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…
Seeking the right level of care at the right time can help prevent delay in care and unnecessary cost. Different modes to seek care have been developed to meet the complex needs of patients, but patients may not be able to track the resources available to them…
Having a warfarin protocol in place is only half the battle. It is imperative that protocol be followed and documented with each encounter. This presentation discusses how to closely monitor labs and provide care for the non-compliant patient…
Ambulatory care is a rapidly growing field of nursing practice. As this specialty practice grows, there have been efforts to identify the desired role of the registered nurse in ambulatory care and link it to patient outcomes…
This presentation discusses the implementation strategy for centralizing nursing services to support primary care practices as well as the tools and tactics for tracking RN work and value-based program outcomes as a result of centralization…
Veterans Administration primary care nurses perform activities that are often uncaptured, leading to these nurses not receiving credit for their work. These activities also are difficult to quantify or capture within the electronic health record (EHR)…
Patients transitioning from an inpatient hospital stay to self-care responsibilities post-discharge are at risk for readmission, resulting in increased cost and resource utilization. Care transition programs can result in cost avoidance and decreased resource utilization…
This session discusses the development of a chronic disease care management program at our academic medical center to address the needs of complex moderate- to high-risk patients and reduce repeat emergency department utilization and hospital readmissions for these specified populations…
CCTM is growing nationwide, and a set of principles and evidence-based resources are constantly being created and updated to support ambulatory care nursing. The CCTM SIG meets to discuss the latest evidence-based tools and research…
This session discusses the development of a care coordination pilot program to address complex needs of pediatric gastroenterology patients, with the goals of preventing overuse of the emergency room and inpatient admissions while increasing compliance with plans of care…
Aiming to improve the transition of patients from hospital to home, a team at one healthcare organization completed a performance improvement project leveraging the registered nurse to lead the transition of care phone call and visit in collaboration with the primary care physician…
Privacy Policy Update: We value your privacy and want you to understand how your information is being used. To make sure you have current and accurate information about this sites privacy practices please visit the privacy center by clicking here.