Preliminary Investigation of the Content Validity and Clinical Utility of the Predischarge Assessment Tool

With the trend towards decreasing lengths of hospital stays, comprehensive discharge assessment is essential to facilitate continuity of care between hospital and community, minimize readmissions, and maximize client satisfaction. Predischarge assessment is often part of the occupational therapy role, especially in acute care. The Predischarge Assessment Tool (PAT) outlines a method of conducting comprehensive assessments in a manner consistent with the Occupational Therapy Guidelines for Client-Centred Practice. The tool is designed to inform decisions regarding: occupational readiness for discharge to the community from acute care; physical and social supports required to support occupational performance; and follow-up therapy. Two studies provide initial support for the content validity and clinical utility of the PAT and, at the same time, indicate that some modifications to the PAT are required.