Characteristics of effective discharge planning programs for the frail elderly.

Changes in the health-care system since Prospective Payment began have directly affected the postdischarge needs of the frail elderly. Effective discharge planning programs are critical to meet the posthospital needs of this population. Effective discharge planning is believed to be associated with an increase in patient health status and satisfaction. Both can be met when plans for posthospital services are made in an organized program. Admission assessment and follow-up programs were identified as two characteristics necessary in a formally structured discharge planning program for effective care of frail elders.