A Multidisciplinary Transitional Care Team’s Aim to Bridge the Care Chasm

In a value-based care environment, successful outcome measures include improved quality of care while limiting costs. This session discusses a transitional care program implemented to support post-discharge follow-up. Discussion includes development of the program and how it has resulted in improved care coordination, appropriate next site of care, and decreased readmissions.

Continuing Education Instructions and Disclosure Information:

Contact hours available until 4/15/2025.

Requirements for Successful Completion:
Complete the learning activity in its entirety and complete the online nursing continuing professional development (NCPD) evaluation. You will be able to print your NCPD certificate at any time after you complete the evaluation.

Disclosure of relevant financial relationships with ineligible companies (planners, faculty/speakers, reviewers):

Planning Committee Disclosures:
There are no Planning Committee disclosures to declare.

Speaker Disclosures:
There are no speaker disclosures to declare.

Commercial Support:
No commercial support declared.

Accreditation Statement:
This educational activity is jointly provided by Anthony J. Jannetti, Inc. (AJJ) and the American Academy of Ambulatory Care Nursing (AAACN).

Anthony J. Jannetti, Inc. is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.

AAACN is a provider approved by the California Board of Registered Nursing, provider number CEP 5366.

Learning Outcome:
After completing this learning activity, the participant will be able to list at least two benefits of a multidisciplinary transitional care team.