Care transitions
The meaning of care transitions
What is the movement of patients between different settings of care
The main goal of the Care Transitions Education Project (CTEP)?
what is improve care quality during patient transitions.
The steps taken to ensure the patient understands the discharge plan
What is the discharge planner scheduled a meeting with Mr. Johnson and his daughter to discuss the transition
The reason why continuity of care is so important
What is reducing the risk of complications and enhancing recovery
The best way to engage the patient and family in a care plan
What is involving patients and their families in care decisions
The individuals involved in the patients discharge plan
What is the physician, the discharge planner, a dietitian, and a social worker
The importance of patient experience
What is smooth transitions improve the overall patient experience
The Interdisciplinary Collaboration
Effective transitions require collaboration among various healthcare professionals
The scenario with Mr. Johnson, what was a key step taken by his healthcare team?
What is conducted medication reconciliation and involved him in the planning
The effective transition ensures
patients receive consistent and coordinated care
The impact that better care transitions have on hospital readmissions
What is help reduce the rate of readmissions
The nurse specifically did what for Mr. Johnson's smooth transition?
What is the nurse educated him and communicated detailed care instructions to the next facility.
The purpose of CTEP
what is to address the challenges associated with care transitions
The kind of training does CTEP provide?
What is teaches communication, assessment, and planning skills
The steps taken to ensure the patient understood the proper way to manage his medications and dietary changes
What is the team provided educational materials, and scheduled follow-up calls to reinforce the information