Relias

MAY 16, 2025

Under HRRP, hospitals received financial penalties if their readmission rates exceeded the national average a move that drove greater attention to discharge protocols and transitional care. Still, the program laid essential groundwork by showing that care coordination and patient education could move the needle on readmissions.

Discharges 75

Discharges Follow-Up Acute Care Hospital 75

Minority Nurse

MARCH 15, 2023

My role includes staff training, patient education, regulatory compliance, evidence-based practice, quality improvement, and research. I also am consulted regarding evidence-based practice and care planning. Following my passion and having the support of mentors in finding my way was invaluable.

Certification 98

Certification Follow-Up Acute Care Patient Care 98

Guideway Care

DECEMBER 23, 2024

Transitional care management (TCM) plays a critical role in reducing hospital readmissions by ensuring patients receive proper care and support as they transition from the hospital to home. By focusing on follow-up care, medication management, and patient education, TCM addresses the primary factors leading to readmissions.

Discharges 52

Discharges Follow-Up Patient Satisfaction Hospital 52

Relias

FEBRUARY 26, 2024

By incorporating care coordination practices such as risk assessment, care planning, care transitions, patient education, patient navigation, telehealth, and home visits, care coordination teams can bring in resources to help patients navigate health concerns that span physical, behavioral, and social risk factors and needs.

Care Plan 52

Care Plan Patient Satisfaction Acute Care Collaboration 52

Relias

OCTOBER 10, 2023

Or it could be caused by deviations in the process of care during the planning, implementation, or execution of a care plan, either intentional or unintentional. Patient safety reporting and learning systems Implementing a robust error-reporting system is critical for improvement.

Patient Safety 52

Patient Safety Discharges Communication Medication 52