BEGIN:VCALENDAR
VERSION:2.0
PRODID:-//Real Time Medical Systems - ECPv6.15.20//NONSGML v1.0//EN
CALSCALE:GREGORIAN
METHOD:PUBLISH
X-WR-CALNAME:Real Time Medical Systems
X-ORIGINAL-URL:https://realtimemed.com
X-WR-CALDESC:Events for Real Time Medical Systems
REFRESH-INTERVAL;VALUE=DURATION:PT1H
X-Robots-Tag:noindex
X-PUBLISHED-TTL:PT1H
BEGIN:VTIMEZONE
TZID:America/New_York
BEGIN:DAYLIGHT
TZOFFSETFROM:-0500
TZOFFSETTO:-0400
TZNAME:EDT
DTSTART:20240310T070000
END:DAYLIGHT
BEGIN:STANDARD
TZOFFSETFROM:-0400
TZOFFSETTO:-0500
TZNAME:EST
DTSTART:20241103T060000
END:STANDARD
BEGIN:DAYLIGHT
TZOFFSETFROM:-0500
TZOFFSETTO:-0400
TZNAME:EDT
DTSTART:20250309T070000
END:DAYLIGHT
BEGIN:STANDARD
TZOFFSETFROM:-0400
TZOFFSETTO:-0500
TZNAME:EST
DTSTART:20251102T060000
END:STANDARD
BEGIN:DAYLIGHT
TZOFFSETFROM:-0500
TZOFFSETTO:-0400
TZNAME:EDT
DTSTART:20260308T070000
END:DAYLIGHT
BEGIN:STANDARD
TZOFFSETFROM:-0400
TZOFFSETTO:-0500
TZNAME:EST
DTSTART:20261101T060000
END:STANDARD
END:VTIMEZONE
BEGIN:VEVENT
DTSTART;TZID=America/New_York:20250917T151500
DTEND;TZID=America/New_York:20250917T161500
DTSTAMP:20260414T094135
CREATED:20250523T170949Z
LAST-MODIFIED:20250523T170949Z
UID:6385-1758122100-1758125700@realtimemed.com
SUMMARY:Successful Discharge Begins on Admission – Improve Outcomes through Effective Care Navigation and Live Analytics
DESCRIPTION:According to a 2022 JAMA Network study\, 1 in 5 Medicare beneficiaries discharged from the hospital receive care in a Skilled Nursing Facility (SNF). With care transitions from one setting to another being a vulnerable space where patients are susceptible to complications that can result in readmission back to the hospital\, all stakeholders in the patient journey recognize that care transition interventions are necessary to reduce Emergency Department utilization and improve patient outcomes. Likewise\, successful discharge planning\, which begins on the day of admission into the SNF\, requires the integration of best practices into the care plan that also prevents rehospitalizations. \nThe key to effective care planning and discharge planning lies in the utilization of post-acute data to inform and guide clinical decision-making while advancing care coordination\, ensuring continuity of care and optimal outcomes for patients. This session addresses the importance of a patient-centered\, interdisciplinary team (IDT) approach from admission to discharge and beyond. Care Navigation strategies will be shared that showcase how SNF teams\, including care managers and social workers who play an integral role in coordinating effective care transitions\, can leverage post-acute analytics and Social Determinates of Health (SDoH) indicators to anticipate patient needs and set appropriate\, achievable goals throughout the SNF stay and post-discharge. We will demonstrate various methods to facilitate communication of appropriate information during all phases of the post-acute journey among patients\, family members\, caregivers\, nursing staff\, acute care providers\, and PCPs. Finally\, we will explore care management practices\, including transition of care standards\, that are associated with improved outcomes for patients at high risk for readmission. \nLearning Objectives\n\nLeverage live\, post-acute data to help support effective care planning and transitions to provide improved patient outcomes while reducing avoidable hospital readmissions\nImplement best practices and strategies to create care plans that meet regulatory compliance and align with specific Social Determinates of Health and Physical Needs of the patient\nUnderstand what successful care planning means to provider partners\, and how strong collaboration and care coordination efforts can lead to improved Quality of Care and financial outcomes for SNFs\n\nSpeaker\n\nLindsey Ford\, RN\, Network Program Manager\, Real Time Medical Systems\n\nThis live session will be presented at the LifeSpan 2025 Conference.
URL:https://realtimemed.com/event/successful-discharge-begins-on-admission-improve-outcomes-through-effective-care-navigation-and-live-analytics/
LOCATION:Ocean City\, MD
CATEGORIES:Educational Session
ATTACH;FMTTYPE=image/png:https://realtimemed.com/wp-content/uploads/2025/05/2025.09-LifeSpan-Lindsey.png
END:VEVENT
END:VCALENDAR