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

Page 1: TRANSITION SUPPORT

TRANSITION SUPPORT

Chris Walker, MSN, RN, MHA

Director

Inpatient Mental Health Units/Behavioral Access Nurses

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READMISSION RATES

FY 2012 = 12.25%

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PATIENT/FAMILY ENGAGEMENT & ACTIVATION

Family support

Teach back method

Health literacy

Releases of information

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MEDICATION MANAGEMENT

Medication reconciliation

Patient medication list

Medication availability

Patient agreement and understanding

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COMPREHENSIVE TRANSITION PLANNING

Transition plan

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CARE TRANSITION SUPPORT

Follow-up appointment

Community resources

Follow-up phone call

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TRANSITION COMMUNICATION

Hand off communication

Discharge summary

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READMISSION RATE

FY 2013 = 9.32%

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