Key strategies for improving transitions of care collaboration: lessons from the ECHO-care transitions program.
J Interprof Care
; 35(4): 633-636, 2021.
Article
in En
| MEDLINE
| ID: mdl-32811238
ABSTRACT
Transitioning the care of a patient from a hospital to a skilled nursing facility (SNF) is critical and often risky. Poor care transitions can result in delays, medication mistakes, incomplete follow-up care, and adverse health outcomes. Ensuring a smooth and effective care transition is the goal for providers at both the hospital and SNF. At its foundation, successful care transitions rely on teamwork, relationship building, and communication among diverse groups of providers. Beth Israel Deaconess Medical Center (BIDMC) developed the ECHO-CT (Extension for Community Healthcare Outcomes-Care Transitions) program to improve transitions of care through structured, bi-directional communication between hospital-based and SNF-based providers. This paper describes key strategies for success in this model including facilitating teamwork, eliminating hierarchy, and encouraging a bi-directional learning environment. We propose these as strategies that could be implemented in other organizations seeking to improve value during transitions of care.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Patient Transfer
/
Interprofessional Relations
Limits:
Humans
Language:
En
Journal:
J Interprof Care
Journal subject:
SERVICOS DE SAUDE
Year:
2021
Type:
Article
Affiliation country:
United States