TransitionWell, LLC

Dr. Kenneth Scott’s post for Transitions of Care blog As both a hospitalist and the medical director of a post-acute and long-term care facility, Dr. Kenneth Scott is well versed in the difficulty of facilitating safe transitions for patients being transferred between facilities when a different level of care is needed. Frustratingly, these transfers often occur without proper communication of a patient’s current condition and medications.? No matter what technology caregivers use to provide the best of care, health outcomes in today’s world are still heavily dependent on the human factor. This may be part of what makes one’s intersection with the health-care industry precarious—but it is also what makes it special. Although questioning a diagnosis and treatment plan is always a healthy exercise, not receiving information from another professional or considering what transpired at another institution can be dangerous and may result in needless redundancy of care and create greater expense without gain for the patient. Dr. Scott dispenses solid advice on how health-care professionals can better address safe transitions in his latest blog, “Safe Transitions of Care Deserve Meticulous Attention to Detail.” Check it out at https://lnkd.in/g6ZM-SXr. #NursingHome #Geriatrics #ElderlyCare #SafeTransitions #TransitionsofCare #SilverSageUSA #PAJobs #NPJobs #Hiring #HealthcareExcellence

With so much focus on value based care it has become clear that proper transitional care management is an effective and efficient way to improve patient satisfaction and reduce risk of rehospitalization. GrabMD providers manage transitions from any healthcare setting to home. #healthcareathome #mobilephysicians #healthcareinnovation #transitionalcaremanagement

Along with Elevance Health, we’re thrilled to introduce the Evidence Assessment Library, the first tool offered by the Social Needs Investment Lab (The Lab). While many healthcare and social service organizations recognize the importance of addressing social drivers of health, identifying the right interventions that make meaningful impact can be challenging. That’s where the Evidence Assessment Library comes in. This online knowledge library offers in-depth, evidence-based assessments of social needs interventions, tailored to help healthcare leaders and organizations make informed, impactful and cost-effective investments in solutions to improve the health of the individuals and communities they serve. The Lab is here to empower smarter, more impactful decisions in healthcare and beyond! Learn more: https://lnkd.in/g5GAinV3

These results from the CMMI/CMS Accountable Health Communites model are remarkable. The model, which screened over 1.1 million people for health-related social needs, reduced total health care expenditures between 3-6% and improved quality of care and health equity among Medicaid and Medicare beneficiaries. HealthBegins was proud to partner with Centers for Medicare & Medicaid Services and Mathematica to support all the frontline leaders and organizations who participated in this groundbreaking model. Kudos to Darshak Sanghavi Dawn Alley Nina Ashford, DrPH, MPH Simeon Niles Alexander Billioux Katherine Verlander and everyone involved. These results prove that, when done well, integrating healthcare and social services can drive significant impact for advancing value, quality and health equity. https://lnkd.in/gyhiJurP