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Anti-NMDA Receptor Encephalitis — Discharge Planning — Clinical Pathway: Inpatient

Anti-NMDA Receptor Encephalitis Clinical Pathway — Inpatient

Discharge Planning

If three or more specialists, consult Complex Scheduling.

Neurologic Care

Task Neurology Service Discharge to Home Neurology Service Discharge to
Non-CHOP Inpatient Rehab
CHOP Inpatient Rehab Discharge to Home
Neuroimmunology Clinic appointment scheduled 4 weeks 8 weeks
Family to reschedule
if needed
4 weeks
Outpatient treatment plan is established
E.g., day medicine admission for infusion, imaging timeline, etc.
Yes Yes Yes
Outpatient PM&R appointment scheduled Yes

Rehabilitation Care

Task Neurology Service Discharge to Home Neurology Service Discharge to
Non-CHOP Inpatient Rehab
CHOP Inpatient Rehab Discharge to Home
BRIDGE appointment scheduled Multidisciplinary rehab follow-up clinic Yes
Outpatient PT/OT/ST prescriptions in the chart
Primary therapist will provide scheduling information for child
Yes Yes
Bracing and equipment needs identified and plan for bedside or home delivery
Coordinate with Case Management
Yes Yes Yes
Referral for Hospital School Services complete Yes Yes
External: Referral to Brain Steps
PA Residents only
Yes Yes Yes

Neuropsychology Care

Task Neurology Service Discharge to Home Neurology Service Discharge to
Non-CHOP Inpatient Rehab
CHOP Inpatient Rehab Discharge to Home
Expedited outpatient Neuropsychology referral Yes
Neuropsychology follow-up plan identified Yes Yes Yes

Behavioral Health Care

Task Neurology Service Discharge to Home Neurology Service Discharge to
Non-CHOP Inpatient Rehab
CHOP Inpatient Rehab Discharge to Home
Outpatient psychiatry and/or psychology appointment scheduled
Contact the Behavioral Health team to identify and coordinate outpatient follow-up and medication prescription
Yes Yes Yes

Primary Care

Task Neurology Service Discharge to Home Neurology Service Discharge to
Non-CHOP Inpatient Rehab
CHOP Inpatient Rehab Discharge to Home
Primary care provider or referring hospital appointment scheduled Yes Yes Yes

 

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