Hospital Discharge Planning – Literature Review

The aim of the discharge planning process is to improve the coordination of a person’s services post-discharge and reduce the likelihood of unplanned hospital re-admissions. This review sought to explore the current evidence base for hospital discharge planning for young adults (aged 18-64) with disability and complex support needs. Successful discharge planning for this group is complex and requires effective cooperation between health and disability services.

The Hospital Discharge Project aims to bring about better coordinated discharge planning processes that enable younger people to leave hospital earlier and move back into the community, ultimately leading to fewer young Victorians entering residential aged care (RAC).

Through this work, the Summer Foundation plans to work in direct partnership with hospital teams and the National Disability Insurance Agency (NDIA) to create a multi-sectorial approach for hospital discharge planning which will assist people with disability and their families to connect with the National Disability Insurance Scheme (NDIS), and improve health professionals’ NDIS knowledge.

Based on the findings of this review, suggestions for change include both a set of guiding principles (how an initiative should be designed) and a complementary set of specific recommendations about possible discharge planning interventions that may be considered.