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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

“On hospital discharge and transition to the next level of care, older adults continue to face risks such as miscommunication, gaps in care and medication-related issues,” the researchers wrote. Transitional care models are designed to address these challenges with the primary aim of preventing readmissions.”

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Prisma Health & Bamboo Health Partner to Deliver Real-Time Patient Intelligence Across South Carolina

HIT Consultant

. – The strategic deployment will provide Prisma Health and its Clinically Integrated Network, inVio Health Network , with real-time patient intelligence across the entire care continuum. By doing so, they can truly become an integrated extension of our care team, enabling us to deliver better outcomes and lower costs.”

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How Effective Patient Communication Boards Improve Safety & HCAHPS Scores

Readiness Rounds

PATIENT SAFETY: Patient communication boards improve patient safety in hospitals in several ways: Enhance Communication Between Patient and Care Team: These boards enhance communication between patients, nurses, doctors and other hospital staff by providing a consistent visual and accessible means of conveying important information.

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Revenue Up, Readmissions Down: Top Benefits of Care Collaboration Technology

Home Health Care

All of these capabilities support better care transitions, which Fischer calls “one of the biggest gaps in health care.”. When a patient needs a walker, for instance, a nurse must order the walker, then get a physician to sign the order. Without that signature, the home health agency does not get reimbursed.

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Healthcare at the Crossroads: Value-Based Care and Interoperability

HIT Consultant

The aim of such an initiative is to smooth workflows, reduce unnecessary churn, and prevent data stagnation. One extremely forward-thinking provider organization designed an innovative program several years ago to transition reimbursement away from fee-for-service and towards value-based care.

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California and Ohio Advancing Equity for Older Adults and Family Caregivers

NASHP

The Master Plan also aligns with some of the governor’s key initiatives, such as the “California for ALL” vision and the Task Force on Alzheimer’s Prevention and Preparedness. Key findings of the Summary Assessment highlight inequities preventing Ohioans, especially older Ohioans, from living a long and full life.