Transitions of care. Medical search. Frequent questions

While that may seem like a good thing for an overburdened health system, it means patients in need are avoiding care which could lead to a second crisis that overwhelms systems across the health continuum. (philips.com)
Instead, the solution is to proactively meet patients where they are, create meaningful connections between clinician and patient from within their homes, and effectively help guide transitions of care. (philips.com)
More than ever before, health informatics like data integration and artificial intelligence can provide connected patient care management whenever and wherever care happens - helping to keep patients out of the hospital, improving patient outcomes for those discharged, and helping health systems manage their patient load and resources. (philips.com)
The intelligence that comes with collecting, analyzing and representing data that allows caregivers to act on it with confidence plays a critical role in managing the care of our sickest patients and informing resource allocation decisions within the hospitals. (philips.com)
By generating real-time analytics and proactive recommendations, centralized care solutions can help ensure patients are transitioned to the most appropriate care setting. (philips.com)
Within hospitals or health-care institutions where care is provided by a team of changing individuals, physicians must coordinate with others on the team to keep patients informed about who has primary responsibility for managing their care (i.e., their most responsible provider). (cpso.on.ca)
Referring physicians must clearly communicate to patients what the physician's anticipated role will be in managing care during the referral process, including how patient care and follow-up may be managed and by whom, and keep patients informed about any changes that occur in their role. (cpso.on.ca)
Consultant physicians 2 must clearly communicate to patients the nature of their role, including which element(s) of care they are responsible for and the anticipated duration of care, and keep patients informed about any changes that occur in their role. (cpso.on.ca)
When handing over primary responsibility for patients to another health-care provider, physicians must facilitate a comprehensive and up to date exchange of information and allow for discussion to occur or questions to be asked by the health-care provider assuming responsibility. (cpso.on.ca)
Eligible patients get their own transitional care nurse who provide intensive care coordination. (va.gov)
We work closely with patients, their families, and pediatricians and/or pediatric cardiologists to help them build the skills they need to confidently make this transition. (hopkinsmedicine.org)
Patients enrolled in our program continue to see their own pediatrician and/or pediatric cardiologist for their care, while we provide education and support. (hopkinsmedicine.org)
Grant Friedman, a legal fellow for the American Civil Liberties Union of Nebraska, said it's helpful to have the rules in place so that new transgender patients can get care. (nbcnews.com)
Friedman said it's not yet clear what the practical effect will be on patients getting care. (nbcnews.com)
Washington, May 5, 2016 -- Guidelines and tools developed to address the gaps that currently exist for the transitions of pediatric patients into adult health care were the focus today of a press briefing at the American College of Physicians (ACP) Internal Medicine Meeting 2016. (acponline.org)
It attempts to help physicians to provide the best possible care to their patients while simultaneously reducing unnecessary costs to the healthcare system. (acponline.org)
Cross agency Partnership for Patients initiative is decreasing hospital readmissions by improving care transitions and community based care. (medicaid.gov)
1 ] Anticipating the end of life (EOL) and making health care decisions about appropriate or preferred treatment or care near the EOL is intellectually challenging and emotionally distressing for patients with advanced cancer, their families and friends, oncology clinicians, and other professional caregivers. (cancer.gov)
The purpose of this summary is to review the evidence surrounding conversations about EOL care in advanced cancer to inform providers, patients, and families about the transition to compassionate and effective EOL care. (cancer.gov)
This section summarizes information that will allow oncology clinicians and patients with advanced cancer to create a plan of care to improve QOL at the end of life (EOL) by making informed choices about the potential harms of continued aggressive treatment and the potential benefits of palliative or hospice care. (cancer.gov)
In addition, information about outcomes associated with cardiopulmonary resuscitation (CPR) and admission to the intensive care unit (ICU) at the EOL will allow the oncology clinician to better present options to patients with advanced cancer who are near the EOL. (cancer.gov)
Surveys and interviews of patients with life-threatening illnesses, not restricted to cancer, can contribute to the understanding of what constitutes high-quality EOL care. (cancer.gov)
A variety of indicators have been proposed to measure the quality of EOL care in patients with advanced cancer. (cancer.gov)
Additional health-care services did not help hospitalized heart failure patients for their transition from hospital to home, according to research led by the Population Health Research Institute (PHRI) of McMaster University and Hamilton Health Sciences (HHS). (medindia.net)
Patient-centered transitional care service did not improve clinical outcomes in patients hospitalized for heart failure, But there is an improvement in discharge preparedness, quality of transitional care, and quality of life. (medindia.net)
We know that approximately 40 per cent of early readmissions after heart failure hospitalizations are related to suboptimal care as patients transfer between health-care settings. (medindia.net)
Transitional care services can improve outcomes in select patients, but have not been systematically implemented. (medindia.net)
This intervention, delivered to 1,104 patients, included nurse-led self-care education, a structured hospital discharge summary, and a family physician follow-up appointment less than one week after discharge and, for high-risk patients, structured nurse home visits and heart function clinic care. (medindia.net)
The remainder of the patients received usual care in which transitional care was left to the discretion of clinicians. (medindia.net)
We found the patient-centred transitional care service model did not improve clinical outcomes in patients hospitalized for heart failure in our health-care system," said Van Spall. (medindia.net)
There were no significant differences in death, readmissions, or emergency department visits between the patients who received the transitional care intervention and those who received usual care. (medindia.net)
However, patients receiving the intervention reported improvements in discharge preparedness, quality of transitional care, and quality of life. (medindia.net)
Health-care interventions that do not improve clinical outcomes such as readmission or death may still be worthy of program funding if patients report greater satisfaction with care and quality of life," she said. (medindia.net)
With advances in medical care, most patients now survive childhood and live into their forties or beyond [1,2]. (nih.gov)
They work collaboratively with the emergency department, inpatient and outpatient staff, as well as community-based providers to assure a successful transition for behavioral health patients. (mhs.net)
Adherence to national guidelines for timeliness of test results communication to patients in the Veterans Affairs health care system. (ahrq.gov)
We report on our experience developing, pilot testing, and evaluating a complex intervention (Addressing Complex Transitions program, or ACT program) that aims to improve care transitions for complex patients. (nih.gov)
Patients receiving care from UW Medicine's health system including 4 hospitals and 20-site Post-Acute Care network. (nih.gov)
ACT program components include a tailored risk calculator that provides real-time scoring of transitions of care risk factors, a multidisciplinary team with the capacity to address complex barriers to safe transitions, and enhanced discharge workflows to improve care transitions for complex patients. (nih.gov)
A multidisciplinary coordinated care model can be implemented to ensure that patients who fracture are evaluated, treated, and followed to prevent future fractures. (beckershospitalreview.com)
there's not one specialty that owns the disease and as a result, it's very challenging for patients to get the care they need," Dr. McDermott said. (beckershospitalreview.com)
[ 8 ] A subsequent fracture elevates the cost of care compared to both fracture-free patients and patients with only one fracture. (beckershospitalreview.com)
A coordinated care model can cost-effectively improve outcomes for patients with osteoporosis-related fractures. (beckershospitalreview.com)
For organizations interested in tackling the care transition gap for osteoporosis, Dr. McDermott had a word of advice: before initiating any program, the foremost priority is to "identify where the gap is and where the patients are falling into a big chasm and not getting followed up. (beckershospitalreview.com)
Transfer of Care to Adult Providers: A Guide for Young Adults provides guidance to patients as they navigate the transfer from pediatric to adult care providers. (childrenshospital.org)
Among 500 patients who received two or more "interventions," in a special program to manage the transition between hospital and home, only 17.6 percent were readmitted to the hospital within 60 days of discharge versus 26.3 percent among a comparison group of 190 patients who received the current standard of care, the data showed. (montefiore.org)
These results underscore the value of personal contact with patients before and after their discharge from the hospital and follow-up appointments with their personal physicians to help prevent problems that frequently contribute to readmissions," said Anne Meara, R.N., M.B.A., associate vice president, Network Care Management, CMO, Montefiore Care Management , who led the Collaborative's project design team. (montefiore.org)
A care transitions analyst at each hospital scheduled follow-up physician visits for all patients in the program and also entered data in a special program developed for the CTP by the Bronx Regional Health Information Organization. (montefiore.org)
In collaboration with Consulting Editor, Dr. Steve Krau, Dr. Sonja Stutzman has put together a state-of the-art issue of the Nursing Clinics of North America devoted to Transitions of Care for Patients with Neurological Diagnoses. (elsevier.ca)
Readers will come away with the latest information they need to improve outcomes in patients with a neurologic diagnosis as they transition through various facilities as part of their care. (elsevier.ca)
What are the special medical needs of our cardiac patients as they transition from adolescence to adulthood? (reachmd.com)
Dr. Michael McConnell, co-director of the adult congenital heart disease clinic at Sibley Heart Center Cardiology in Atlanta and associate professor of pediatrics and medicine at Emory University School of Medicine, reflects upon how our medical system can improve our capacity to care for the growing numbers of adult patients with a congenital heart defect. (reachmd.com)
Disparities and outcomes of patients living with Down Syndrome undergoing healthcare transitions from pediatric to adult care: A scoping review. (bvsalud.org)
An area that is not well understood is how patients with DS transition from pediatric to adult care, as well as the details, barriers, and difficulties of these transitions for patients . (bvsalud.org)
Hence, we aimed to provide a scoping review of the literature in PubMed , Scopus, and CINAHL on the topic of healthcare transitions (HCTs) for patients with DS. (bvsalud.org)
Findings suggest patients with DS who continued receiving care as an adult from a pediatric care provider tended to experience co- morbidities and other adverse health issues at higher rates than those who entirely switch to an adult -care team. (bvsalud.org)
Patients with DS were unable to undergo transition due to multiple barriers, such as low income , limited/public insurance , gender , and race . (bvsalud.org)
The long-term care of these patients poses a significant challenge for the practicing hematologist/oncologist. (medscape.com)
The Commission on Cancer (CoC) of the American College of Surgeons, which sets standards for cancer care and provides accreditation for institutions that care for the majority of cancer patients, announced a new patient-centered Survivorship Care Planning standard in 2012, and updated it in 2016. (medscape.com)
[ 6 ] The Oncology Nursing Society, which is officially represented in both the CoC and the NAPBC, has developed a report to guide healthcare providers in managing patients throughout cancer survivorship, Red Flags in Caring for Cancer Survivors . (medscape.com)

IPRO authors have written another article showing significant reductions in hospital readmission rates following implementation of a community-based care transitions program. (ipro.org)
Community-based Care Transitions Program (CCTP), created by Section 3026 of the Affordable Care Act, tests models for improving care transitions from the hospital to other settings and reducing readmissions for high-risk Medicare beneficiaries. (medicaid.gov)

DETROIT , Feb. 3, 2021 /PRNewswire-PRWeb/ -- Caring Transitions is pleased to announce that starting today, February 3 , the company will be hosting a Caring for a Cause online charity auction to benefit Deo Gratias Café. (prweb.com)
approximately 1,265 First Nations youth aged 15-17 years exit out of home care (OOHC) annually, and this figure is rising (Productivity Commission, 2021). (aifs.gov.au)
At June 2021, 22,243 First Nations children were in out-of-home care, which was 42% of all children in care despite First Nations children being only 5% of all children in Australia (SNAICC, 2022). (aifs.gov.au)

As teens with congenital heart disease (CHD) enter adulthood and transition from pediatric to adult care, it's important that they have the tools they need to be active participants in their health care. (hopkinsmedicine.org)
NCWD/Youth's Guideposts for Success provide a framework for what all youth, including youth with chronic conditions and disabilities, need to make a successful transition to further education, careers and adulthood. (ncwd-youth.info)
Maryann Davis, Research Associate Professor, Center for Learning and Working During the Transition to Adulthood, Center for Mental Health Services Research, Department of Psychiatry, University of Massachusetts Medical School. (chcs.org)

In 2018, the National Accreditation Program for Breast Centers (NAPBC) issued an update to a 2014 set of standards that include breast cancer survivorship care. (medscape.com)

If you have sickle cell disease , a pediatric (childhood) hematologist is probably directing your medical care. (kidshealth.org)
When Should Teens With Sickle Cell Disease Transition to Adult Care? (kidshealth.org)

Healthcare is at a pivotal moment in connecting care across settings. (philips.com)
Whether you are a new college student, transferring from another institution or returning to UD after a leave of absence, we are here to support you as you navigate a transition of healthcare to local providers and communities. (udel.edu)
Greater coordination among healthcare programs and offering interdisciplinary training to providers could expand access to services and increase provider comfort in treating the unique healthcare needs of adolescents with ASD and supporting healthcare planning as they transition from pediatric to adult health care. (cdc.gov)
Less likely to receive the recommended guidance on healthcare transition (HCT) planning from their doctors or healthcare providers. (cdc.gov)
Healthcare providers can learn about the recommendations for healthcare transitioning and use them when providing care for adolescents, beginning at age 12 years, and modify the plans, goals, and timelines to meet the unique needs of each adolescent. (cdc.gov)
Parents can ask their child's pediatric healthcare providers about transition planning for their adolescent . (cdc.gov)
For adolescents with ASD, timely healthcare transition planning may mitigate potential problems that could be caused if healthcare is disrupted. (cdc.gov)
Transitions of care (e.g. from a nursing home to an emergency department) are often difficult, but are even more dangerous for the patient and healthcare providers as a result of the COVID-19 pandemic. (healthit.gov)

By leveraging these insights, health systems are now implementing centralized command center models to improve care transitions. (philips.com)
The coordinator coordinates the patient´s needs in the accommodation and contact with the Health center and "biståndbedömaren", which leads to a safer care transition to their own home and reduces re-admissions. (vinnova.se)
The project focus was the care crossing between the health care and the municipality accommodation to the patient home, where the Health center has the medical responsibility. (vinnova.se)
Our goal was to create seamless health care crossing that provide increased safety for the patient and reduce re-admissions. (vinnova.se)
Johns Hopkins All Children's Teen Care Transition Curriculum: This curriculum outlines all of the information our team will review with your child and what they can do to become active participants in their own health care. (hopkinsmedicine.org)
Multi-disciplinary teams should work across hospital and community settings - including with services provided by community health, adult social care and social care providers - to plan post-discharge care, long-term needs assessments and, where appropriate, end of life care. (scie.org.uk)
These service transitions often coincide with a broader change in someone's overall stage of life such as when a young person with a disability or mental health difficulty moves from children to adult services, or when an older person with dementia moves into a residential care home. (scie.org.uk)
Got Transition Radio Epsiode 12 Health Care Transition in a New State! (youtube.com)
One of the key elements of the Guideposts under Connecting Activities is health care. (ncwd-youth.info)
This Policy Brief draws on a number of recent health care-related reports to identify policy strategies for improving health care transition for youth with chronic conditions and disabilities. (ncwd-youth.info)
If you have been involved in long-term or intensive mental health treatment, contact the Center for Counseling and Student Development to consult about your care during your stay at UD and ask any questions you may have. (udel.edu)
If you have been involved in long-term physical health or medical treatment, contact SHS to consult about your care during your stay at UD and ask any questions you may have. (udel.edu)
The article profiles an Albany NY-area effort involving one acute care hospital, 28 skilled nursing facilities, a home health agency and a hospice provider. (ipro.org)
Nebraska is requiring transgender youths seeking transition-related care to wait seven days to start puberty blocking medications or hormone treatments under emergency regulations announced Sunday by the state health department. (nbcnews.com)
It also requires at least one hour of therapy every three months after that care starts "to evaluate ongoing effects on a patient's mental health. (nbcnews.com)
It just adds an additional barrier to existing care barriers that already exist in our health care system," he said. (nbcnews.com)
This effort is under the direction of ACP's Council of Subspecialty Societies (CSS) in collaboration with Got Transition (GT)/Center for Health Care Transition Improvement, Society of General Internal Medicine (SGIM), and Society for Adolescent Health and Medicine (SAHM). (acponline.org)
First Nations care leavers commonly face poor social, economic, and health outcomes. (aifs.gov.au)
What Does It Mean to Transition Health Care? (rchsd.org)
As teens with ulcerative colitis become adults, the health care provider who oversees their care will switch from a pediatric gastroenterologist to an adult provider. (rchsd.org)
When Should Teens With Ulcerative Colitis Transition Health Care? (rchsd.org)
It depends on the person, but most teens with ulcerative colitis (UC) should transition to an adult health care provider when they're between 18 and 21 years old. (rchsd.org)
It's important for teens to learn how to take care of themselves and make independent decisions about their health. (rchsd.org)
How Can Teens With UC Prepare to Transition Health Care? (rchsd.org)
Contact student health services to coordinate care with their gastroenterologist. (rchsd.org)
Ask your current health care provider for a list of gastroenterologists. (rchsd.org)
When doctors talk about "transition of care," they mean safely shifting a teen's health care from a pediatric to an adult medical practice. (kidshealth.org)
Transitioning also means learning how to take charge of your own health and manage every aspect of your care, from handling insurance forms to understanding and making decisions about treatments. (kidshealth.org)
It helps to get ready by being more involved in your health care right now now. (kidshealth.org)
The important thing is to make sure you always have a health care team in place. (kidshealth.org)
Utilization of burdensome and expensive health care resources of little therapeutic benefit. (cancer.gov)
The goals of the program are to support patient safety, improve patient ability to self-manage medication therapy independently or with family support, increase health care quality and perception of quality of life, and decrease health care costs. (umass.edu)
From a public health perspective, expansion of this nurse-led program model has potential for significant positive effect on health care management and outcomesacross a larger population. (umass.edu)
A study from the Centers for Disease Control and Prevention (CDC) found that few adolescents receive the recommended guidance for transitioning from pediatric to adult health care . (cdc.gov)
Only 1 in 13 adolescents with ASD received the recommended guidance to move from pediatric to adult health care. (cdc.gov)
Children's behavioral health services, including all six home and community based service (HCBS) waivers currently operated by OMH, DOH, OPWDD and the Office of Children and Family Services (OCFS), will be included in the Medicaid Managed Care benefit package. (ny.gov)
To ensure Managed Care Organizations are equipped to meet the needs of the behavioral health population, the plans will be reviewed and qualified against new behavioral health specific administrative, performance, and fiscal standards. (ny.gov)
In July 2015, DOH published a Special Edition Medicaid Update on the New York State Behavioral Health Transition to Managed Care. (ny.gov)
We wanted to test the effectiveness of this health intervention after implementing it in hospitals in our health-care system. (medindia.net)
Van Spall said the study's outcome may impact health-care policy. (medindia.net)
She added that further research could help determine whether this type of intervention could be effective in other health-care systems or locations. (medindia.net)
Like Evans, Wheatley thinks that bringing together budgets from health and social care is "fraught with difficulty" because of statutory limitations and culture clash between organisations. (communitycare.co.uk)
The BHCHP Institute conducts cutting-edge research at the intersection of health and homelessness, helping improve care and advocate for more equitable social policies. (bhchp.org)
Our Behavioral Health Transition of Care services at Memorial Regional Hospital are specifically designed individuals with behavioral health conditions who have been treated either in the emergency department or as hospital inpatients. (mhs.net)
Behavioral Health Transition of Care services are designed to reduce readmissions and adverse events by providing patient education, support and linking from one level of care to another. (mhs.net)
The 360X project was formed by ONC to define implementation guidance that enables health IT interoperability in support of patient transitions of care. (healthit.gov)
360X is a series of Integrating the Health Care Enterprise (IHE) International profiles that leverage readily available technology standards to manage patient care transitions. (healthit.gov)
Transfers from skilled nursing facilities to acute emergency departments where critical information from the sender's to the recipient's health IT system is key to caring for the patient and protecting the clinical staff. (healthit.gov)
closing the referral loop with social care entities, ensuring that the patient's needs such as transportation and nutrition have been met, all as part of the clinical staffs' health IT-based workflow. (healthit.gov)
This AHRQ-funded cohort study used insights from a failure modes and effects analysis to provide dedicated health coaching and enhanced personal health records to families with infants being discharged from a neonatal intensive care unit. (ahrq.gov)
Electronic health record-based surveillance of diagnostic errors in primary care. (ahrq.gov)
Evidence identifies both patient and system factors that influence poor care transitions, yet health systems struggle to translate evidence into complex interventions that have a meaningful impact on care transitions. (nih.gov)
Health systems need to address increasingly difficult challenges in care delivery. (nih.gov)
At the Center for Health Care Strategies, we strive to reflect the core values of diversity, equity, and inclusion throughout our work and in our workplace. (chcs.org)
[ 1 ] ,[ 2 ] Yet, care gaps that lead to missed opportunities for timely diagnosis and holistic pre- and post-intervention treatment are widespread across health systems and integrated delivery networks. (beckershospitalreview.com)
The approach consisted of establishing the pathway as an extension of the typical fracture liaison service, developing a standardized transition checklist embedded in the Electronic Health Record (EHR) and conducting follow-up chart analysis and patient surveys to understand the impact of the improved handoff process on post-fracture care. (beckershospitalreview.com)
Learn about consenting, privacy/sharing information, assigning a health care proxy and more. (childrenshospital.org)
Another part of becoming a legal adult means choosing a person to be your health care proxy. (childrenshospital.org)
A health care proxy is someone who makes medical decisions for you in the short term when you are unable to do so yourself. (childrenshospital.org)
When transferring to adult care, you may see fewer specialty physicians, because your primary care physician can manage many chronic health conditions. (childrenshospital.org)
The Australian Longitudinal Study on Women's Health is funded by the Australian Government Department of Health and Aged Care. (alswh.org.au)
This website is funded by the Australian Government Department of Health and Aged Care. (alswh.org.au)
The Bronx Collaborative includes three non-profit hospital systems -- Bronx Lebanon Hospital Center, St. Barnabas Hospital and Montefiore Medical Center - and two payer organizations, EmblemHealth and Healthfirst, who came together to address health care issues in the Bronx, one of the most ethnically diverse and economically-deprived counties in the country, with a disproportionate disease burden. (montefiore.org)
The Seventieth World Health Assembly in May 2017 adopted decision WHA70(9) on poliomyelitis: polio transition planning, in which the Director-General was requested, inter alia, to develop a strategic action plan on polio transition by the end of 2017, to be submitted for consideration by the Seventy-first World Health Assembly, through the Executive Board at its 142nd session. (who.int)
In many polio transition countries, polio staff members are already contributing to other programmatic areas, including reproductive, maternal, newborn and child health, and other communicable diseases. (who.int)
level will be critical to ensuring access to high-quality essential health care services and medicines, including vaccines, especially in fragile settings. (who.int)
Title : Health care transition planning among youth with ASD and other mental, behavioral, and developmental disorders Personal Author(s) : Zablotsky, Benjamin;Rast, Jessica;Bramlett, Matthew D.;Shattuck, Paul T. (cdc.gov)
Health care systems in transition : an international perspective / Francis D. Powell, Albert F. Wessen, editors. (who.int)
Talk to your health care provider about food choices that will help avoid these problems. (medlineplus.gov)
Pratt-Chapman et al proposed measures for survivorship patient navigation related to health care utilization (access to clinical care, awareness of late and long-term effects, and access to supportive care) and patient-reported outcomes (quality of life, self-efficacy and activation, satisfaction with care and navigation, health knowledge and literacy and healthy behaviors). (medscape.com)
Health-care workers, who reported a STF to the occupational health department in five U.S. hospitals, were recruited. (cdc.gov)
DSN: CC37.NHIS96.ACCESSX 1996 National Health Interview Survey (NHIS) Access to Care Final Public Use Data File 1. (cdc.gov)
The 1996 National Health Interview Survey (NHIS) Access data file contains a variety of data items addressing access to health care services. (cdc.gov)

The pandemic has been another reminder of the caring nature of our owner network. (prweb.com)
As new 360X use cases were considered by the 360X group this past year, the group agreed to focus on those transitions of care most critically needed due to the pandemic. (healthit.gov)
Even before the coronavirus pandemic, we knew that germs were easily passed in child care settings. (childrensdayton.org)

Accurate medication reconciliation with every transition of care is necessary to prevent and eliminate medication discrepancies and errors that may lead to increased hospital readmissions and potential adverse events related to medication errors. (umass.edu)
Failure of effective transitions of care following hospitalization can lead to excess days in the hospital, readmissions, and adverse events. (nih.gov)
Together they developed a uniform Care Transitions Program (CTP) with the aim of reducing readmissions within 60 days following a discharge from the Collaborative's hospitals. (montefiore.org)

Shortly thereafter, the baton was passed to me to take up a new journey: connecting the many transitions of care inside the hospital but also beyond, including acute and chronic patient care management inside the home. (philips.com)
To add to this burden, we've seen another crisis brewing as hospitals manage COVID-19 surges: emergency department and ongoing care visits have declined due to patient concerns around infection transmission. (philips.com)
But the power of robust data integration enables so much more: a new virtually-driven care model that provides clinicians with access to meaningful patient insights and trends when and where they need them. (philips.com)
These insights act as a guiding light for determining the most appropriate care setting for a patient and when is the optimal time to activate this transition. (philips.com)
There is a great need to develop care transitions, both from the patient and staff perspective. (vinnova.se)
Effective information sharing is vital for seamless care transitions Routines are developed for distance meetings at the care transitions between region and municipality The new employment "coordinator service" was tested within the project and has resulted in a job description The "Biståndsbedömare" gains through the changed working methods and relief from "coordinator service", the ability to follow his patient through the process and tools for an effective stay in the accommodation. (vinnova.se)
Oncology clinicians are obligated to explore, with the patient and family, the potential impact of continued disease-directed treatments or care directed at the patient's symptoms and QOL. (cancer.gov)
This capstone project evaluated a nurse-led medication reconciliation program, including teaching after patient discharge from a hospital or facility to home, and coordination and communication with patient's primary care provider. (umass.edu)
Through a combination of revolutionary treatments and extraordinary patient experiences, our care does more than heal. (akronchildrens.org)
Survey topics included program demographics, transition logistics, assessment of patient transition readiness and independence, transition preparation, and program evaluation. (nih.gov)
Our multidisciplinary team includes a clinical pharmacy specialist, a licensed clinical social worker, and a peer support specialist that provides patient and caregiver education, assessment, care coordination and discharge planning. (mhs.net)
A roadmap to advance patient safety in ambulatory care. (ahrq.gov)
The impact of osteoporosis contrasts with gaps in care that lead to poor patient experience and higher costs. (beckershospitalreview.com)
According to the follow-up chart analysis and patient surveys, the intervention resulted in improved care continuity as a result of an improved focus on follow-up osteoporosis care. (beckershospitalreview.com)
The program was designed to reflect the key concepts of accountable care - improving outcomes and patient satisfaction while lowering costs. (montefiore.org)
Care Transitions From Patient and Caregiver Perspectives. (umassmed.edu)

Call (336) 759-7207 to learn more about the transition care services offered through ComForCare Home Care (Winston-Salem, NC). (comforcare.com)
Call (571) 492-4600 to learn more about the transition care services offered through ComForCare Home Care (Loudoun County, VA). (comforcare.com)

Effective transitions of care can be highly influential on a patient's outcomes, and it's up to us to help ensure these shifts don't lead to blind spots. (philips.com)
Improving care transitions between care settings is critical to improving individuals' quality of care and quality of life and their outcomes. (medicaid.gov)
The project measured issues with medication reconciliation across care transitions at the individual, provider, system, and community levels, and the impact of nursing interventions through process and outcomes measures. (umass.edu)
Introduction Youth placed in out-of-home care is a large and highly vulnerable group at high risk of negative developmental outcomes. (lu.se)
Given the size and extent of negative developmental outcomes for youth placed in out-of-home care, interventions to help this vulnerable group navigate successfully towards independent living and promote wellbeing across a spectrum of outcome areas are needed. (lu.se)

Frequency of diagnostic errors in the neonatal intensive care unit: a retrospective cohort study. (ahrq.gov)
Diagnostic error in the critically ill: defining the problem and exploring next steps to advance intensive care unit safety. (ahrq.gov)
These include the Transitional Care Unit (TCU) and the Cardiac Intensive Care Unit (CICU). (cookchildrens.org)

Our adolescent care transition program, part of the Adult Congenital Heart Disease program at Johns Hopkins All Children's Hospital in St. Petersburg, Florida, works with teens to help them feel ready to make the transition to adult care. (hopkinsmedicine.org)
Toronto, ON - Young people leaving foster care in Ontario will be able to stay connected with their vital support networks thanks to a new collaboration between TELUS and Children's Aid Foundation of Canada (CAFC). (telus.com)
For youth transitioning out of care, a smartphone is a lifeline to helping them achieve independence," says Valerie McMurtry, President and CEO, Children's Aid Foundation of Canada. (telus.com)
The central tenets of the personalisation revolution - person-centred planning, individual budgets and direct payments - are being slowly rolled out for all care groups, including for those making the transition from children's to adults' services. (communitycare.co.uk)
If you transpose that into children's services then the funding streams are at least doubly complex to those in adult social care. (communitycare.co.uk)
Boston Children's Hospital provides family-centered care, which means we do not want to exclude the important members of your care team, including your parents or caregivers. (childrenshospital.org)

This dedicated web page and our bimonthly newsletter will be updated with resources and information on steps to ensure we are all working co-operatively to achieve successful transition for Aboriginal children in line with National initiatives such as Closing the Gap and state initiatives such as Family is Culture and the overall transition of Aboriginal children to the Aboriginal Community Controlled sector. (acwa.asn.au)

A phone-based intensive transitional care program that bridges the hospital and the Veteran's home, providing education, medication management, and improved communications. (va.gov)
The VA Coordinated Transitional Care (C-TraC) program supports vulnerable, elderly Veterans who have a high risk for complications and rehospitalization when transitioning from our hospital to a community setting. (va.gov)
We focus specifically on preventing falls by removing obstacles and identifying ways to provide your loved one with safer mobility during any transitional care plan. (comforcare.com)

Hospitals were randomized to receive the hospital-to-home transition care intervention. (medindia.net)
An intervention to improve transitions from NICU to ambulatory care: quasi-experimental study. (ahrq.gov)
Following the Medical Research Council (MRC) framework, we engaged in iterative, stakeholder-driven work to develop a complex care intervention, assess feasibility and pilot methods, evaluate the intervention in practice, and facilitate ongoing implementation monitoring and dissemination. (nih.gov)

The charity auction for Deo Gratias Café is being with the assistance of local franchise owners Adam and Samantha Bell , Caring Transitions of Oakland County , and Caring Transitions' Caring for a Cause program, which was founded in 2016. (prweb.com)

The Centers for Medicare & Medicaid Services is committed to helping states and their providers undertake efforts to improve transitions and improve medical and LTSS coordination by providing technical assistance, resources, and facilitating the exchange of information about promising practices of high quality, high impact, and effective care transition models and processes. (medicaid.gov)
Adult care centers are very different from pediatric offices. (kidshealth.org)

They argue that financial incentives and care coordination provisions included in the Affordable Care Act "compelled providers who were once competitors to look at each other as partners-in-care. (ipro.org)
This project fits into ACP's High Value Care Coordination Project - which is part of ACP's broader high value care initiative," noted ACP's President Wayne J. Riley, MD, MPH, MBA, MACP. (acponline.org)
Pediatric specialists may provide care coordination without needing to involve the pediatrician. (childrenshospital.org)
Adult specialists typically make recommendations, but much of the coordination is done by the primary care physician. (childrenshospital.org)

If your baby was born prematurely or with a serious medical condition requiring NICU care, the N.E.S.T. Center offers follow-up support until the age of 5. (cookchildrens.org)

For example, tele-ICUs , led by an intensivist team in a central monitoring facility that acts similarly to an air traffic control center, can extend critical care resources to the bedside, no matter where the hospital is. (philips.com)
Discharge from hospital is another often stressful transition as someone is moving from an environment in which there is continual access to care, to one in which they will be more reliant on their own abilities and support from their informal carers and networks. (scie.org.uk)
Hospital engagement networks (HENs) are working with community providers to improve transitions. (medicaid.gov)
They've been there if you had a fever and needed to stay in the hospital or had pain that was too severe to be cared for at home. (kidshealth.org)
Program evaluation metrics included estimated hospital days saved and program acceptance by care team members. (nih.gov)
Unplanned moves into hospital or residential aged care can be stressful for people with dementia and their families. (alswh.org.au)
Planned transitions to hospital and to residential care may ease pressure on emergency services, and assist in maintaining quality of life for people with dementia and their families. (alswh.org.au)
This project will investigate planned and unplanned transitions to residential aged care and hospital and the factors associated with these. (alswh.org.au)
Continuing to monitor care after release from a hospital or other medical facility is crucial for a full recovery. (comforcare.com)

The adolescent care transition program is part of the hospital's Adult Congenital Heart Disease program , which provides comprehensive care to adults with the full range of congenital heart defects, from simple to complex. (hopkinsmedicine.org)
TELUS is expanding its Mobility for GoodTM program to Ontario, offering youth transitioning from care a free smartphone and fully subsidized plan from TELUS for two years. (telus.com)
The program will assist up to 7,200 youth in the province who qualify to stay connected with friends, potential employers and peers, helping to prevent social isolation during a vulnerable stage of their lives as they transition to independent living. (telus.com)
The program provides youth transitioning from care with a smartphone and TELUS mobile plan at $0 per month, including unlimited nationwide talk and text and up to 3GB of monthly data usage. (telus.com)
I now see first-hand as a child protection worker that every youth who transitions out of care faces the challenge of requiring a cellphone and thanks to the Mobility for Good program, they will get a helping hand to connect with the support needed to build their independence. (telus.com)
Twenty-three clinics (77%) report having a transition program, although half have been in place for under 2 years. (nih.gov)
leaving care program for youth aged 15+ will be the primary focus of the project and will be compared to usual services. (lu.se)

Recently, much progress has been made toward improving follow-up care. (medscape.com)

and the policies and strategies to ensure professional, pedagogical and developmental continuity between early childhood education and care settings and schools. (oecd.org)

The toolkit contains disease/condition-specific tools developed by primary care internal medicine and subspecialties to assist physicians in transitioning young adults with chronic diseases/conditions into adult care settings. (acponline.org)

Mr. Kamradt and Mr. McBride talked about the Healthy Transitions Initiative (HTI) in Milwaukee from an operational perspective as an evolutionary process, and touched on the needs of the population, barriers and challenges, and components of Wraparound Milwaukee that are being adapted for HTI, relationship building with other systems and ways in which the CME model is well adapted to working with the transition-age population. (chcs.org)

After transitioning out of foster care at 16, I had to figure out how to live on my own and the one thing that kept me going was being able to stay connected with others through my cellphone," says Chantal VanLeeuwen, a Mobility for Good recipient. (telus.com)

Such transitions also affect family carers who will commonly experience considerable changes in their personal circumstances and caring responsibilities. (scie.org.uk)
Well-managed transitions of care are those which are sufficiently planned before the day of the move, involve the person and if appropriate family carers in the decision-making, and are coordinated around the interests and needs of the individual. (scie.org.uk)
ACWA members are largely transition allies-committing to transition children and carers to ACCOs and appropriately supporting ACCOs as they diversify and grow. (acwa.asn.au)
We understand that the Minister Washington may communicate directly with carers to ensure they understand that the transition is government policy. (acwa.asn.au)
Each agency knows how to best communicate changes to their own carers who may be affected by the transition. (acwa.asn.au)
The next two years will see a lot of activity between ACCOs and NGOs as carers and children transition to ACCOs. (acwa.asn.au)

Dr. Riley introduced the session and explained how it fit into the ACP high value care initiative. (acponline.org)
Money Follows the Person initiative assists states in their efforts to reduce reliance on institutional care while developing community-based long-term care opportunities. (medicaid.gov)
Management of polio transition planning was initially based around mitigating the human resource-related, financial, programmatic and country capacity risks faced by the Organization owing to the scaling-down and eventual closure of the Global Polio Eradication Initiative. (who.int)
Malin et al compiled a list of existing quality indicators related to survivorship that have been established by the American Society of Clinical Oncology's Quality Oncology Practice Initiative (QOPI), National Quality Forum, National Initiative on Cancer Care Quality and RAND Corporation. (medscape.com)

Caring Transitions is the professional and compassionate solution for senior moves, downsizing and online estate sales. (prweb.com)
When you choose transition of care services through ComForCare, you can rest easy knowing that your family will receive the highest level of care and support from our trained and compassionate caregivers. (comforcare.com)

The success of this strategy requires the support of all stakeholders involved in policy and practice relating to the care of First Nations children and youth. (aifs.gov.au)
Ms. McNeely, a peer coach, spoke to essential components of practice with transition-age youth including engagement. (chcs.org)

[ 10 ] , [ 11 ] The focal point of such a model - which is what current care pathways frequently overlook - is the effective transition of care between bone specialists and primary care providers (PCPs) via a structured handoff process , combined with proactive follow-up. (beckershospitalreview.com)
Typical appointment lengths with your primary care physician are 15-20 minutes, and typical appointment lengths with your adult specialists are 30-45 minutes. (childrenshospital.org)

To date the project has IHE-balloted profiles for two transitions of care use cases: ambulatory referrals and acute/ambulatory transfers to skilled nursing facilities. (healthit.gov)
post-acute care. (nih.gov)

When your loved one begins a transition of care, our team will meet with medical personnel, review discharge procedures, pick up prescriptions, and safely get your loved one home. (comforcare.com)

Everyone, including adults, needs support during stressful times, particularly when it comes to medical care. (childrenshospital.org)

The mid-teens is a good time to start looking into "transitioning" from your pediatric specialist to doctors who treat adults. (kidshealth.org)
Individual budgets could transform young disabled people's transition to adults' services, but if only if they are implemented with proper support. (communitycare.co.uk)
Transition-age youth have unique characteristics that differ from those of children and adults. (chcs.org)
Dr. Davis provided background and an overview of the transition-age youth population, their specific needs, and how they differ from children and adults. (chcs.org)

Life transitions can be difficult for anyone but the potential for anxiety and disruption is amplified when people with long-term conditions or disabilities are being asked to move from one support setting or service network to another. (scie.org.uk)
Without the proper resources available, many young people leaving care find the transition to independence difficult to navigate. (telus.com)
And it's not just a difficult mind-shift for clients - services involved in transition are also facing a wholesale culture change and managers are having to think more flexibly. (communitycare.co.uk)
This is a difficult transition. (medlineplus.gov)

I could not think of a better way to support this unique approach then this special online charity auction," Caring Transitions Director of Operations Joe Lewandowski said. (prweb.com)
Speak with your support team about how to best continue your care while you attend UD. (udel.edu)
Each year approximately 2,300 youth, as young as 18, age out of Canada's child welfare system, and are no longer eligible for the type of support they have been receiving while in care. (telus.com)
The Council for Disabled Children is also leading the work on the government's Transition Support Programme , and programme director Helen Wheatley has been keeping tabs on how effective individual budgets have been. (communitycare.co.uk)
We coordinate care for your child, and also provide support for you and your family. (cookchildrens.org)
To bolster our support to members and subsequent transitions, ACWA will share bi-monthly information, including project updates, topic guidance and resources. (acwa.asn.au)
There is a range of steps intended to support transition. (acwa.asn.au)
Take care of yourself, recognize your own emotions and use support when needed! (childrensdayton.org)
In the second tier of less vulnerable polio transition countries, WHO will provide high-quality technical assistance to ensure that polio capacities fully support country priorities, while also meeting the need to sustain polio-free status after eradication. (who.int)
We propose potential steps for transition, which focus on ensuring early planning , communicating better, coordinating services, assessing decision -making capacity, and providing ongoing social and financial support . (bvsalud.org)

We conducted a survey of pediatric sickle cell clinics to describe current transition practices and identify areas for improvement. (nih.gov)

We offer many ways to get pediatric care all over Northeast Ohio. (akronchildrens.org)
Pediatric care follows a family-centric model. (childrenshospital.org)

The annexes provide detailed information and web links on ongoing country-level processes that have an impact on polio transition. (who.int)

Caring Transitions' customizable services are perfect for managing the many aspects of a senior move, including assisting with the process of downsizing to provide a safer living situation, as well as for busy families and people clearing out the home of a loved one who has moved into assisted care or passed away. (prweb.com)
While their businesses were being disrupted, they still made caring a priority by doing charity auctions, delivery services for seniors, dinners for living facility employees and more. (prweb.com)
Caring Transitions, founded in 2006, is the most trusted and experienced national franchise specializing in senior relocation and transition services. (prweb.com)
We've seen it with day care adult services recently. (communitycare.co.uk)
Working with special populations of children and youth further requires the ability to adapt plans of care, services and supports to meet the specific needs of these populations. (chcs.org)
Rowland and Ganz proposed metrics for success at the level of the survivor (eg, decreased cancer morbidity), the clinician (eg, better ability to coordinate care), and the system (eg, reduced duplication of services). (medscape.com)

Serving children and youth through the CME approach requires an individualized method to care and service planning. (chcs.org)
It explored how to approach the involvement of youth in order to inform the larger delivery systems, and implications for other systems when working with youth in transition. (chcs.org)
Dr. Walker discussed recent research findings on wraparound facilitation with transition -age youth, and discussed the Achieve My Plan (AMP) study and discussed lessons learned. (chcs.org)
We conclude that, in addition to compliance of existing social policies, it is necessary to create new and specific programs for young people aging out of care, based on a youth-centered approach. (bvsalud.org)
Conclusions The project has the potential to offer novel insights into how society can promote wellbeing across a spectrum of outcome areas for the high-risk group of youth transitioning from out-of-home care to independent living. (lu.se)

and International Perspectives of Transition. (elsevier.ca)

This report takes stock of and compares the situation across 30 OECD and partner countries, drawing on in-depth country reports and a questionnaire on transition policies and practices. (oecd.org)
There is wide variation in specific transition practices. (nih.gov)
Although there has been a recent effort to establish transition programs in pediatric sickle cell clinics, specific practices vary widely. (nih.gov)

Anatomy19

Organisms6

Diseases4

Chemicals and Drugs75

Analytical, Diagnostic and Therapeutic Techniques and Equipment41

Phenomena and Processes109

Disciplines and Occupations6

Anthropology, Education, Sociology and Social Phenomena1

Technology, Industry, Agriculture4

Information Science7

Health Care7

Patients60

Community-based care transitions p2

20213

Adulthood3

20181

Sickle Cell Di2

Healthcare8

Health73

Pandemic3

Readmissions3

Patient16

ComForCare Home Care2

Outcomes5

Intensive Care3

Children's6

Successful transition1

Transitional care3

Intervention3

20161

Centers2

Coordination4

NICU1

Hospital9

Program7

Improving1

Continuity1

Chronic1

Barriers1

Foster care1

Carers6

Initiative4

Compassionate2

Practice2

Specialists2

Acute2

Discharge1

Stressful1

Adults4

Difficult4

Support10

Improvement1

Pediatric care2

Processes1

Services6

Youth5

Perspectives1

Practices3