Reduce Hospital Readmissions with Structured Risk Assessment

Hospital readmissions are costly, preventable, and impact patient outcomes. This Patient Readmission Risk Assessment Quiz helps case managers, discharge planners, and care coordinators systematically evaluate each patient's readiness for discharge while identifying risk factors that could lead to readmission.

Built for Hospital Case Managers and Care Teams

Whether you're working in acute care, rehabilitation, or skilled nursing facilities, this template streamlines the discharge planning process by capturing critical information about:

• Medical complexity and comorbidities that increase readmission risk
• Medication management capabilities and health literacy
• Home environment safety and accessibility concerns
• Caregiver support availability and capacity
• Social determinants of health including transportation and financial barriers
• Mental health and cognitive function screening
• Previous healthcare utilization patterns

The assessment uses evidence-based questions to generate a comprehensive picture of discharge readiness and automatically helps determine the appropriate level of post-discharge support—from standard follow-up to high-intensity case management.

Designed for Healthcare Workflows

This form integrates seamlessly into your existing electronic health record (EHR) systems and case management workflows. Case managers can complete assessments during discharge planning rounds, and the structured format ensures consistent evaluation across your entire care team.

Automate your post-discharge workflows by connecting this assessment to Stepper, Paperform's AI-native workflow automation tool. Based on risk scores and specific answers, you can automatically:

• Route high-risk patients to transitional care programs
• Schedule appropriate follow-up appointments
• Trigger home health referrals
• Alert social work for resource coordination
• Send patient education materials tailored to their needs
• Create care team notifications in your project management or communication tools

HIPAA Considerations

While Paperform provides SOC 2 Type II compliance and enterprise-grade security, this platform is not HIPAA compliant. For healthcare organizations requiring HIPAA compliance, please ensure you're using appropriate covered systems or consult with your compliance team about de-identification strategies.

Improve Outcomes and Reduce Costs

By implementing standardized readmission risk assessments, healthcare organizations can proactively identify patients who need additional support, reduce preventable readmissions, improve quality metrics, and most importantly—ensure patients transition safely home with the resources they need to recover successfully.

Paperform's intuitive interface means your case management team can start using this assessment immediately, with no training required. Customize questions to match your facility's specific protocols, add your organizational branding, and start collecting structured data that improves care coordination.