Innovative use of technologies and methods to redesign care: the problem of care transitions

Journal Name: 
J Ambul.Care Manage.
Authors: 
Richman,M.
Sklaroff,L.M.
Hoang,K.
Wasson,E.
Gross-Schulman,S.
Abstract: 
Organizations are redesigning models of care in today's rapidly changing health care environment. Using proven innovation techniques maximizes likelihood of effective change. Our safety-net hospital aims to reduce high emergency department visit, admission, and readmission rates, key components to health care cost control. Twenty-five clinical stakeholders participated in mixed-methods innovation exercises to understand stakeholders, frame problems, and explore solutions. We identified existing barriers and means to improve post-emergency department/post-inpatient discharge care coordination/communication among patient-centered medical home care team members, including patients. Physicians and staff preferred automated e-mail notifications, including patient identifiers, medical home/primary care provider information, and relevant clinical documentation, to improve communication efficiency/efficacy
4
2014
Volume: 
37
Pages: 
100-105
Keywords: 
admission, Ambulatory, Ambulatory Care, California, clinical, Communication, cost, Cost Control, Documentation, education, electronic, Emergencies, Environment, Exercise, Health, health care, Health Services, hospital, information, Los Angeles, medical, Medicine, Methods, Organizations, patient, Patients, Physicians, provider, Public Health, Research, Universities