Improving Care Transitions
| Autor: | Brandy Davis, Amy Babineaux-Jones, Ralph Wood, Ann K. Carruth, Shelly R Welch, Bobijo Bode, Gina Burdett, Charles Ducombs, Cortney Mitchell |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Patient Transfer
Leadership and Management education Motivational interviewing MEDLINE Patient Readmission 01 natural sciences 03 medical and health sciences 0302 clinical medicine Humans Transitional care 030212 general & internal medicine 0101 mathematics Disease management (health) Set (psychology) Medical education Operationalization 010102 general mathematics Mentoring Professional-Patient Relations Transitional Care General Medicine Quality Improvement Alliance General partnership Psychology |
| Zdroj: | JONA: The Journal of Nursing Administration. 48:629-635 |
| ISSN: | 1539-0721 0002-0443 |
| Popis: | To avoid penalty through the Hospital Readmission Reduction Program, an academic practice partnership, Health Transitions Alliance, was formed with the local university, resulting in adoption of an innovative transitional care model. Key to the model was a health coach who operationalized transition care to the home setting. Health coaches, interns in their last semester of college, used motivational interviewing to help patients set disease management goals. As a result of this model, the readmission rate for program participants in the initial 7 months was reduced by 72%. |
| Databáze: | OpenAIRE |
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