A primary goal of successful care transition from acute care to home care is to reduce the need for further, mostly preventable, re-admissions of patients with chronic medical conditions. Prior to COVID, such efforts were largely driven by the need to avoid financial penalties for “excessive” 30-day readmissions. During the present COVID crisis, there is the added pressure of reducing readmissions to safely allow for the reallocation of clinical and human resources for the more acutely ill. Post COVID, there will likely be further pressures for successful care transition should the expected caseload surge materialize once the pandemic is controlled.
This presentation will review the key steps necessary for the successful transition to home for patients hospitalized for an exacerbation of a chronic respiratory disease. Types of post-hospital resources, required to facilitate continuing self-care needs, will be discussed, including third-party reimbursement options and guidelines. The value that the hospital-based RT can contribute for a successful transition of care process will be highlighted.
Sponsored by an unrestricted educational grant from Ventec Life Systems
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