By Kendra Gohl, Director of Nursing
At the beginning of 2017 CMH’s Quality and Care Management departments embarked on the journey to initiate an organization-wide transitional care improvement project. Transitional care refers to the coordination and continuity of healthcare provided to a patient as they change locations or care providers.
All CMH caregivers provide transitional care as we assist patients moving from one care setting to another (e.g. hospital to home). But the social workers and nurses in Care Management coordinate most of these transitions for patients in cancer care, Hospice, inpatient, emergency, and clinic environments. They do this by providing nursing and social work support for patients who need emotional, behavioral, medical and resource assistance.
In 2018, we expect to create a transitional care and integrative behavioral health program for Primary Care and will be placing a social worker in the Warrenton clinic.We are very exciting about the opportunities that his new program will bring to our primary care patients!
Media Contact: Felicia Struve
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