Infographic: Overcoming Barriers To Improve Care Transitions

Monday, May 1st, 2017
This post was written by Melanie Matthews

Leveraging the right technology can improve post-acute patient outcomes, according to a new infographic by Ensocare.

The infographic looks at: the impact of streamlining multiple, disparate workflows; and how to strengthen post acute networks, simplify ongoing post-acute follow-up communications and improve patient engagement during care transitions.

The Science of Successful Care Transition Management: Leveraging Home Visits to Improve Readmissions and ROIA care transitions management program operated by Sun Health since 2011 has significantly reduced hospital readmissions for nearly 12,000 Medicare patients, resulting in $14.8 million in savings to the Medicare program.

Using home visits as a core strategy, the Sun Health Care Transitions program was a top performer in CMS’s recently concluded Community-Based Care Transitions (CBCT) demonstration project, which was launched in 2012 to explore new solutions for reducing hospital readmissions, improving quality and achieving measurable savings for Medicare.

The Science of Successful Care Transition Management: Leveraging Home Visits to Improve Readmissions and ROI explores the critical five pillars of the Arizona non-profit’s leading care transitions management initiative, adapted from the Coleman Care Transitions Intervention®.

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