213 - One Pool That's Cool! Transitions and Care Coordination in an Integrated Healthcare System – Acute Care, Post-Acute Care, Ambulatory Care, and Payor

Effective and consistent transitions of care are crucial to preventing unnecessary admissions and readmissions to the hospital. Our care management program developed a pathway for seamless transitions of care between ambulatory, emergency department, acute hospital, post-acute, and an integrated payor care teams to provide extraordinary care. Our integrated approach and processes allow us to continue to perform at a high level in quality outcomes and transitions of care. Simplifying our processes has been the key to sustaining high performance in this space and is the result of years of concerted effort.

Continuing Education Instructions and Disclosure Information:

Contact hours available until 5/24/2027.

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 an approved provider of continuing nursing education by the California Board of Registered Nursing, provider number CEP5366.

Learning Outcome:
After completing this learning activity, the participant will be able to identify methods for improving the transition and coordination of patient care between the care team and primary care providers.