing homes, assisted living,

...