TRANSITION SUPPORT
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TRANSITION SUPPORT Chris Walker, MSN, RN, MHA Director Inpatient Mental Health Units/Behavioral Access Nurses
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TRANSITION SUPPORT. Chris Walker, MSN, RN, MHA Director Inpatient Mental Health Units/Behavioral Access Nurses. Readmission rates. FY 2012 = 12.25%. Patient/family engagement & activation. Family support Teach back method Health literacy Releases of information. Medication management. - PowerPoint PPT Presentation
Transcript of TRANSITION SUPPORT
TRANSITION SUPPORT
Chris Walker, MSN, RN, MHA
Director
Inpatient Mental Health Units/Behavioral Access Nurses
READMISSION RATES
FY 2012 = 12.25%
PATIENT/FAMILY ENGAGEMENT & ACTIVATION
Family support
Teach back method
Health literacy
Releases of information
MEDICATION MANAGEMENT
Medication reconciliation
Patient medication list
Medication availability
Patient agreement and understanding
COMPREHENSIVE TRANSITION PLANNING
Transition plan
CARE TRANSITION SUPPORT
Follow-up appointment
Community resources
Follow-up phone call
TRANSITION COMMUNICATION
Hand off communication
Discharge summary
READMISSION RATE
FY 2013 = 9.32%
QUESTIONS???