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March 2013 Reducing Avoidable Readmissions by Improving Transitions in Care
 

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Session Details

When a patient’s transition from the hospital to home is less than optimal, the repercussions can be far-reaching — hospital readmission, an adverse medical event, and even mortality. Without sufficient information and an understanding of their diagnoses, medication, and self-care needs, patients cannot fully participate in their care during and after hospital stays. Additionally, poorly designed discharge processes create unnecessary stress for medical and nursing staff, causing failed communications, rework, and frustrations. A comprehensive and reliable discharge plan, along with post-discharge support, can reduce readmission rates, improve health outcomes, and ensure quality transitions.
 
To help organizations achieve these goals, the Institute for Healthcare Improvement (IHI) is proud to offer the Reducing Avoidable Readmissions by Improving Transitions in Care once again. During this two-day seminar expert faculty will assist teams in assessing the comprehensive needs of patients and family caregivers, using health literacy strategies to enhance patient education, developing a customized post-discharge plan and effectively communicating discharge information to patients and community providers, and facilitate appropriate post-hospital follow up.
IHI's Approach to Reducing Avoidable Rehospitalizations
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 Content Editor ‭[4]‬

 
​IHI has a substantial track record working with states, communities, hospitals, and community-based organizations to improve the quality and safety of patient transitions and reduce the number of avoidable readmissions — two of IHI’s strategic initiatives are the STate Action on Avoidable Rehospitalizations (STAAR) initiative and IHI’s Transforming Care at the Bedside programs. We have worked extensively with both hospitals and community-based organizations to co-design processes that improve the transition out of the hospital and into the next setting of care.​​

​What You'll Learn

 

At the conclusion of this seminar, participants will be able to:

  • Identify key strategies and tactics for reducing readmissions that can be applied in their organizations

  • Describe actionable strategies for engaging community organizations across the continuum of care

  • Strengthen patient involvement in their care

  • Apply effective tools to identify and leverage opportunities for improvement

  • Design an action plan to implement the first tests of change

Who Should Attend

 

This program is ideal for anyone involved in ensuring that patients have a smooth transition from the hospital and a reliable reception into the appropriate post-acute care setting, including:

  • Physicians
  • Nurses
  • Case managers
  • Community-based providers (such as skilled nursing facilities, home care organizations, or office practices)
  • Quality improvement directors
  • Pharmacists

IHI will offer this seminar again in the fall of 2013. Please email info@ihi.org to be notified when the seminar will be open for enrollment.

“IHI really gets it. Bringing champions together, from across the care continuum, to learn more about real-life successes and failures opens the door for the system-wide changes necessary for the patients we serve.”
 
Lara Cline, RN, MSN, FNP-BC, Transitional Care Coach
Cantex Continuing Care Network

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