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Chronic Disease Management
With an emphasis in inpatient care on care transitions, ACOs, value based purchasing and other quality cost saving measures being implemented at the federal and state level, are you aware of how to be a part of the care continuum for care transitions and chronic disease management? ? Do you have the resources ready to go beyond providing a task-oriented service to a service model that is part of a larger team for meeting mutual goals for patient-centered care and chronic disease management? In order to create your seat at the table with post-acute referral sources you need to understand the concepts in care transitions and identify the top chronic diseases and explore how your Home Care agency can be a partner in care transitions and chronic disease management. This webinar is designed to help agencies understand concepts associated with care transitions, state and national efforts around care transitions and hospital penalties for readmissions. Come explore the home care agency role in falls prevention, medication management, and nutrition as well as the in-home aides’ role in observing, recording and reporting observations related to chronic disease management.
Presenter: Kathie Smith, RN, Vice President of State Relations, Home & Community Based Care, AHHC of NC
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