Managing Transitions to Care for the Frail Elderly

Monday, March 26th, 2007
This post was written by Melanie Matthews

The hands-on approach of Enhanced Care Initiatives’ “Easy Care” program for the frail elderly is built on human interaction, communication and reinforcement. Nurses act as health advocates, pulling together all aspects of a patient’s care and supporting the patient by working for them in the healthcare system. However, technology has its place: a tablet PC is a communication hub for nurses, a web-based patient data collection tool is an information repository, and in-home monitoring tracks meds intake. Dr John Charde, Enhanced Care Initiatives’ vice president of strategic development, described how Enhanced Care Initiatives varied programs “touch” the frail elderly.

Fall risk assessment is built into XLHealth’s health risk assessments for the elderly, explained Laurie Russell, its senior director of health solutions. Members’ caregivers and pharmacists also play key roles in XLHealth’s fall prevention efforts. More than a year into CMS’ Medicare Health Support Program, Russell detailed how her organization’s “Ask Your Doctor” report empowers members with the language to address medical conditions during a doctor visit.

Charde and Russell explored how to create effective care management approaches for the frail elderly during an April 26, 2007 audio conference, Managing Transitions to Care for the Frail Elderly.

Click here to listen to comments from Dr. Charde and Russell online.

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