Hospital to Home: A Care Transitions Project

Oct 18, 2012

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Readmissions. 1 in 5 elderly patients Results in 2.3 million re-hospitalizationsAnnual cost to Medicare - $17 billion . CMS Initiatives. PPACA cut hospital pay by 1% if exceedingrate of readmission yet to be determinedOctober 2012 CHF AMI pneumonia2012 2 13 3

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Hospital to Home: A Care Transitions Project

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Hospital at Home A prototype model for home care provision

Hospital at Home A prototype model for home care provision Dr. E. Papazissis MD MSc. Department of Hospital at Home HYGEIA Hospital Athens - Greece The trend: Hospital Home The evidence: “as safe as treatment in hospital”. Caplan et. al. MJA 1999

973 views • 19 slides

Transitions of Care/Personal Health Navigator

Transitions of Care/Personal Health Navigator. Agenda. Geisinger Overview Transitions of Care Personal Health Navigator aka Medical Home. Overview of Geisinger System. Geisinger Clinic: 750 Physicians 42+ Community Practice Sites Three Acute Care Hospitals: Geisinger Medical Center

687 views • 9 slides

Care Transitions Models and Key Technologies for Patients in the Home

Care Transitions Models and Key Technologies for Patients in the Home. Lynn Redington, DrPH, MBA Senior Program Director Center for Technology and Aging lredington@techandaging.org Remington’s 9 th Annual Forecasting Think Tank Summit St. Pete, Florida March 13, 2011.

462 views • 19 slides

Transitioning from Pediatric to Adult Health Care Online Tool

Transitioning from Pediatric to Adult Health Care Online Tool. The National Diabetes Education Program Changing the Way Diabetes is Treated. Transitions: Online Tool www.YourDiabetesInfo.org/transitions . Transitions: Checklist. Transitions: Clinical Summary Page . Transitions: Resource List .

189 views • 5 slides

Improving Care Transitions for Older Adults

Improving Care Transitions for Older Adults. Ali Afrookteh, MD Steven Kravet, MD Eric Howell, MD Param Dedhia, MD Alicia I. Arbaje, MD, MPH. CASE PRESENTATION. 88 yof admitted to ED after fall at home – unable to walk

541 views • 51 slides

Extending Care from Hospital to Home

Extending Care from Hospital to Home. CP338.01 5/3/13. Agenda. Changing trends in healthcare Identifying key pain points Partnering with home health Why telehealth Measuring outcomes Next steps . A new definition of success in healthcare.

564 views • 28 slides

Evaluation Results and Outcomes from a Hospital to Home Care Transitions Pilot Project

Evaluation Results and Outcomes from a Hospital to Home Care Transitions Pilot Project. Taj Bhaloo, PhD, MHA Director, CHRISTUS Health Adjunct Assistant Professor, University of Texas. Outline. Brief description of the H2H Pilot Results Kansas City Cardiomyopathy Questionnaire

370 views • 19 slides

Longitudinal Care Planning

Longitudinal Care Planning. A Vision of the Longitudinal Coordination of Care Workgroup June 10, 2012. LCC Workgroup Leads/Co-authors. Larry Garber, MD LTPAC Care Transitions Terry O’Malley, MD LTPAC Care Transitions Bill Russell, MD Longitudinal Care Plan

372 views • 20 slides

6/6/14

UW MEDICINE . Sending Summary of Care Records at Transitions of Care Regional Coordination & Directory Development. 6/6/14. UW Medicine Meaningful Use. Hospitals Northwest Hospital – Siemens HMC & UWMC – Cerner Valley - Epic Clinics Northwest Hospital – Siemens

276 views • 12 slides

Care Theme: Transitions of Care

Use Case 9. Care Theme: Transitions of Care Use Case: Optimizing Cardiac Care Oversight by Leveraging Home-based Devices and Remote Monitoring Care Regimens .

160 views • 2 slides

Transitions in Essays

Transitions in Essays. ENG 102 Writing Project #2 Sarah Dye. What are transitions?. Transitions are words that help the audience follow your train of thought. Transitions help the reader connect new information to what he or she has just read. Transitions which show location :. Above

477 views • 17 slides

Transitions of Care: From Hospital to SNF

Transitions of Care: From Hospital to SNF. Steven Tam, MD Assistant Clinical Professor UCI Program in Geriatrics, Internal Medicine. Educational Objectives. Upon completion, the learner will be able to

289 views • 13 slides

Transitions of Care

For the Healthcare Provider. Transitions of Care. Atrial Fibrillation. Table of Contents. What is Transitions of Care? Efficacy of Transitions of Care Approach Project Scope The Role of the Provider The Role of the Patient Resources Action Requested and Timeline Feedback Survey.

344 views • 17 slides

Us Case 5

Care Theme: Transitions of Care. Supporting the Medical Home Model of Primary Care. Us Case 5. Interoperability Showcase In collaboration with IHE. Use Case 10. Care Theme: Transitions of Care Use Case 10: Supporting the Medical Home Model of Primary Care.

196 views • 4 slides

Hospital Discharge Transitions: Follow-up in Primary Care for High Risk Medicaid patients

Hospital Discharge Transitions: Follow-up in Primary Care for High Risk Medicaid patients. CFCC PCMH High Risk Patient working-group. Objectives. To prevent hospital readmissions To improve the care of high risk patients through interactions with the PCMH team

216 views • 9 slides

S& I Transitions of Care

HIT Standards Committee S&I and CDA – Update and Discussion November 16 th , 2011 Doug Fridsma, MD, PhD. S& I Transitions of Care. S&I Transitions of Care ( ToC ) Initiative. Recap Established a set of Use Cases corresponding to key transitions specified in Meaningful Use

357 views • 7 slides

Transitions to Community Living

Transitions to Community Living. March 29, 2014 NAMI Conference Jessica Keith Special Advisor on ADA, DHHS Darlene Webb, MH/SUD Care Coordinator Supervisor & Transitions to Community Living Director, Coastal Care. Federal Focus on ADA and Olmstead. Complaint letter and DOJ findings

293 views • 12 slides

Transitions of Care

Transitions of Care. Metro Health PHO. Preparing for Transitions of Care. In May 2010, the Metro Health PHO held a 3 day LEAN event, which included multiple ambulatory practices, Metro Health Hospitals nursing units, pharmacy, hospitalists and key senior leaders in the organization.

378 views • 22 slides

Assessing and Managing Burnout in Hospital and Home Care Teams

Assessing and Managing Burnout in Hospital and Home Care Teams. Serife Eti, MD Beth Israel Medical Center Mona S. Patel, DO MJHS Hospice and Palliative Care. According to the US Department of Health and Human Services.

758 views • 37 slides

Hospital to Home Project Update 26/06/13 Julie Dixon-Patterson

Hospital to Home Project Update 26/06/13 Julie Dixon-Patterson. Background. BIG Lottery Silver Dream Fund (18 month project) Hospital Mealtime programme Observation and Real-time Feedback programme Wellbeing and Information programme Staff Hospital to Home Project Co-ordinator

360 views • 6 slides

CMS National Conference on Care Transitions

CMS National Conference on Care Transitions. December 3, 2010. READINESS TO INTERACT Inter ventions to Reduce A cute C are T ransfers. Dianne M. Richmond, RN, MSN, APN Theme Lead for Care Transitions and Patient Safety Alabama Quality Assurance Foundation. CMS Special study.

337 views • 19 slides

Transitions of Care

For the Mended Hearts Volunteer. Transitions of Care. Atrial Fibrillation. Table of Contents. What is Atrial Fibrillation? Transitions of Care? Project Scope The Role of the Care Provider The Role of the Patient Your Role Resources Feedback Survey. Atrial Fibrillation ( Afib ).

377 views • 21 slides

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Hospital to Home: A Care Transitions Project

Hospital to Home: A Care Transitions Project

Presentation Transcript

Hospital at Home A prototype model for home care provision

Transitions of Care/Personal Health Navigator

Care Transitions Models and Key Technologies for Patients in the Home

Transitioning from Pediatric to Adult Health Care Online Tool

Improving Care Transitions for Older Adults

Extending Care from Hospital to Home

Evaluation Results and Outcomes from a Hospital to Home Care Transitions Pilot Project

Longitudinal Care Planning

6/6/14

Care Theme: Transitions of Care

Transitions in Essays

Transitions of Care: From Hospital to SNF

Transitions of Care

Us Case 5

Hospital Discharge Transitions: Follow-up in Primary Care for High Risk Medicaid patients

S&amp; I Transitions of Care

Transitions to Community Living

Transitions of Care

Assessing and Managing Burnout in Hospital and Home Care Teams

Hospital to Home Project Update 26/06/13 Julie Dixon-Patterson

CMS National Conference on Care Transitions

Transitions of Care

S& I Transitions of Care