Steven Counsell M.D. Write About Hybrid Approach to Avoiding Readmission for Hospitals & Health Netw
Recently, Steve Counsell, M.D., current director of the Center of Excellence in Indiana and incoming AGS president, wrote about the hybrid approach to avoiding readmission for Hospitals & Health Network Daily.
Recently, Steve Counsell, M.D., current director of the Center of Excellence in Indiana and incoming AGS president, wrote about the hybrid approach to avoiding readmission for Hospitals & Health Network Daily.
In the article, he writes: "A full array of complex, care management programs attempt to stem the flow of readmissions. Each takes a different approach to optimizing the health and well-being of the discharged patient. One side of the spectrum consists of medical interventions with registered nurses leading the care management team, while the opposite end features case management and navigation, rather than medical care, with social workers as leaders. One solution that is beginning to gain noticeable traction is a kind of hybrid between these two approaches; it involves a high-intensity, care-team approach outside of the hospital setting. Going far beyond traditional care coordination or transition planning, such an approach intentionally addresses common geriatric conditions (e.g., falls, depression and memory problems), proactive care management, patient education, health assessment, monitoring and counseling."
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