What are your biggest challenges in managing post-hospital care? Share your experiences and insights in the comments below. Let's work together to improve patient outcomes and enhance the transition from hospital to home.
TransitionWell, LLC
健康与公共事业
Canton，Michigan 99 位关注者
Empowered Care Transitions from Hospital to Home
关于我们
At TransitionWell, our mission is to specialize in facilitating seamless transitions from hospital to home through the evidence-based Care Transitions Intervention (CTI). Operating on a contracting model with Transitions Coaches?. TransitionWell will provide comprehensive administrative services, including training, evaluation, contracting with health systems and payors, and managing back-office work. Utilizing the Care Transitions Intervention? (CTI), our approach empowers clients to develop self-care skills and take an activated role in their health through a whole-person approach. Over a 30-day program, clients work with a dedicated Transitions Coach? to build and practice self-management skills crucial for a successful transition from hospital to home. The Transitions Coach? serves as a supportive guide, allowing clients to take control of their health journey. Together, they navigate through personal skill development, self-management tools, and gain confidence in four key areas of health, known as the Four Pillars? (medication management, primary care coordination, personal health record maintenance, and recognizing warning signs). One of the primary goals of our business is to reduce healthcare costs by minimizing hospital readmissions through effective care transitions. By empowering clients with the skills and confidence needed for self-care, we aim to enhance health outcomes while promoting cost savings for health systems and payors.
- 网站
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https://transitionwellhealth.com
TransitionWell, LLC的外部链接
- 所属行业
- 健康与公共事业
- 规模
- 1 人
- 总部
- Canton，Michigan
- 类型
- 自有
- 创立
- 2024
- 领域
- Care Transitions、Value-Based Care、Population Health、Health Coaching和Healthcare
地点
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主要
获取路线
US，Michigan，Canton
TransitionWell, LLC员工
动态
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What are your biggest challenges in implementing healthcare initiatives? Too much to do, too little time? What are your experiences with outsourcing to certified, evidence-based programs?
So Many Priorities - So Little Time
TransitionWell, LLC，发布于领英
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What are your biggest challenges in implementing healthcare initiatives?
The Weight of the System: A Call to Action
TransitionWell, LLC，发布于领英
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Revolutionizing hospital-to-home care transitions with SDoH program design expertise.
In today's healthcare landscape, patient self-management and self-advocacy are crucial for improving health outcomes. By equipping patients with the necessary skills, we can empower them to take an active role in their care, leading to better disease management, increased adherence to treatment plans, and improved overall quality of life. Key skills to transfer: 1. Effective communication: Clearly explaining medical information and listening actively to patient concerns. 2. Problem-solving: Helping patients develop strategies to overcome challenges and make informed decisions. 3. Motivational interviewing: Encouraging patients to set goals and identify their own intrinsic motivation for change. 4. Collaboration: Building partnerships with patients and their caregivers to create a supportive care team. By investing in skills transfer, healthcare professionals can: 1. Improve patient outcomes: Patients who are actively involved in their care are more likely to achieve better health results. 2. Enhance patient satisfaction: Empowering patients can lead to greater satisfaction with their care experience. 3. Reduce healthcare costs: By promoting self-management, we can help to reduce unnecessary healthcare utilization and expenses. TransitionWell's Certified Care Transitions Coaches can provide valuable support in helping patients develop these essential skills. Their expertise in facilitating transitions of care and promoting patient self-management can make a significant difference in improving patient outcomes. How are you incorporating skills transfer into your practice? Share your experiences in the comments below! #patientselfmanagement #patientadvocacy #healthcare #skillsdevelopment #caretransitions #transitionwell
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Building trust with plain language and engagement...
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
Safe Transitions of Care Deserve Meticulous Attention to Detail
https://silversageusa.com
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TransitionWell uses the evidence-based Care Transitions Intervention to empower patients to advocate for themselves and develop new skills to navigate healthcare. #transitionwell #caretransitions #healthcare #readmissions #transitionalcaremanagement
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
Transitional Care Management Services Market to Hit Around USD 889.39 Bn by 2033
Vijay Anger，发布于领英
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Powerful Toolkit!
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
Social Needs Investment Lab | Catalyzing Impactful Investments for Social Change
socialneedsinvestmentlab.com
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Data driven results! Addressing Social Drivers of Health make a difference! #transitionwell #sdoh #socialcare #caretransitions
Physician, Upstreamist, CEO @HealthBegins | Proven systems to increase health equity and value with upstream solutions
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
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Navigating the path from hospital to home can be daunting, but with the right support, it becomes a journey of empowerment. Building confidence in managing health effectively is at the heart of transforming care transitions. #transitionwell #caretransitions #rehospitalization
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At TransitionWell, our vision is a healthcare landscape where individuals seamlessly transition from hospital-to-home, empowered with the skills and confidence to manage their health effectively.?Our goal is to build patients' confidence in successfully navigating common problems during care transitions reducing healthcare costs. We're looking for patients and partners to expand our impact in Michigan. #transitionwell #caretransitions #readmissions
TransitionWell, LLC | LinkedIn
linkedin.com