Patient Transitions to Post-Acute Care

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 picollaboratives@vizientinc.com

 

Show Notes:

[00:45] ProHealth Care has a multidisciplinary all-cause readmission team for post-acute patients

[1:00] ProHealth Care has shifted their focus to look at anywhere along the continuum of care for opportunities to prevent readmissions

[2:52] Earlier efforts to reduce readmissions were ineffective because of lack of follow up

[3:35] ProHealth joined the Vizient Patient Transitions to Post-Acute Care Collaborative

[4:00] They developed plans with facility partners, medial directors and sepsis team, making it collaborative and connected with all parties.

[4:36] Worked as a group to detail how to fully operationalize their preventive strategies

[6:30] Embedded medical directors and Advanced Practice Providers

[7:03] Plans for follow up

 

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