elder care
TRANSCRIPT
Post-Acute Care Relationships:
Patient Post-Discharge & Transition of Care
IPC ELDER CARE POD
L
LTCFs/NURSING HOMES • C-SUITE • DONs • C/Cs • STATIONS • PATIENTS • FAMILIES
REHA
REHABS • C-SUITE • DONs • STATIONS • PATIENTS • FAMILIES • CCs • D/C PLANNERS
SNF SNFs • C-SUITE • DONs • STATIONS • PATIENTS • FAMILIES • CCs • D/C PLANNERS
ALFs
• C-SUITE • DONs • CCs • STATIONS • PATIENTS • FAMILIES
STRATEGIC PARTNERSHIPS • HH AGENCIES • PALLATIVE CARE • HOSPICES • PCMHs • HEALTH HOMES • COMMUNITY GROUPS • IDNs • PUBLIC HEALTH • MCOs
PHYSICIANS KEY: • LTCF: LONG-TERM CARE FACILITY • SNF: SKILLED NURSING FACILITY • ALF: ASSISTED LIVING FACILITY • DON: DIRECTOR OF NURSING • CC: CARE COORDINATORS • D/C: DISCHARGE • HH: HOME HEALTH • PCMH: PATIENT CENTERED MEDICAL HOME • IDN: INTEGRATED DELIVERY NETWORK • MCO: MANAGED CARE ORGANIZATION • MAKE PRESENTATIONS DURING FAMILY OPEN
HOUSES & QUARTERLY QC MEETINGS