Category Archives: Transitional Care

Simple Tips for Discussing Goals of Care with Patients

Simple Tips for Discussing Goals of Care with Patients Many seasoned transitional care coordinators recognize that a care plan should consider the personal motivators that encourage patients to take an active part in their recovery. To identify those unique triggers, it helps to apply a patient-centered approach that is rooted in motivational interviewing. The aim…
Read more

Proposed Quality Measure Includes Focus on Care Transitions

CMS recently released their report “List of Measures under Consideration for December 1, 2017”. One proposed measure directly applicable to transitional care is the CoreQ: Short Stay Discharge Measure. The measure calculates the percentage of individuals discharged in a six-month time period from a SNF, within 100 days of admission, who are satisfied. This patient…
Read more

NexusConnexions® Transitional Care Software Helps Greystone Bring Home the Gold

NexusConnexions® Transitional Care Software Helps Greystone Bring Home the Gold Successful transitional care coordination has never been more important than it is right now—and Greystone Healthcare Management understands that better than most. They recently earned the 2017 McKnight's Excellence in Technology Gold Award for establishing the role of Transitional Care Coordinator at their facilities in…
Read more

Communicating to a 65+ Patient Population

Communicating to a 65+ Patient Population A recent survey revealed some of the challenges payers (and providers) face when trying to reach a 65+ audience. The survey, conducted by HealthMine, found that 57% of Medicare health plan members aged 65+ said they were unsure if their health plan offered telemedicine. The findings underscore the challenges…
Read more