Patient-Centered Care Transitions for Better Quality, Costs, and Readmissions

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Patient-Centered Care Transitions for Better Quality, Costs, and Readmissions

Product Code: YK052913

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Product Description:

Presented on:  Wednesday, May 29, 2013

Presented by: Kathleen M. Martin, RN, BSN, CCM, CPC-H and Fred D. Jung, RN, PhD, CPHQ

In building the care continuum, it is crucial to keep patients at the center of the process. Quality and care experts from Sarasota (FL) Memorial Health Care System and Griffin Hospital (Derby, CT) examine the increased focus on care transitions as healthcare organizations prepare for value-based care. They also review real-life case studies to expose the challenges faced when making the transition and how to implement solutions.

Order Patient-Centered Care Transitions for Better Quality, Costs, and Readmissions and see how creating patient-centered care transitions can help decrease costs, reduce readmission rates and boost patient satisfaction.

You’ll learn how to:

  • Discuss the key components of a transitional care program
  • Identify your organization’s weak spots in transitions of care
  • Develop strategies for implementing transitions across health care providers and organizations

Program Agenda

  • Reasons for the shift to patient-focused care transitions
    • Meeting the medical mission of putting the patient first
      • US has worst outcomes and highest cost of healthcare
    • Preparing for Value Based Purchasing
    • Penalties for Readmissions
  • The Griffin journey to improved care transitions
    • Why this shift is a huge culture change
    • The steps to patient-centered care transitions
      • Start by engaging a lot of providers, take opinions out and put patients first
      • Start with your own hospital and extend out to physicians and the community
      • Engage the patients to build their confidence
      • Collaboration and cooperation among patient caregivers
      • Same-page care across transitions
      • Breaking down the barriers to medical plan adherence
      • Monitoring for outcomes and for early interventions
    • The Planetree Perspective
  • The challenges Sarasota is facing while making the transition
    • The key components of a transitional care program
      • Large vs. Small organization perspective
  • The key players and their roles in building transitional care systems
      • Getting groups to work together
      • Different dynamics in each community
    • Short and longer-term strategies for implementing transitions across health care providers and organizations
    • The financial and strategic incentives and resources currently available to support building transitions across organizations
  • Results
    • Not always immediate
      • Readmissions are only recently down at Griffin
    • Metrics

Meet the Speakers

Kathleen M. Martin, RN, BSN, CCM, CPC-H, has been Vice President of Patient Safety and Care Improvement since 2006 and currently leads the Quality Performance Improvement initiatives for Griffin Hospital, a 120 bed community acute care facility.  Prior to this position, Kathleen served as an Assistant Vice President of Case Management and Medical Records since 1983.  Kathleen was instrumental in developing the Palliative Care Program in collaboration with the Connecticut Hospice which enables patients to experience patient centered end of life care.  Kathleen currently leads a community collaborative “Gateway To Health” to reduce heart failure readmissions with area skilled facilities and home care agencies.   Kathleen also has facilitated bereavement and support groups for the community for the past 25 years.  She is a member of CMSA, AAPC and serves on the QA Board of the Connecticut Hospital Association

Fred D. Jung, RN, PhD, CPHQ currently serves as the Executive Director of Quality and Patient Safety for the Sarasota Memorial Health Care System.  SMHCS is a nationally recognized, 806 bed safety-net health care system with a publicly elected board and full continuum-of-care including primary, emergency, acute, psychiatric, rehab, skilled nursing, home health and multiple outpatient services and locations.  As a member of the senior team, he directs the Quality Improvement, Infection Prevention, Risk Management and Case Management departments.


Who is attending?

CMO, CNO, CEO, Directors of Case Mgmt, Quality Mgmt, SNF, LTACH and HH administrators, Directors of Finance/Reimbursemen