| Course | MSW 528 Medical Social Work I |
|---|---|
| Week | 4 |
| Paper type | Discharge plan draft |
| Length | About 510 words, 5 pages |
| Format | APA 7 student paper |
| School | Chamberlain University |
| Program | Master of Social Work (MSW) |
| Updated | October 2026 |
Free sample paper for MSW 528 Week 4
Discharge Plan Draft for H., 72, on October 7: Each Arrangement With Who Does It, Whether They Have Agreed and What It Costs the Household, a Destination With an Address, the First Seventy-Two Hours and the Two Likeliest Failures
Student Name
Chamberlain University
MSW 528: Medical Social Work I
Instructor Name
Month Day, Year
Discharge Plan Draft for H., 72, on October 7: Each Arrangement With Who Does It, Whether They Have Agreed and What It Costs the Household, a Destination With an Address, the First Seventy-Two Hours and the Two Likeliest Failures
Destination
Inpatient rehabilitation at Riverbend Rehabilitation Hospital, 2200 Mill Road, which has reviewed the referral and offered a bed for October 9, pending authorization from H.'s Medicare Advantage plan. Status: bed offered, authorization requested.
Riverbend is 20 minutes from K.'s home, which K. chose over a closer facility so that K. could visit after work. Riverbend's admissions coordinator confirmed by phone at 3:10 p.m. on October 7 that the bed would be held until noon on October 9.
Arrangements
Table 1
Discharge Arrangements and Their Status
| Arrangement | Who | Agreed? | Cost to household |
|---|---|---|---|
| Rehabilitation bed | Riverbend admissions | Offered, pending authorization | Plan copay, about $350 per stay |
| Authorization request | Hospital case manager | Submitted October 7 | None |
| Transport to rehabilitation | Hospital transport | Agreed for day of transfer | None |
| Belongings and car | K., daughter | Agreed | Gas and time |
| Mail and apartment checks | Neighbor | Agreed, weekly | None |
| After rehabilitation: home health | To be arranged by Riverbend | Not yet requested | Covered if criteria met |
| Grab bar and second stair rail | K. and a contractor | Requested by H.; K. undecided | About $400, not covered |
Note. Note. "Agreed" means the person or organization has said yes; "requested" means asked but not yet answered.
The First Seventy-Two Hours
If authorization arrives, H. transfers on October 9; therapy must begin within 36 hours of admission under the rehabilitation coverage rules, and Riverbend schedules the first evaluation on arrival (Medicare coverage of inpatient rehabilitation, 2025). If authorization is denied, an expedited appeal is filed the same day, and H. stays in the hospital while it is decided.
When the Covered Days End
The rehabilitation stay is expected to last 12 to 16 days, decided by progress and plan review. Home health afterward is covered only while H. is homebound and needs skilled care. Personal care hours, such as help bathing, are not covered by either.
Neither K. nor H. had understood that personal care hours are not covered, and both were told on October 7. K. said the family could pay for a few hours a week at most. That limit belongs inside the plan from the start, as federal discharge planning rules expect (Condition of Participation: Discharge Planning, 2024).
The Two Things Most Likely to Fail
First, authorization: the plan may decide H. can be treated in a skilled nursing facility instead. Second, the stairs at home after rehabilitation, if the second rail is not installed. Both have a fallback: an appeal for the first and a temporary stay with K. for the second, which K. has not yet agreed to.
References
Condition of Participation: Discharge Planning, 42 C.F.R. § 482.43 (2024).
Medicare coverage of inpatient rehabilitation, 42 C.F.R. § 412.622 (2025).
The Chamberlain MSW 528 Week 4 instructions
The discharge plan draft reads as a set of arrangements with a status beside each. Use columns for what is supposed to happen, who does it, whether that person or organization has agreed and what it costs the household. Agreement is the column that separates a plan from a wish, so distinguish offered, requested, agreed and refused. Name a destination with an address that has agreed to take the patient, not a level of care. Set out the first seventy-two hours. Say when covered days end and what follows. Close with the two things most likely to fail, each with a fallback and its status. A draft can be unfinished if it says what is still open.
How this MSW 528 Week 4 example is built
The destination section names Riverbend Rehabilitation Hospital with a bed offered for October 9 pending authorization. Table 1 lists seven arrangements, from the bed and the authorization request to belongings, mail, later home health and a second stair rail, each with an owner, an agreement status and a cost. The first seventy-two hours section covers transfer and the 36-hour therapy start in Medicare coverage of inpatient rehabilitation (2025), and a same-day expedited appeal if authorization is denied. A section on covered days notes that personal care hours are covered by neither rehabilitation nor home health. The failure section names authorization and the home stairs, with fallbacks, and cites Condition of Participation: Discharge Planning (2024).
Reading the MSW 528 Week 4 grading rubric
A destination given as a level of care rather than a place that has agreed takes the largest deduction, because a discharge needs a building with a bed. Next is an arrangement with no status, where a referral sent and a service confirmed look the same. Credit goes to the agreement column, costs to the household, a first seventy-two hours section and a clear account of when coverage ends. Naming likely failures with fallbacks shows the plan was tested. Faculty accept open items when they are labeled. Rules and coverage terms must be accurate and cited in APA. The table should be readable by the next shift without explanation.
Common MSW 528 Week 4 mistakes, and how to avoid them
Drafts most often name skilled nursing or rehabilitation as the destination without a facility that has said yes. Another common gap is mixing requested and agreed services in one list. Some plans stop at discharge day and ignore what happens when covered days run out. Others leave out costs the family will carry, such as equipment Medicare will not buy. For a patient going somewhere else, perhaps home with hospice or to a relative's house in another state, the columns are the same: what, who, agreed and cost. The draft that serves your patient will make clear by sight which arrangements are still only requests.
Get a MSW-528 Week 4 example written to your instructions
Send the Week 4 instructions with the case your classroom set and any plan template attached to it, and a custom draft written into that template comes back inside 24 to 48 hours, free the first time. Name the state if the assignment does, since what a program will actually buy for somebody changes at the border.
More MSW 528 papers and MSW samples
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- MSW 528 Week 7: Safe Discharge Case Analysis
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- MSW 529 Week 4: Service Gap Map
- MSW 526 Week 4: Caseworker Stress Inventory
- MSW 525 Week 4: Trauma Narrative Plan for N.
- MSW 524 Week 4: ACE Count Interpretation for P.
MSW 528 Week 4 questions, answered
Do the agencies and programs have to be real?
Real ones make a stronger draft wherever the assignment allows them, because a real facility has an actual admission policy, a real distance from his street and a real answer about who it accepts. Where the case is fictional and the location unstated, choose a place, say on the page that you chose it, and keep every rule you cite tied to something published.
The case gives no figures. What do I do about cost?
Write what a cost depends on and where the answer would come from, rather than inventing an amount. A copay that turns on a plan nobody has named is still worth a line saying whose office settles it and by when. Markers are reading for whether you noticed the household has to pay for something, not for a number you could not have known.
Is the draft finished if something is still open?
Yes, and usually stronger for it. A plan naming an open item, with the date it has to close and what happens if it does not, describes the work as it actually stands. A draft that resolves everything on paper is the one graders distrust, since nothing in a hospital week comes together that cleanly and the tidiness reads as invention.
Where can I find a free MSW 528 Week 4 sample paper?
This page carries a complete MSW 528 Week 4 discharge plan draft for a stroke patient, with its agreement table and margin notes on failures.
What are the two likeliest failures in the MSW 528 Week 4 sample?
The plan's authorization for inpatient rehabilitation and the stairs at home after rehabilitation, each paired with a fallback and its current status.