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Care On-Going

Care On-Going. Eban Experience Session II June 17, 2011. Aim.

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Care On-Going

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  1. Care On-Going Eban Experience Session II June 17, 2011

  2. Aim • How can we establish safe and effective transitions of care from Regions Hospital to Westside and Open Cities community clinics, in order to reduce all-cause, non-elective, 30-day readmission rates, of self-pay patients, by 5% , by December 31, 2011.

  3. Workflow

  4. Plan-Do-Study-Act (PDSA) Cycles:

  5. Plan-Do-Study-Act (PDSA) Cycles:

  6. Plan-Do-Study-Act (PDSA) Cycles:

  7. Plan-Do-Study-Act (PDSA) Cycles:

  8. How have you integrated your community advisor into your improvement work?

  9. Learning Process Buy in from care management, nursing, nursing managers and other persons has been great! Good support from administrative team Organization and communicating effectively Identification of Target Population Engaging Patients Contacting our other identified community clinic we would like to work with Including community advisors in our project Commitment of Resources Successes & Challenges

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