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Program bridges acute, post-acute care.
Hosp Case Manag. 2014 Mar;22(3):28-9
Authors:
Abstract
Torrance (CA) Memorial Health System instituted Total Wellness Torrance, a multi-pronged approach to reducing preventable readmissions. The hospital created a post-acute network of providers that agree to participate in quality improvement initiatives and who meet regularly with hospital representatives. Care Transitions staff meet weekly with post-acute providers to collaborate on patient care and the discharge plan. The hospital operates a Care Coordination Center, a post-discharge clinic where clinicians go over the treatment plan and conduct medication reconciliation.
PMID: 24645278 [PubMed - indexed for MEDLINE]