Care Transitions Models and the Role of the RN and APN
Overview:
There are a variety of Care Transitions models that have been developed and tested for their ability to improve quality of care. We will discuss several care transitions models, looking at their development, how they are staffed and how they function. The benefits of care transitions models that have been demonstrated through research will be reviewed. This leads us into a discussion regarding the role of RNs and APNs as care coordinators in care transitions models. Assuring that care is coordinate and that a patient is efficiently transitioned from one level of care to another is the overarching role of the care coordinator. RNs and APNs by virtue of their education and scope of practice are well positioned to assume the care coordinator role, managing the patient’s care across the continuum.
Why should you attend: The continuing change in reimbursement models, as well as the increase in the use of pay for performance, necessitates assuring that patients are followed throughout the continuum of care. Understanding the models that have been developed to support a patient through their transition in levels of care is critical to the success of hospitals and post-acute care settings. In addition, the implementation of care transitions models enhances quality of care and improves healthcare outcomes. The success of care transitions program is dependent on RNs and APNs following the patient through their transitions in care to assure that they do not slip through the cracks, that their care is coordinated and optimal.
Areas Covered in the Session:
- Different Care Transitions Models
- How they enhance quality of care
- How they enhance healthcare outcomes
- The role of the care coordinator
- The role of the RN as a care coordinator
- The role of APNs as a care coordinator
Who Will Benefit:
- Hospital CEO, COO, CNO
- Home Care CEO, COO, CNOs
- Discharge Planners
- Utilization Review Nurses
- social Workers
- Skilled Nursing Facility Administrators and DONs
- Physicians
- Care Transitions Coordinators
- Community and Parish Nurses