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OSF deploys care transition program, reduces readmission rate from 29% to 9%

Healthcare It News

OSF HealthCare, a health system that serves Illinois and Michigan, had a big challenge: Managing the high rate of patient readmissions from hospitals to skilled nursing facilities and eventually to home care. THE PROBLEM This issue stemmed largely from gaps in continuous care during transitions between these settings.

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Fixing The Hospital-To-Home Health Care Transition

Home Health Care

The Research Institute for Home Care (RIHC) helped support the research. The goal of the SOAR program is to provide a high-quality, nurse-led replicable transition of care framework from hospital to home. It’s a really interesting model, and it’s really important to look at how to bridge those gaps in care transitions.”

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Radial Analytics Raises $3M to Optimize Patient Care Transitions

HIT Consultant

What You Should Know: – Radial Analytics , a Concord, MA-based company optimizing patient care transitions with real-time decision-support solutions for payers and providers, today announced it has raised $3M in funding led by Initialized Capital. Such opportunities to intervene often occur at care transitions.

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naviHealth CMO: Home Health Partnerships Critical to Successful Care Transitions

Home Health Care

And because of the pandemic, I think there was a rapid adoption to care in alternative sites. There were many seniors who would not want to go into a nursing home because nursing homes were hit so hard with COVID-19. We were able to say, “Okay, what is the next phase post-COVID around these trends with care in the home?”

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Skilled Nursing Facilities: Participate in Interoperability Survey

Briggs Healthcare

IQVIA is conducting a survey for the HHS Office of the National Coordinator for Health Information Technology to assess skilled nursing facility (SNF) capabilities related to interoperability, electronically exchanging information across organizations and systems. Why participate?

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UHF Highlights Methods to Improve SNF-to-Home Transitions

Home Health Care

Transitions of care involving seniors — especially those with multiple chronic conditions — can be risky. Despite this, there are a number of methods skilled nursing facilities (SNFs) and other health organizations can adopt to improve the transition from inpatient care to home for patients and their caregivers.

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PointClickCare & C3HIE: Leveraging ADT & SNF Data for Improved Care Coordination

HIT Consultant

PointClickCare has a longstanding history of partnering with C3HIE, including a joint effort with the Texas Health Services Authority (THSA) in 2022, which expanded the Emergency Department Encounter Notification (EDEN) network.