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Implementation of Timely and Effective Transitional Care Management Processes

Year Developed: 2023

Resource Type: Archived Webinar.

Primary Audience: Administrative Staff Board of Directors C-Suite (CEOs, CFOs, CIO, COOs, CMOs, etc.) Clinicians Enabling Staff Outreach Staff PCAs

Language(s): English

Developed by: Community Health Center, Inc. (See other resources developed by this organization).

Resource Summary: Join us to discuss best practices for integrating daily follow-ups for patients recently hospitalized for health emergencies. Effectively following up with patients is a critical responsibility for integrated care teams.

Resource Details: Experts will share how their teams respond to patients to identify care gaps and support the transition of care. Workflow descriptions will provide participants with the tools to support their work to adapt specific steps into their model of team-based care.

Resource Topic: Clinical Issues, Operations, Value-Based Health Care Transformation, Workforce

Resource Subtopic: Team-Based Care.

Keywords: Access to Care, Communication, Transparency, and Outreach, Implementation Tools, Integrated Care, Uniform Data System (UDS).

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $6,625,000 with 0 percentage financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.