Implementation of a Workflow Initiative for Integrating Transitional Care Management Codes in a Geriatric Primary Care Practice

Details

• Alternative Title:
  J Nurs Care Qual
• Personal Author:
  Steckbeck, Julia ; McBain, Christi ; Terrien, Kerry L. ; Isom, David ; Stadler, Daniel ; Stahl, James E. ; Batsis, John A.
• Description:
  We implemented a transitional care management service led by a nurse care manager. An interdisciplinary team developed a workflow using a Plan-Do-Study-Act cycle for contacting patients. Of the 146 (97.9%) eligible patients, 143 (97.9%) had a phone call within 48 hours. There were 84 of 120 (70.0%) and 117 of 120 (97.5%) attendance rates of those attending visits within 7 and 14 days. A care manager-led workflow was successfully and easily implemented within a primary care practice.
• Subjects:
  Aftercare Geriatrics Humans Primary Health Care Program Evaluation Quality Improvement Transitional Care Workflow
• Keywords:
  Care Manager Medicare Primary Care Quality Improvement Transitional Care Management Workflow
• Source:
  J Nurs Care Qual. 33(4):348-353
• Pubmed ID:
  29271832
• Pubmed Central ID:
  PMC6013313
• Document Type:
  Journal Article
• Funding:
  UL1 TR001086/TR/NCATS NIH HHSUnited States/ ; U48DP005018/ACL HHS/ ; U48 DP005018/DP/NCCDPHP CDC HHSUnited States/ ; U48DP005018/ACL HHSUnited States/ ; K23 AG051681/AG/NIA NIH HHSUnited States/
• Volume:
  33
• Issue:
  4
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:f3ff88672135dd0045eb10c146adee0e6917f855ae72114cb1272c01d537e1d9
• Download URL:
  https://stacks.cdc.gov/view/cdc/56270/cdc_56270_DS1.pdf
• File Type:
  [PDF - 49.79 KB ]