The Liver Meeting 2019-Transitions in Care: Whose Patient is it Anyway?

Transitions in Care: Whose Patient is it Anyway?

Video Transcription

Video Summary

The speaker addresses the importance of transitions of care in patient safety and quality. The talk covers definitions, risk factors, root causes of ineffective transitions, and common models for care transitions. Key themes include communication breakdown, patient education, accountability, and successful transition aspects like medication management, patient and family engagement, EHR use, follow-up phone calls, and shared accountability among providers. Strategies like post-discharge outcomes monitoring, multidisciplinary care, and building relationships with pharmacy teams are recommended. The focus is on improving care coordination, reducing readmissions, and enhancing patient outcomes through effective transitions of care programs.

Asset Caption

Presenter: Summer Collier

Keywords

transitions of care

patient safety

quality

communication breakdown

medication management