2023 Together - PH341 - Our Eyes Are on You After Discharge: Innovative Care Transitions - On Demand
The hospital-to-home transition marks an abrupt shift from provider-driven care to self-managed care, which often leads to readmissions for patients uncertain how to manage their health conditions. Our program proactively addresses this gap. A behavioral health social worker provides brief interventions for hospitalized patients and enrolls them in postdischarge home visits. During the visits, an aide in the patient’s home environment uses telemedicine to connect the patient to the psychiatry nurse practitioner. This program reduced 30-day index readmissions for patients receiving a home visit and 30-day index readmissions for patients receiving an inpatient intervention.
- Healthcare Quality Professionals
- Pharmacy Technicians
- Other Healthcare Professionals
Explain how utilizing a combination of screening tools can identify at-risk patients for proactive intervention.
Discuss how post-discharge telemedicine home visits help reduce unnecessary readmissions.
Heather Chung, RN, MSN, PhD, NE-BC, System Director, Psychiatric Services, Houston Methodist Hospital, Houston, Texas
Stacy Campos, MBA, Program Director, Houston Methodist Hospital, Houston, Texas
Hailey Stein, LCSW, Project Manager, Houston Methodist Hospital, Houston, Texas
Interprofessional Continuing Education (IPCE)
This activity was planned by, and for, the healthcare team, and learners will receive 0.50 Interprofessional Continuing Education (IPCE) credits for learning and change.
Vizient, Inc. designates this enduring material for a maximum of 0.50 ANCC contacts hours.
Vizient, Inc. designates this enduring material for a maximum of 0.50 contact hours for Pharmacists.
Universal Activity Number:JA0006103-0000-23-183-H04-P
Pharmacy Technicians (CPE)
Vizient, Inc. designates this enduring material for a maximum of 0.50 contact hours for pharmacy technicians.
Universal Activity Number: JA0006103-0000-23-183-H04-T
Vizient, Inc. designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Healthcare Quality Professionals (CPHQ)
This activity is approved by NAHQ® for 0.50 CPHQ CE credits.
Other Healthcare Professionals (General CE Credit)
Vizient, Inc. will award a maximum of 0.50 contact hours to all other healthcare professionals who successfully complete the activity. These individuals will receive a Certificate of Participation indicating the maximum credits available.
Many state licensing boards and credentialing bodies accept certificates of participation from accredited CE activities to meet CE requirements for license renewals and re-certification. It is the responsibility of the participant to contact their state licensing board and/or certifying body for verification on credit eligibility reciprocity.
- 0.50 ACPE Pharmacist
- 0.50 ACPE Pharmacy Technician
- 0.50 AMA PRA Category 1 Credit™
- 0.50 ANCC
- 0.50 CPHQ – Certified Professional Healthcare Quality
- 0.50 General CE – Attendance
- 0.50 Interprofessional Continuing Education (IPCE)