PDF-(BOOK)-Connecting Care for Patients: Interdisciplinary Care Transitions and Collaboration

Connecting Care for Patients Interdisciplinary Care Transitions and Collaboration addresses practical strategies for creating connected seamless and transparent health care for patients in settings outside of the hospital It presents antidotes to healthcare fragmentation caused by inefficient care patient safety problems patient dissatisfaction and higher costs The text focuses on clinical case management interdisciplinary referrals and conferencing cross functional team meetings tracking patients in valuebased purchasing programs inpatient liaison visits structured collaboration with physician groups and referral sources and development of clinical community networking groups Further it explores tools for patient selfmanagement support effective integration of technology family caregiver engagement and techniques for addressing health disparities and other highrisk care gaps A unique resource this text blends conceptual information with practical tools and strategies for connecting care for patients by describing research and evidencebased techniques while translating them into actionable tools Also included are chapter objectives review questions explanations of key terms case studies selfassessments scripts trigger questions and detailed descriptions of each tool and technique. Our story so far…. Andy . Kinnear . June 2015. What is Connecting Care?. Connecting Care – Why?. Local drivers. National drivers. Who the partners are. What we have delivered so far . What are the benefits? . ESRD Patient Management. Improving Handoffs. Antonia Harford, MD. UNM Nephrology. OBJECTIVES. Review Epidemiology of ESRD. Mortality/Hospitalization in ESRD. Transitions of care in ESRD: . Discharge Handoffs . Michael Burgess. New York . StateWide. Senior Action Council, . September 13, 2012. Nothing Short of a Revolution and Change in Culture of Health Care. Health Care is Quickly Moving from a Fee-for-Service World to a Coordinated Care Model with a Bundled Payments to Providers. Lauren E. Glaze, . PharmD. Assistant Professor of Pharmacy Practice. UAMS South Family Medical Center. Objectives. Define transitional care and its impact on healthcare outcomes and expenditures . Describe the development of a Transitions of Care (TOC) service . . Adam Thompson, Regional Partner . Director. Northeast/Caribbean AIDS Education and Training Center – South Jersey Regional Partner. 1. aidsetc.org. Overview. Introduction. Transitions of Care (. Sleepy Eye Medical Center. Presenters. Wendy Borth, BSN. Sara Schultz, RN. Sleepy eye medical center. Outpatient Services:. Emergency medicine. Diabetic teaching. IV therapy. Lactation counseling. Pathology. of HIV Care. Jeremy Holman, PhD. Lisa . Hirschhorn. , MD, MPH. 2012 Ryan White Grantee Meeting . Workshop. November 27, 2012. Disclosures. This continuing education activity is managed and accredited by Professional Education Service Group. The information presented in this activity represents the opinion of the author(s) or faculty. Neither PESG, nor any accrediting organization, endorses any commercial products displayed or mentioned in conjunction with this activity. . Shawnee Mission Medical Center. Kim Fuller, MSW, MBA, CCE. Janet Ahlstrom, MSN, ACNS-BC. Shawnee Mission Medical Center. Preventing Re-hospitalization. within 30 days. Selected populations. :. . Congestive Heart Failure. Sleepy Eye Medical Center. Presenters. Wendy Borth, BSN. Sara Schultz, RN. Sleepy eye medical center. Outpatient Services:. Emergency medicine. Diabetic teaching. IV therapy. Lactation counseling. Pathology. of . Surgical Care: What is the Role for HIT?. . Benjamin S. Brooke, MD, PhD. Assistant Professor of Surgery. University of Utah School of Medicine. Director, Utah Intervention Quality & Implementation Research (U-INQUIRE). From a solo to an ensemble performance – the Family Medicine Clinic Collaboration experience Yee Wei Lim Saw Swee Hock School of Public Health National University of Singapore Today’s talk Describe Singapore and its healthcare system . Interdisciplinary. . collaboration. . between. social . workers. and . health. . care. professionals in a workfare . discourse. International . week. 2018 . Seinäjoki. University of Applied Sciences Finland. State the challenges and barriers to patient care and interdisciplinary education in a transitions of care (TOC) clinic. . Report 30 -Day Rehospitalization and ED Utilization Rates Using Retrospective Chart Review.. Jennifer Shannon, PharmD, BCPS. Sharon F. Clackum, PharmD, CGP, CDM, FASCP. Objectives. After completing the session learners will understand…. the literature that describes post-hospital medication discrepancies that result in adverse events.