Case managers and social workers have an active role in helping patients and families make end-of-life decisions such as using palliative care and hospice.
Patients that are active substance abusers present additional challenges when it comes to planning a hospital stay and eventual discharge.
Facilities that hold regular interdisciplinary care coordination rounds often say such meetings save time. However, the rounds can turn from time-savers to time-wasters if the matters discussed do not stay on topic or drag on.
Interdisciplinary care coordination rounds tool