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Plan the support needed for returning home.

Use this to organize a conversation with the discharge team and with any home care provider. It helps clarify who is responsible for what, at the point where that is easiest to get wrong and most expensive to discover late.

This is a planning aid, not clinical advice. It does not replace the discharge instructions or anything a clinician tells you about the person returning home. Follow the discharge team's instructions, and call 911 in an emergency.

22 questions. Print this page, or tick them off as you go.

Daily routines

Nursing and other clinical services

The home and equipment

The first visits

Contacts and follow-up

Keep one clear plan

Write down the provider responsible for each task and the date it actually begins. Ask about any gap before the discharge arrangements start depending on support that has not been confirmed.

A plan with one owner per task survives a bad week. A plan where two people each assumed the other had it does not.

Talk it through before the discharge date

Tell us the care location, the planned return-home date and the general needs, and we will review fit and what we currently have available.

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