Care Transitions
Hospitals and Providers Partnering to Bridge the Gap
- Event Date:
- Event Time: Noon Central
As patients transition from one setting to another, they —especially older adults and/or those with complex health needs — are at greater risk for adverse events, which increases the likelihood for re-hospitalization. In addition, fragmented care and insufficient collaboration between the inpatient and outpatient setting can occur, further compromising patient outcomes.
This webinar outlines the importance for hospitals and primary care physicians to partner and create processes to improve transitions and quality of care for the collaborative goal to reduce avoidable re-hospitalizations and improve patient outcomes. You’ll hear a case study example of how the various and many dynamics of a given patient situation contribute to the complexities of successfully managing patient care transitions. Also learn how to reduce avoidable hospital readmissions by identifying patients at risk for readmission, assessing their post-discharge support needs during the hospitalization, preparing a transitional care plan prior to discharge and supporting the patient with tailored interventions throughout the post-discharge period.
What You Will Learn:
- Care transitions defined
- Understanding the financial implications and key cost strategies
- How to mitigate care transition gaps when hospital and primary care physicians partner
- Best practices for a care transitions program
- Case study for Medicare Shared Savings Program/Accountable Care Organization patient
Partner(s):
