PrivateSector Hospital Discharge Tools（私营部门出院工具）.pdfVIP

Private-Sector Hospital Discharge Tools Samples of hospital discharge planning tools that strive to improve transitions to post-acute care and reduce readmissions. Contents: Executive Summary 1 Introduction 5 Policy Background 8 Case Studies 10 ■ Partners Continuing Care: Post-acute Leveling (PAL) Tool 11 ■ Advocate Health Care – Advocate Cerner Readmission Tool 12 ■ Geisinger Health Systems – ProvenHealth Transitions 14 ■ Cleveland Clinic – “Six Clicks” Functional Mobility Measure 16 ■ Carle Hospital – User of LiveSafe™ by naviHealthTM 18 Discussion of Case Studies 20 Lessons Learned 24 Appendix A 26 Appendix B 27 This report was developed by the American Hospital Association in collaboration with Dobson DaVanzo Associates, LLC Al Dobson, PhD Joan Davanzo, PhD, MSW Audrey El-Gamil ©January 2015 A Sample of Private-Sector Hospital Discharge Tools Case studies of hospital discharge planning tools that strive to improve transitions to post-acute care and reduce readmissions. EXECUTIVE SUMMARY facilitating patient care in the right setting at the right time, these efforts will advance progress Introduction and Policy Background toward achieving the “Triple Aim” – a framework Hospitals and health systems are seeking developed by the Institute for Healthcare innovative