care transitions

Title What Category
Collaborating with Insurance Companies to Improve Person-Centered Care Palmetto Health and BlueCross BlueShield partner on high-risk case management to improve the quality of care Population Health, Quality & Patient Safety
Readmissions Huddles Self Regional, in collaboration with the Premier HIIN, uses A3 and LEAN to improve readmission huddles Population Health, Quality & Patient Safety
Using Telehealth to Improve Care Transitions Beaufort Memorial's pilot program uses medical monitoring equipment to better track high-risk patients post-discharge Quality & Patient Safety
Phone Call Follow-ups and Home Visits to Reduce 30-Day Readmissions Self Regional's program commits staffing resources to following up with the patient several times post-discharge Quality & Patient Safety
Transitional Care Clinics to Reduce Readmissions Self Regional's Transitional Care Clinic was established to provide a short-term medical home for patients at a high risk for readmission Population Health, Quality & Patient Safety
Pharmacy-Led Medication Reconciliation Beaufort Memorial Pharmacy initiated a new process with pharmacy staff doing the initial medication reconciliation rather than nurses or doctors Quality & Patient Safety