Literature DB >> 29271832

Implementation of a Workflow Initiative for Integrating Transitional Care Management Codes in a Geriatric Primary Care Practice.

Julia Steckbeck1, Christi McBain, Kerry L Terrien, David Isom, Daniel Stadler, James E Stahl, John A Batsis.   

Abstract

We implemented a transitional care management service led by a nurse care manager. An interdisciplinary team developed a workflow using a Plan-Do-Study-Act cycle for contacting patients. Of the 146 (97.9%) eligible patients, 143 (97.9%) had a phone call within 48 hours. There were 84 of 120 (70.0%) and 117 of 120 (97.5%) attendance rates of those attending visits within 7 and 14 days. A care manager-led workflow was successfully and easily implemented within a primary care practice.

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Year:  2018        PMID： 29271832      PMCID： PMC6013313          DOI： 10.1097/NCQ.0000000000000316

Source DB:  PubMed          Journal:  J Nurs Care Qual        ISSN： 1057-3631            Impact factor:   1.597


  11 in total

1.  Microsystems in health care: Part 5. How leaders are leading.

Authors:  Paul B Batalden; Eugene C Nelson; Julie J Mohr; Marjorie M Godfrey; Thomas P Huber; Linda Kosnik; Kerri Ashling
Journal:  Jt Comm J Qual Saf       Date:  2003-06

Review 2.  Interventions to reduce 30-day rehospitalization: a systematic review.

Authors:  Luke O Hansen; Robert S Young; Keiki Hinami; Alicia Leung; Mark V Williams
Journal:  Ann Intern Med       Date:  2011-10-18       Impact factor: 25.391

3.  Rehospitalizations among patients in the Medicare fee-for-service program.

Authors:  Stephen F Jencks; Mark V Williams; Eric A Coleman
Journal:  N Engl J Med       Date:  2009-04-02       Impact factor: 91.245

4.  Quality of discharge practices and patient understanding at an academic medical center.

Authors:  Leora I Horwitz; John P Moriarty; Christine Chen; Robert L Fogerty; Ursula C Brewster; Sandhya Kanade; Boback Ziaeian; Grace Y Jenq; Harlan M Krumholz
Journal:  JAMA Intern Med       Date:  2013-10-14       Impact factor: 21.873

5.  Transitional care services: a quality and safety process improvement program in neurosurgery.

Authors:  Faith C Robertson; Jessica L Logsdon; Hormuzdiyar H Dasenbrock; Sandra C Yan; Siobhan M Raftery; Timothy R Smith; William B Gormley
Journal:  J Neurosurg       Date:  2017-07-14       Impact factor: 5.115

Review 6.  Care transitions: a systematic review of best practices.

Authors:  Brenda Dusek; Nancy Pearce; Anastasia Harripaul; Monique Lloyd
Journal:  J Nurs Care Qual       Date:  2015 Jul-Sep       Impact factor: 1.597

7.  The influence of a postdischarge intervention on reducing hospital readmissions in a Medicare population.

Authors:  Mary E Costantino; Beth Frey; Benjamin Hall; Philip Painter
Journal:  Popul Health Manag       Date:  2013-03-28       Impact factor: 2.459

8.  Components of Comprehensive and Effective Transitional Care.

Authors:  Mary D Naylor; Elizabeth C Shaid; Deborah Carpenter; Brianna Gass; Carol Levine; Jing Li; Ann Malley; Kathleen McCauley; Huong Q Nguyen; Heather Watson; Jane Brock; Brian Mittman; Brian Jack; Suzanne Mitchell; Becky Callicoatte; John Schall; Mark V Williams
Journal:  J Am Geriatr Soc       Date:  2017-04-03       Impact factor: 5.562

9.  Improving Patient-Centered Transitional Care after Complex Abdominal Surgery.

Authors:  Alexandra W Acher; Stephanie A Campbell-Flohr; Maria Brenny-Fitzpatrick; Kristine M Leahy-Gross; Sara Fernandes-Taylor; Alexander V Fisher; Suresh Agarwal; Amy J Kind; Caprice C Greenberg; Pascale Carayon; Sharon M Weber
Journal:  J Am Coll Surg       Date:  2017-05-23       Impact factor: 6.113

10.  The care transitions intervention: results of a randomized controlled trial.

Authors:  Eric A Coleman; Carla Parry; Sandra Chalmers; Sung-Joon Min
Journal:  Arch Intern Med       Date:  2006-09-25
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