Implementation of a Workflow Initiative for Integrating Transitional Care Management Codes in a Geriatric Primary Care Practice.
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ABSTRACT:
SUBMITTER: Steckbeck J
PROVIDER: S-EPMC6013313 | biostudies-literature | 2018 Oct/Dec
REPOSITORIES: biostudies-literature
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Implementation of a Workflow Initiative for Integrating Transitional Care Management Codes in a Geriatric Primary Care Practice.
Steckbeck Julia J McBain Christi C Terrien Kerry L KL Isom David D Stadler Daniel D Stahl James E JE Batsis John A JA
Journal of nursing care quality 20181001 4
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. ...[more]
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