Patient Transitions to Post-Acute Care from Knowledge on the Go

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Patient Transitions to Post-Acute Care

8 minutes Posted Dec 6, 2021 at 3:00 pm.

] ProHealth Care has a multidisciplinary all-cause readmission team for post-acute patients

] ProHealth Care has shifted their focus to look at anywhere along the continuum of care for opportunities to prevent readmissions

] Earlier efforts to reduce readmissions were ineffective because of lack of follow up

] ProHealth joined the Vizient Patient Transitions to Post-Acute Care Collaborative

] They developed plans with facility partners, medial directors and sepsis team, making it collaborative and connected with all parties.

] Worked as a group to detail how to fully operationalize their preventive strategies

] Embedded medical directors and Advanced Practice Providers

] Plans for follow up

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It’s estimated that 40% of all Medicare patients go into post-acute care and of those, nearly 23% are readmitted to the hospital within 30 days. This podcast highlights what one organization plans to do to reduce their readmissions.

Guests:

Heidi Young, RN

Senior Quality Project Manager

ProHealth Care

Jessica Zuercher, MS, MBA, RN

Director, Continuum of Care

ProHealth Care

Moderator:

Lindsay Mayer, MSN, RN

Senior Director, PI Collaboratives Programs

Vizient

For more information, email [email protected]

Show Notes:

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