Best Practices: Transitioning from Inpatient to Outpatient

No. 1, the use of—for lack of a better word—a home health nurse or community nurse, because some of these patients do not have families. [...]working with the homeless population, working with the shelter, we usually have a liaison or someone who is a worker, and we'd work with them to make sure these homeless patients follow this regimen accordingly. [...]those are some of the things we put in place here, making sure that the family members—we talked about this earlier— get involved as part of the plans, not just the patient but their support system as they're discharged from the facility.