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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.
Patient transitions from the hospital to post-acute care providers, including home health agencies, continue to be plagued by incomplete medical records and missing information. Gaps in post-acute caretransitions are so common, in fact, that the U.S.
Many, particularly those in skilled nursing facilities (SNFs), share this concern. With an estimated need for 191,000 additional nurses and a price tag of around $6.8 With an estimated need for 191,000 additional nurses and a price tag of around $6.8 Educating regulators and fostering trust are paramount endeavors.
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State health policies help to shape these services through legislation, funding, and regulation. As states navigate current fiscal constraints, state policymakers are focusing on helping older adults remain in home-and community-based settings for as long as possible while also potentially reducing costly hospital and nursing home services.
“Patrick is a proven and effective leader who has the board’s full support to lead InnovAge and to quickly address the issues that have arisen with CMS and our regulators in California and Colorado,” InnovAge Board Chair Andrew Cavanna said in a press release. “We Axxess adds three executives to its leadership team. “I
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CHW services could be used for many health conditions as long as there is a care plan in place written by a physician, physician assistant, nurse practitioner, or a certified nurse midwife. Many provider types may supervise CHWs, including physicians, dentists, public health nurses and mental health professionals among others.
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