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Program Challenges
Patient and Family Challenges
Topics

Program Challenges
Patient and Family Challenges
Topics
  • Considering social determinants when assessing risk
    Peninsula Circle of Care developed a risk assessment tool that takes into account medical factors and key social determinants.
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    By: Yvonne Chan | June 19, 2015 |Program Challenges: Identify Which Patients Need Extra Help |Topics: Identifying causes of readmission
  • The value of warm handoffs in making patients feel comfortable
    Peninsula Circle of Care tries to ensure that new team members are introduced to patients by someone they already know and trust.
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    By: Yvonne Chan | June 19, 2015 |Patient and Family Challenges: Not Receptive to Home Visits |Topics: After-hospital care, Effective teamwork
  • Self enrollment: an alternative to risk assessment tools
    In addition to risk assessments and referrals, Peninsula Circle of Care lets patients who realize they need help sign up themselves.
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    By: Yvonne Chan | June 19, 2015 |Patient and Family Challenges: Not Receptive to Our Help |Program Challenges: Identify Which Patients Need Extra Help |Topics: After-hospital care
  • Staying on top of community services with quarterly share outs
    Peninsula Circle of Care shares new and useful community services by mining the expertise of its individual team members.
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    By: Yvonne Chan | June 19, 2015 |Patient and Family Challenges: Social Challenges |Program Challenges: Limited Resources |Topics: After-hospital care, Effective teamwork
  • Tailoring tools to older patients
    Peninsula Circle of Care at Mills Peninsula redesigned their home assessment form to better meet the needs of their elderly patients.
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    By: Yvonne Chan | June 19, 2015 |Patient and Family Challenges: Low Health Literacy |Program Challenges: Communicating with Patients |Topics: Measuring and improving
  • Removing redundancies in follow up phone calls
    Mills Peninsula audited and streamlined their workflow when they realized patients were getting confused by multiple follow up phone calls.
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    By: Yvonne Chan | June 19, 2015 |Program Challenges: Communicating with Patients, Making Follow-up Calls or Home Visits |Topics: After-hospital care, Effective teamwork, Patient engagement, Using resources effectively
  • Teaching staff how to do Teach-back
    El Camino Hospital uses staff training, videos, and peer review to teach teach-back.
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    By: Ruth Zaltsmann | June 19, 2015 |Program Challenges: Communicating with Patients, Determining Skills Needed on the Team |Topics: Establishing a program
  • Keeping medication lists on hand with wallet cards
    St. Rose gives small medication cards to their patients as a tool for keeping track of their medication post-discharge.
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    By: Shogofa Zamon | June 18, 2015 |Patient and Family Challenges: Low Health Literacy, Understanding Medication Instructions |Topics: After-hospital care, Patient engagement
  • Redesigning patient assessment forms from the frontline
    St. Rose tailored Project Red’s patient assessment form to the needs of their program and their patient advocates.
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    By: Shogofa Zamon | June 18, 2015 |Topics: Measuring and improving
  • Building team identity with branded scrubs
    At St. Rose, the discharge team wears red scrubs to build team spirit and make them easily identifiable by patients.
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    By: Shogofa Zamon | June 18, 2015 |Program Challenges: Motivating the Team |Topics: Organizational buy-in
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