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Partnering with Hospitals to Prevent Re-hospitalizations $5.00

Partnering with Hospitals to Prevent Re-hospitalizations

Partnering with Hospitals to Prevent Re-hospitalizations is proudly presented to you by National Association for Home Care & Hospice. Thank you. We hope that you enjoy your course.

Two organizations undertook a two-year journey to ensure the smooth post-acute transition of an identified population. The goal of their partnership was to ensure family involvement, patient and staff satisfaction, and quality outcomes. This was an experience that showed how a team can leave egos at the door to have an unprecedented experience of collaboration.


  • Have an understanding of the history that led up to establishing this collaborative project, including the expected outcomes
  • Identify factor that contributed to high readmission rate for colorectal patients as identified through a Root Cause Analysis (RCA)
  • Discuss the people and processes needed to put together an “effective” action team process
  • Identify the process metrics established for the project
  • Discuss the formal role out of the PAC project-combined effort St. Francis ACO (January 2015)
  • Discuss the plan activities to sustain

Faculty: Dr. Susan Adams, RN, BSN, MHSA, PhD, Vice President of Alliance Integration for Masonicare, Masonic Home Health & Hospice, Wallingford, CT; Ann Orr, MS, RN, Performance Improvement Facilitator, St. Francis Hospital and Medical Center, Hartford, CT

Continuing education units are not available for this module

Track: Clinical

ITEM: #351638
How to Partner with Hospitals to Prevent Re-hospitalizations
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