Center Can Support New Collaboration for Safe Care Transitions

July 22, 2013    |   By: Calevir

New quality and reimbursement requirements have focused attention on patients’ successful transition from hospital to home (their own residence or long-term care).   For many, that transition process will include a stay in a nursing home/rehab facility.   An article in the March/April 2013 edition of Healthcare Executive Magazine outlines the importance of this relationship, and the role of healthcare leaders on both sides in developing safe and effective transfer processes.   (Loughman and Peisert, p. 80)   Readmissions, the   authors note, is “often a result of a lack of care coordination.”   The authors recommend enhancing communication between the hospital and post-acute facilities and finding ways to identify patients who are at the highest risk.   They also suggest that hospitals should know the track record of the long-term care facilities that provide follow-up care for their patients.

As the Center’s long-term care program rolls out, it will allow nursing homes to gather the sort of data that will be meaningful to referring providers and the tools to improve outcomes.   Hospitals and nursing homes can work together to improve care will be able to do so under the umbrella of confidentiality provided by   participation in the Center’s PSO.

The Center for Patient Safety looks forward to helping providers develop seamless and safe passage for their   patients and residents as they move around in the healthcare continuum.


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