How to evaluate a program focused on medical social workers’ experiences in transiting older adults from hospital care to nursing homes?

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To evaluate a program focused on medical social workers' experiences in transitioning older adults from hospital care to nursing homes, consider the following points:

Workflow efficiency: Assess the program's effectiveness in streamlining the transition process, including the coordination of discharge planning, communication with nursing home staff, and ensuring a smooth transfer of care.

Patient satisfaction: Evaluate the experiences and feedback of older adults and their families regarding the transition process, including the level of support provided by medical social workers and the overall satisfaction with the nursing home placement.

Care continuity: Examine the program's success in maintaining continuity of care during the transition, such as ensuring the transfer of medical records, medications, and care plans, and facilitating effective communication between hospital and nursing home staff.

Staff training and support: Evaluate the program's efforts in providing adequate training, resources, and support to medical social workers involved in the transition process, including their knowledge of geriatric care, discharge planning protocols, and emotional support for older adults and their families.

Outcome measures: Measure key outcomes related to the transition process, such as readmission rates, hospital length of stay, and the overall well-being and functional status of older adults after transitioning to nursing homes.