Redefining Discharges: A Novel Blueprint to Transitional Care

This transition presents a challenging time for residents due to frequent trouble understanding discharge instructions and medication regimens, inadequate follow-up and referrals, and lack of engagement on social needs.

Gaps in care lead 1 in 5 of those discharged from an acute-care setting to be readmitted to a hospital within 30 days. And that’s costing facilities; in 2019, the last year for which data is available, 73% of skilled nursing facilities received a penalty for their readmission rates. To address these precarious transitions and ensure optimal outcomes, PharMerica launched Continue Care, a transitional care management program that integrates seamlessly into a facility’s discharge planning process and provides the full spectrum of person-centered, hands-on interventions residents need to live healthier at home. This vital webinar will explain how Continue Care combines pharmacy services with home-based primary care and nurse hub outreach services to provide a safer transition home for medically complex residents.

Attendees will learn:

  • The top risks skilled nursing facilities face when residents leave

  • Types of support residents need to reduce rehospitalizations

  • Steps facilities can take to help affect care after residents leave

  • The impact of transitional care management on reimbursements and referrals

 

Speakers: 

Dr. William Mills

Senior Vice President, Medical Affairs

BrightSpring Health Services

 

Shauen Howard, DHA, MSN

Vice President of Clinical Practice and Innovation

BrightSpring Health Services

 



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