By Lee Horner, CEO, Synzi.
Care transitions, such as pre- and post-admissions and pre- and post-surgery, are pivotal points for ensuring adherence to the care plan and improved outcomes. However, organizations have historically struggled to keep patient engaged and compliant with the care plan during these transitions – leading to costly re-admissions and poor satisfaction. Virtual care can be applied in these settings to provide an efficient and convenient way to keep the lines of communication open during these pivotal transitions, leading to increased adherence and better outcomes.
Importance of transitional care
A carefully considered transition of care strategy is critical to enabling the safe and timely movement of patients throughout the care continuum. Each transition stage should include the communication of a comprehensive care plan that ensures continuity and coordination of care across points and providers of care. Points of care include hospitals, rehab centers, skilled nursing facilities, long-term care facilities, and even the patient’s own home. Providers of care include clinicians, specialists, nurses, home health workers, in addition to pharmacists, nutritionists, interpreters and transportation assistants.
According to the Joint Commission Center for Transforming Healthcare, sub-standard transitions may result in delay of treatment, inappropriate treatment, adverse events, omission of care, increased hospital length of stay, avoidable readmissions, increased costs, inefficiency from rework and other minor or major patient harm. According to JAMA, failures of care coordination can increase costs by $25 billion to $45 billion annually.