Care At the Right Location (CARL)
The Care At the Right Location (CARL) Tool is an evidence-based, decision support tool designed to improve inpatient next site of care decisions and transition patients to the optimal next care setting.
- CARL is embedded in Episode Connect with reporting capability.
- Developed to be used concurrently with typical, inpatient discharge planning workflows.
- Designed to highlight the patient information domains necessary to support informed discharge discussions and to select the appropriate NSOC.
- Case Management should use CARL as a framework that outlines a standard baseline of information they need for discharge discussions.
- The CARL algorithm takes the input info and generates a proposed next site of care; the results of CARL’s proposed NSOC should be considered in Interdisciplinary Team (IDT) rounds to promote discussion.
Inputs
CARL is organized into three domains designed to evaluate the patient’s post-acute needs and identify the optimal next site of care.
| Domain | Definition | Example Assessment Areas |
|---|---|---|
| 1. Independence | Assesses patient independence and caregiver availability from PT, nursing and care management entries | Ambulatory Status, Cognitive Status, Ability to Perform ADLS. Capable Caregiver Available |
| 2. Therapies | Major therapies recommended for the patient in the post-acute phase | Physical Therapy, Occupational Therapy, Speech Therapy |
| 3. Skilled Nursing Services | Post-acute care needs and services that a patient may require | Venipuncture and injectable medications, IV Medications, Oxygen and respiratory support, Teaching and Training |
Evaluation of Remedy Partners Discharge Decision Support Tool
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