Discharge Planning 2023 Survey

Tell us about your experience! Your feedback helps us to improve the way we provide care.

We do not collect personal information unless you request a follow-up.

Question Title

* 1. Location of care received:

Brandon Regional Health Centre (Secondary Recovery, Same Day Care Surgery)

Souris Health Centre (Inpatient Unit)

Souris Health Centre (Emergency Department)

Swan Valley Health Centre (Acute Care Inpatient Services Unit)

Question Title

* 2. Discharge Planning Program Specific Questions:

	Yes	No	N/A
a. Prior to leaving hospital, did you have a clear understanding of your prescribed medications or medication changes?	a. Prior to leaving hospital, did you have a clear understanding of your prescribed medications or medication changes? Yes	a. Prior to leaving hospital, did you have a clear understanding of your prescribed medications or medication changes? No	a. Prior to leaving hospital, did you have a clear understanding of your prescribed medications or medication changes? N/A
b. Did you receive adequate instruction prior to leaving hospital of what to do if you have concerns with your health condition?	b. Did you receive adequate instruction prior to leaving hospital of what to do if you have concerns with your health condition? Yes	b. Did you receive adequate instruction prior to leaving hospital of what to do if you have concerns with your health condition? No	b. Did you receive adequate instruction prior to leaving hospital of what to do if you have concerns with your health condition? N/A
c. Did staff confirm with you, prior to discharge, that you would have the help needed when arriving home?	c. Did staff confirm with you, prior to discharge, that you would have the help needed when arriving home? Yes	c. Did staff confirm with you, prior to discharge, that you would have the help needed when arriving home? No	c. Did staff confirm with you, prior to discharge, that you would have the help needed when arriving home? N/A
d. Did you have a clear understanding of your discharge instructions?	d. Did you have a clear understanding of your discharge instructions? Yes	d. Did you have a clear understanding of your discharge instructions? No	d. Did you have a clear understanding of your discharge instructions? N/A
d(i). If No, did you feel comfortable asking further questions if needed?	d(i). If No, did you feel comfortable asking further questions if needed? Yes	d(i). If No, did you feel comfortable asking further questions if needed? No	d(i). If No, did you feel comfortable asking further questions if needed? N/A
e. Did you feel involved in your discharge planning?	e. Did you feel involved in your discharge planning? Yes	e. Did you feel involved in your discharge planning? No	e. Did you feel involved in your discharge planning? N/A

Question Title

* 3. Do you have any suggestions or feedback on how we can improve the discharge planning process?

Demographics: (of the patient) Collected for statistical purposes only to target improvements.

Question Title

* 4. Age:

0-4 years

5-9 years

10-14 years

15-19 years

20-24 years

25-29 years

30-34 years

35-39 years

40-44 years

45-49 years

50-54 years

55-59 years

60-64 years

65-69 years

70-74 years

75-79 years

80-84 years

85-89 years

90 years or older

Forward additional concerns or compliments regarding your care to Patient Relations.
Patient Relations: email patientrelations@pmh-mb.ca or call 1-800-735-6596

Questions or concerns related to this survey can be sent to ceq@pmh-mb.ca

Thank you for your participation!