Getting the right transitions of post-acute care affect a patient’s well-being following their hospital stay.
Patients transitioning to post-acute care are the most vulnerable and require high-quality care.
It’s critically important to get the transition from the hospital to another level of care right.
An efficient hospital discharge begins by involving patients and their families in the decision-making process and ensuring that patients are aware of all post-acute facilities available to them by maintaining quality, objective data about potential providers.
Getting the patient transition right drives improved clinical outcomes. When patients receive the appropriate level of care after an acute episode, results include fewer adverse events post-hospital discharge, reduced readmission rates and improved utilization of appropriate services that directly lower the cost of care.
Related: The Imapct of a Hospital Post-Acute Care Program on Value-Based Care
There are four areas of focus to ensure successful transitions from hospital bed to post-acute care facility:
Getting the right transitions of care relies on our breaking down of health system siloes. Poor transitions of care can increase the risk of adverse events due to lack of communication – or miscommunication – between different levels of care. Providers that rely on technologies and strong workflow processes to help educate patients in their transitions can prevent readmissions and improve patient, clinical and financial outcomes. Increased transparency and communication between acute providers, post-acute providers and patients ultimately results in getting the transition of care right, not to mention reduced total cost of care and improved patient outcomes.
Michael Ipekdjian, MBA-HM, BSN, RN, director of customer success at CarePort, is a former bedside nurse, inpatient acute case manager and has also held multiple senior care management roles. He holds an MBA in Healthcare Management from Western Governors University. Prior to joining CarePort, Michael was the Corporate Chief Operating Officer of Better Health Your Way. He also served as Director of Transitional Care Management at Holyoke Medical Center.