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Movement is Life-Optimizing Patient Access to Total Joint Arthroplasty: Housing Security and Discharge Planning
Vani J Sabesan1, Kelsey A Rankin, Ramon Jimenez
1From the Atlantis Orthopaedics, Lake Worth, FL (Sabesan), the Yale School of Medicine, New Haven, CT (Rankin), and the American Association of Latino Orthopaedic Surgeons, Rosemont, IL (Jimenez).
Abstract:
Patients undergoing total joint arthroplasty should be screened for housing insecurity. Housing insecurity in the United States ranges from 10% to 15%, which is predisposed to those who are low-income, racial minorities, and unmarried. Osteoarthritic pain has a notable effect on function and quality of life and may prevent many individuals from continuing with their jobs. There is an inexorable, cyclic, structurally reinforced relationship between housing and health: where chronic illness affects housing security leading to issues with access to care and ultimately issues with health status. Housing insecurity is currently an imposed barrier to surgery. However, creative solutions exist to address housing insecurity, such as insurance company waivers, community resources (eg, churches) and organizations (eg, Meals on Wheels), halfway houses, and temporary housing (eg, hotels). Optimization for discharge planning in these vulnerable populations includes short-term stay in rehabilitation or skilled nursing facilities, home health services, or outpatient therapy.
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Discharge Summary Forms
Here's a detailed look at the key components and guidelines for preparing a discharge summary: