Which sequence describes a coordinator's typical workflow when a patient is readmitted?

• A. Schedule follow-up and adjust the care plan before reviewing discharge summary.
• B. Notify the team, review the discharge summary, identify causes, adjust the care plan, arrange post-discharge support, and schedule follow-up.
• C. Delay reviewing discharge summary until after a month.
• D. Do not contact post-discharge resources.

Answer: (B)

The main idea is that a coordinator should manage readmission with a complete, timely workflow that ensures continuity of care. Start by notifying the care team so everyone is aligned on the patient’s status. Then review the discharge summary to understand what was planned, what treatments were given, and any unresolved issues or medication details. From there, identify the root causes of the readmission—medical factors, social barriers, or gaps in the care process—and use that understanding to adjust the care plan. Next, arrange the necessary post-discharge support—home health, caregiver training, equipment, transportation, and any needed community resources—and finally schedule a follow-up visit or contact to reassess the patient, reinforce the plan, and catch issues early. This sequence ensures accurate information, timely action, appropriate supports, and ongoing monitoring to reduce the chances of another readmission.

Choosing alternatives that skip reviewing the discharge summary first, delay review, or omit post-discharge resources can lead to inappropriate adjustments, missed causes, and gaps in support, increasing the risk of another readmission.