Error loading player: No playable sources found
P01
Implementation of Transitional Care for Medicare Patients to Improve the Quality of Care
Specialties
Related Products
Improving Care Transitions through Risk Reduction with Machine Learning Support
Problem: The ambulatory care management team at Carilion Clinic lacked the necessary tools to demonstrate readmission risk reduction for patients undergoing care transitions…
Utilizing the ICAN Tool to Assess the Impact of Life Burdens on Patient Self-Management of Chronic Conditions
Purpose/significance: The incidence of patients with multiple complex chronic conditions is rising…
The Ambulatory Care Clinic Coordinator’s Role in Preventing Surgical Complications: Utilization of the Enhanced Recovery After Surgery (ERAS) Program in an OBGYN Clinic
Surgical outcomes have impact on both patient health and CMS reimbursement. Preventing poor outcomes such as surgical site infections (SSIs) and readmissions are important tasks that do not only occur in the operating room…
Post-AMI Discharge Follow-Up Strategies and the Impact on Readmission Rate: Experience from the ACC Patient Navigator Program
Background: As part of the American College of Cardiology (ACC) patient navigator program (PNP) phase II focus MI, we continued risk-specific interventions implemented in phase I to reduce AMI readmissions…