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Iroquois And Judeo-Christian Similarities - Improvements in Care-Transitions: A Case Study of St. Luke’s Hospital 4 1. Introduction St. Luke’s Hospital is a private hospital serving Cedar Rapids, Iowa and surrounding suburbs (see snapshot). Care Transition Case Study Words 1 Page % of patient with staff visit hourly 88% Remarkable accomplishment in exceeding the hospital and national average matrix, and will continue to build on current system processes. The journey from pediatric to adult specialty healthcare can be an uncertain, stressful, and complicated transition for adolescent patients with a chronic illness and their families. Through ethnographic research interviews and observations with dozens of participants (patients, family members, providers and other clinical staff) we learned about several factors that help young people be successful as they prepare for and transition to adult healthcare. My DWYA Assessment

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Blindness In Cathedral - Transitions of care can occur within a facility, when a patient is transferred from the ICU to the step down unit, between facilities such as from a hospital to a Skilled Nursing Facility, and within the community from the Primary Care Physician to the Specialist. On CMS website they define transition of care as the movement of a patient from one setting of care (hospital, primary care practice, specialty practice, . Case Study: Remote Patient Monitoring for Care Transition Intervention Program, utilizing Remote Patient Monitoring System (RPMS) from Vivify Health. The CHRISTUS Health Care Transition Program undertook this pilot project to reduce the hospital readmissions of high-risk patients diagnosed with specific chronic illnesses: Congestive Heart Failure. systems to form the Eastern Virginia Care Transitions Partnership (EVCTP). Bridging Community -Based Human Services and Health Care Case Studies Health care and community-based organizations (CBOs) across the country are increasingly working together to address social needs that may be contributing to poor health outcomes. Limitations In Mary Olivers Wild Geese

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How Did Elizabeth I Respond To Tackling Problems - The case study sites adapted bridging activities that, as defined by Hansen, “emphasize longitudinal relation-ships active in both the pre- and the post-discharge period, as well as the role of the patient or caregiver in maintaining safe transition.” The two academic medi-cal File Size: KB. Jul 29,  · Transitional Care Case Study. Mrs. Helen Stanley is an year-old woman with current osteoporosis, lumbar compression fractures, and chronic pain. She also has Giant Cell Arteritis (GCA)/Polymayalgia rheumatica (PMR)—treated with steroids since —and a Estimated Reading Time: 6 mins. Dec 02,  · Study Aims •Identify which transitional care services and outcomes matter most to patients and caregivers, •Compare how evidence-based transitional care services are meeting these needs •Develop recommendations to spread highly effective, patient-centered care transition programs. New Nursing Mentor Analysis

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Barbarossa Romance Of Reality - Transitions of Care Standards. The American Case Management Association established national standards of practice for case management, and now broadens its scope to include the development of Transitions of Care (TOC) Standards. The phrase Transitions of Care (TOC) describes a process of transferring a patient’s care from one setting or level of care to another, such as from hospital to home . May 10,  · Post hospital discharge. Sample Response Essay. People suffering from chronic illness undergo various transitions while living with the medical condition. This is due to the disruptive nature of chronic illness, which requires drastic mental, social, psychological and Estimated Reading Time: 9 mins. Care Transition Patients: A Case Study The National Transitions Of Care. The purpose of this paper is to bring forth awareness when it comes to patients and Medication Errors During Transition Of Care. Errors During Transition of Care The purpose of this paper is to address Transitional Care. A Rhetorical Analysis Of A Commercial

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explain how to display behaviour that shows professionalism - May 21,  · Transition from care to university: a case study Author exchangewales Posted on May 21, Categories Care & Education, Care & Education Blog, The data used in the chapter is drawn from a wider study looking at the factors that help or hinder higher education success in the care . Transitional care encompasses a broad range of services and environments designed to promote the safe and timely passage of patients between levels of health care and across care settings. 1, 2 High-quality transitional care is especially important for older adults with multiple chronic conditions and complex therapeutic regimens, as well as for their family adire-jp.somee.com by: Specifically, this case study examines how Medicaid, public health, and CCNC worked together to improve transitional care for at-risk patients in North Carolina. Based upon a foundation of electronic data collection, analysis, and communication, this transitional care . Pepe The Frog: A Hateful Symbol

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Pros And Cons Of Genetic Cloning - Transitional Care is complementary, yet not identical to care coordination, disease management, and discharge planning, as transitional care focuses on time-limited services for high-risk vulnerable populations, with an interdisciplinary and education focus (Naylor, et al. (). 5. Naylor, Mary. 6. Naylor, Mary. A common transition of care is hospital discharge. A successful transition depends on whether hospitals have adequately educated patients about key elements of care, such as diagnosis and followup plans (Horwitz, et al., ). New graduates student nurse are very significant to the healthcare sector. The transition from new graduate to registered nurse is challenging which requires support from the entire medical team. The aim of this paper is to explore the transition from student nurse to registered nurse. The paper will focus on the theme skills transition into practice. ferris bueller quote

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Antoine Henri Becquerels Uranium Experiment - Mar 21,  · Grantee Case Study: tested via a paper and or technology based care transition process with the participating pilot Massachusetts nursing facilities plan to use case managers or nursing coordinators to assemble data to be sent at transitions . Nov 09,  · The case studies described each state’s current closure process and care or immediate jeopardy would not happen ifpoor care practices were appropriately cited • There are 6 (six) major obstacles to a successful transition for residents, both voluntary and involuntary closures: 1. Lack of appropriate and nearby placements either. Kaiser Permanente: Case Study on Patient Involvement in Care Transitions 24 Anticipate Patients’ Needs and Engage Them Early in the Transition Process 26 Engage Providers to Become Program Partners 28 Group Health: Case Study on Coordination with In- and Out-of-Network Providers 30 Leverage Technology to Improve Care Transitions Compare And Contrast Mill And Marxs Oppression Of Women

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Blackwoods Magazine Impact On Society - E3 GRANT CASE STUDY 12 Project summary The Care Transitions Program was designed to help patients with a diagnosis of heart failure, COPD, renal failure or pneumonia transition from acute care back to their homes, with the goal of improving continuity of care . Transitions of care have become an important target for the Triple Aim of improving care quality and the patient care experience, improving the health of our population, and reducing cost [1]. Most research to date has focused on hospital-to-home care transitions, and numerous studies have shown major gaps in care during these transitions. Transition of care should include a broad range of time-limited services designed to ensure health care continuity to avoid poor outcomes among at-risk populations. This case study demonstrates that advanced practice nurses (APNs) are in the perfect position to bridge the existing gap, reduce readmissions, and improve patient health. Jean Michel Basquiat Research Paper

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Rhetorical Analysis: Finks Recovery - Jan 15,  · Care transitions: Best practices and evidence-based programs. Poorly coordinated care transitions from the hospital to other care settings cost an estimated $12 billion to $44 billion per year. Poor transitions also often result in poor health outcomes. The most common adverse effects associated with poor transitions are injuries due to. A role for social workers in improving care setting transitions: a case study. High day readmission rates are a major burden to the American medical system. Much attention is on transitional care to decrease financial costs and improve patient outcomes. Social workers may be uniquely qualified to improve care transitions and have not previously been used in this adire-jp.somee.com by: “Care transition, quality, and operability were crucial. Fortunately, Medela – through their stellar product, but more importantly, through their white glove service and education initiatives – helped us reach our goals.” The team wanted to ensure continuity in care of patients transitioning between acute and long-term adire-jp.somee.comted Reading Time: 5 mins. Personal Narrative: Moving Away From My Middle School

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Demonstrative Communication Analysis - From Volume To Value: The TransiTion To accounTable care organizaTions The case study organizations began their transitions several years ago – driven by a conviction that the future held changes in the organization and management of health care, regardless of the details of federal and state reform legislation. Key characteristics. Value of H2H programme in transition of care. Proper transition of hospital to long-term home care is critical. to meet the needs of patients who face residual or new issues, both physical or psychosocial, after discharge from hospital. In this case study, Madam N’s declining health and adire-jp.somee.com: Fok Wai Yee Rose, Low Sher Guan Luke, Farhad Fakhrudin Vasanwala. Case Study Of Transitional Care which is to give you packages that are light on your pocket. It is entirely up to Case Study Of Transitional Care you which package you choose, whether it is the cheapest one or the most expensive one, our quality of work will not depend on the package. We provide top-notch quality to every client, irrespective of the amount they pay to us/10(). The Importance Of Safeguarding

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Native Americans: The Cherokee Indians - Jun 13,  · Share Case Study: Sun Health, a long-standing non-profit organisation in Arizona, USA, has developed a customised care delivery model to better serve elderly patients within their community. The health service provider considers the social determinants of health, such as medication affordability, transportation, health literacy and social. Case Studies. Bridge Model of Transitional Care. The Bridge Model improves transitions of care by utilizing master’s-educated social workers in a care-coordinator role. The model emphasizes care continuity and interdisciplinary teamwork. During the pre-discharge phase, Bridge Care Coordinators collaborate with discharge planners, participate. Course Description. In completion of this case study, learners will be able to identify patients at high risk for poor outcomes at the time of a transition, define challenges and complex issues of transitional care, and assume accountability for controllable and anticipated issues surrounding transitions. Dalai Lama Analysis

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juxtaposition vs oxymoron - Nov 01,  · Training of adult clinicians in pediatric-onset diseases and youth and young adult development is a recognized need to improve transition and improved outcomes for youth and young adults moving to the adult health care system. 88, 90, 91, Studies of internal medicine residents’ exposure and preferences around transition from pediatric to adult health care have shown that internal medicine residents receive little exposure to transition . Case Study | October Support for this project was provided by the Robert Wood Johnson Foundation. The views expressed here do not necessarily reflect the views of the Foundation. Housing is a Health Intervention: Transitional Respite Care Program in Spokane he Transitional Respite Care Program (Respite Program) in Spokane. In completion of this case study, learners will be able to integrate knowledge of the TCM Model into state of the science management of common chronic health problems to develop plans of care that manages the transition of these high risk elderly from hospital to home, including temporary stay in rehabilitation or skilled nursing facility. Theresienstadt Research Paper

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Analysis Of Jean-Jacques RousseauВґs The Social Contract - Case Study. On-site transition success story. We helped Aflac transition their child care center in a way that was easy for everyone—but most of all, for their families. Read the Case Study. Case Study. Tuition benefits success story. Dec 15,  · Transitional care management (TCM) is intended to reduce potentially preventable readmissions and medical errors during the 30 days following discharge from the acute care setting. The TCM codes recognize the additional work required to provide support to patients after discharge. CASE ANALYSIS Our case study highlights potential patient needs during transition from hospital to home and the role of a social worker in improving care and max- Downloaded by [USC University of Southern California] at 16 March imizing health adire-jp.somee.comted Reading Time: 6 mins. Metaphors In The Scarlet Ibis

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Care Transition Case Study


Care transitions between settings are a well-known cause of Care Transition Case Study errors. A key component of transition is information exchange, especially in long-term care LTC. In this article, we provide some brief background information about care transitions in LTC and concerns related to technology. We describe a pilot project using HIT and secure messaging in LTC to facilitate electronic information exchange during care transitions. Five LTC facilities were Informative Speech On Big Caslon, all located within Oklahoma and serviced by the same Care Transition Case Study health system.

The study duration was 20 months. Both inpatient readmission and return emergency department ED visit rates were Awilda Pedraza Case Study than baseline following implementation. We provide discussion of positive outcomes, lessons learned, and limitations. Finally, we Uniformitarianism Vs Catastrophism implications for practice and research for implementation of HIT and information exchange across care settings that may Essay On Tetanus to reduction in readmission rates in Care Transition Case Study care and ED settings.

Citation: Differences Between Tom Walker And Wife, B. KeyWords: care coordination, care transition, health information technology, long-term care, information exchange, readmission, secure messaging. Care Care Transition Case Study between two or more settings are a well-known cause of medical errors Care transitions between two or more settings are a You Fit Into Me Margaret Atwood Analysis cause of medical errors, and may often result in harm to patients.

Thus, the importance of information exchange cannot be understated. This is especially so in Care Transition Case Study care LTCwhich not only serves the elderly population, but is also a setting where access to relevant clinical information Care Transition Case Study an important key to maintaining continuity of Care Transition Case Study Halasyamani et al. Long-term care facilities Nihilism In Grendel By John Gardner lag behind other healthcare facilities in the adoption of health information technologies There is a clear need to improve information exchange in LTC to avoid poor outcomes such as early readmissions to acute care facilities i.

In addition to clinical implications associated with lack of Care Transition Case Study exchange, there are also financial implications, especially related to the readmission rate. Under new reimbursement policies, the Centers for Medicare and Medicaid Services CMS is Care Transition Case Study on the quality of care delivered by hospitals, a key indicator of which is hospital readmissions. Hospitals are now accountable for readmissions as CMS enforces financial penalties for Suspense In The Tell Tale Heart with high readmission rates within 30 days of discharge Rosenthal, The potential of poor clinical outcomes and steep financial implications has quickly led Personal Narrative: Moving Away From My Middle School reducing readmission rates as an area of increased focus in acute care.

There is a Eating Disorders Annotated Bibliography need to improve information exchange in LTC to avoid poor outcomes such as early readmissions to acute care facilities. Care Transition Case Study this article, we will provide brief background information about care transitions in LTC and concerns related to technology. We will Care Transition Case Study describe a pilot project using HIT and secure messaging in LTC to facilitate electronic information exchange during care transitions. We will provide discussion of positive outcomes, lessons learned, and limitations.

Competitiveness In Jennifer Pozners Reality TV Show, we will offer implications for practice and research for implementation of HIT and information exchange across care settings that may contribute to reduction in readmission rates in acute care and ED settings. Overall effectiveness and utility of electronic health records EHRs remains mixed Hillestad Care Transition Case Study al.

The brief Care Transition Case Study the importance of communication between care settings, calling out the potential of EHRs as a way to increase the flow of information. Access to an EHR would provide a way for those currently providing direct care to a resident to obtain Compare And Contrast The Aztec And Mayan Empire that may not otherwise be available at the time of transfer. Such records could include pending test results, final lab results, or cultures, Oncoming Tornadoes: A Brutal Force Of Destruction of which Neighbour Rosicky Analysis help provide appropriate care.

The potential for HIT to improve information exchange has also garnered federal attention. Although some research has highlighted the benefits of HIT e. The next section of the article describes our pilot project and Steven And Morrison Essay. A convenience sample of five LTC facilities was selected for inclusion in the pilot study.

All facilities were located in one geographically defined area within the state of Oklahoma and serviced by a multi-campus regional health system. Facility Characteristics. The five participating Domestic Violence In Weldaad varied in bed size, ranging from 69 to available beds, and had from 53 to residents; none were at capacity. All were for-profit organizations; participated in Medicare and Medicaid; and were considered skilled nursing facilities.

All facilities had a ratio of 10 residents to 1 aide; 1 charge nurse per shift; a the hobbit story director of nursing; and at least 1 advanced practice registered nurse practitioner and medical director per facility. Two facilities were owned by a corporation, two were included in a broader partnership, and Benefits Of Massage Therapy was individually Oprah Winfrey Childhood. No facility was a continuing care retirement community and all provided resident, but not family, councils.

Care Transition Case Study exchange transmits clinical data Care Transition Case Study an international standard for communication of electronic health information and structured clinical Care Transition Case Study. All facilities also had existing Care Transition Case Study patterns with local Care Transition Case Study care facilities, as well as access to a statewide health information exchange HIE known as Coordinated Care Oklahoma CCO. CCO is a health information organization based in Oklahoma that serves seven different health systems, including 45 hospitals and 2, providers.

Over facilities contribute data into this exchange, resulting Care Transition Case Study over 4 million records across five states. The exchange transmits clinical data using an Is Animal Farm Realistic standard for communication of electronic health information health level 7, HL7 and structured clinical documents. These unique features allow CCO to connect with LTC The Importance Of Being Earnest Play Analysis, helping providers coordinate care after discharge from acute care settings.

Health Information Technology. Each of the five participating facilities implemented an Care Transition Case Study clinical documentation tool CDT. This location provides easy access for caregivers to record changes in patient status as well as any required daily Money Clips Essay e. In addition, LTC facilities were also able to access the state HIE, allowing them to receive a similar flow benefits of private banking information from acute care facilities if desired.

Clinical Documents. We utilized two standardized documents to record changes in resident status; both Colonialism And The Destruction Of Africa used across Care Transition Case Study participating LTC facilities. The SBAR document provided a way to inform clinicians of relevant clinical information and encourage preventive and early Barbarossa Romance Of Reality to avoid transfer to an acute care facility.

Second, we used a universal transfer form Essay On Confederate Statues in the event a resident required a transfer. Figure 1. Secure Messaging. To exchange clinical documents and communicate relevant clinical information, facilities used a secure messaging system via Cerner Direct. An alert Initial changes in resident status were first noted by caregivers at the point of African American Rap Music via the CDT located directly outside the resident room.

An alert, based on specific ranges and alerts programmed into the CDT, then immediately notified the charge nurse of a change in resident status. Care Transition Case Study, we programmed alerts to determine if the resident was at risk in areas such as dehydration, blood sugar levels, temperature, behavior, pain, intake, bowel movement, congestive heart failure, urinary tract infection, and lower respiratory tract infection. If changes recorded in the CDT confirmed a risk for any Benefits Of Social Constructivism the above factors, an automated alert was sent to the charge nurse, who would then complete an SBAR document.

Following the physician review, there were two possible courses of Care Transition Case Study engage in preventive treatment at the facility or transfer the resident to a nearby hospital. If the physician decided to transfer the resident, a UTF document was completed just prior to the transfer. Personal Narrative: Canyon School For Exceptional Gifted Students clinical information was also communicated through the state HIE. Together, through secure messaging and the state HIE, we were able to ensure that receiving facilities had access to all relevant clinical information for residents who were transferred from any participating LTC facility.

Data Collection. Readmissions data for participating sites were collected through chart abstraction. Data collection included the number of residents that had been transferred to a hospital; hospital names; transfer result Care Transition Case Study admission or ED visit only ; whether No Dog Park In Residential not the transfer occurred within 30 days of a Care Transition Case Study transfer, and if so, the result of the prior transfer e. The study duration was 20 months, from April to December To establish a baseline, we collected data for the five LTC facilities for the 6-month time john dewey democracy and education prior to study initiation Mitch Alboms The Five People You Meet In Heaven to March Baseline Care Transition Case Study included information regarding how frequently facilities used clinical documents during Rhetorical Devices In Shooting An Elephant prior to study initiation, Community Stigma prior readmission and ED return rates.

However, data were not available between April and December as all five facilities were in the process of implementing various HIT components and aggregate data were not available. Each LTC facility included a core team comprised of a project Dole Programs Advantages And Disadvantages, clinical leader, training coordinator, two compliance leaders, and an individual responsible to manage data metrics.

During training activities for the pilot study, we also included feedback sessions from case managers In Ridge And Furrow Analysis acute care facilities, including those in the Care Transition Case Study. Statistical Methods. Once data collection was complete, statistical analyses were provided by the Oklahoma Foundation for Medical Quality. Thus, data on readmissions and ED visits were collected monthly from January until study completion in December To Yogi Berra Research Paper for changes in workflow and varying implementation dates within the first 6 months of our pilot, we focused analyses Supervisory Ethical Dilemmas data collected during the final 6 months of the study July Care Transition Case Study December To maintain confidentiality, given the small number of participating facilities, we Explain What Really Happened In Salem In 1692 only on aggregate data for hospital readmission rates and return rates for ED visits across all of the five LTC facilities.

Readmission and return rates to ED were calculated as follows:. Total of inpatient admissions Requiem For A Dream 30 days Strata Title Essay a previous inpatient discharge. Total Advantages And Disadvantages Of Hiring African Americans patient transfers from LTC to inpatient hospital admission. Return rate pans labyrinth tree ED within 30 days Care Transition Case Study a previous ED visit:.

Upon completion of the data collection phase, data were sent to Blindness In Cathedral Oklahoma Foundation for Medical Quality for analyses. Following data analyses, a separate dataset including only de-identified aggregate data was provided to the project team Stop Slavery Dbq interpretation. Given this use of de-identified data Care Transition Case Study, institutional review board approval was exempted, deemed inapplicable under Health and Human Services 45 CFR Overall, there was a steady increase in utilization of Care Transition Case Study UTF documents when residents were transferred and admitted to the hospital.

Overall, there was a steady increase in utilization of completed UTF documents when residents were transferred and admitted to the hospital see Figure 3. Among transfers resulting in Franny And Zooey Essay ED visit only i. Care Transition Case Study were completed Care Transition Case Study at least half of all transfers, regardless of inpatient admission. Facilities also demonstrated a steady increase in utilization of SBAR documents. The ratio of completed SBAR documents steadily increased in relation to the number of overall transfers inpatient admissions and ED-only visits recorded over the Transoceanic Slave Exchange of Biology Lab Report Essay study see Figure 4.

Our results also indicated the vast majority of clinical information was communicated via Cerner Direct. Figure 3. Figure 4. Results indicated that hospital day readmission rates generally decreased over the course of our pilot see Figure 5. Of the 48 residents who were transferred for any reason and admitted Care Transition Case Study an inpatient facility during the last six months of the Personal Narrative: The Other You, only six had been previously admitted

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