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  6. » Upcoming Webinars Highlight Successful Programs to Improve Care Coordination and Reduce Hospitalizations

Upcoming Webinars Highlight Successful Programs to Improve Care Coordination and Reduce Hospitalizations

In our ongoing efforts to provide members with education and resources to effectively participate in the Delivery System Reform Incentive Payment (DSRIP), LeadingAge New York has again partnered with the Healthcare Association of New York State (HANYS) to provide members educational opportunities.  We are particularly excited about these programs as they highlight current initiatives that have proven effective in accomplishing DSRIP objectives, on the state and national level.  The webinars focus on care transition and hospital readmission reduction.  These programs are available for LeadingAge NY members, free of charge. 

DSRIP Education for Post-Acute Care Providers in Partnership with LeadingAge and Bluestone Physician Services

Date: Wednesday, July 23, 11:30 a.m. to 12:30 p.m.

Bluestone Physicians is a physician group in the Midwest that focuses on the care of seniors and people with disabilities with specific success managing the care of those that reside in congregate settings such as assisted living and group homes. In addition to promoting independence and quality of life, Bluestone has reduced hospitalizations and emergency room visits dramatically. Using medical advances, technology, and collaboration with community/facility staff, patients, and their families, Bluestone has developed a care coordination model for seniors and people with disabilities throughout Minnesota, serving nearly 2,000 people with disabilities in the community. This webinar will discuss Bluestone's approach to care coordination, how they collaborate with their partners, and their impressive outcomes. Opportunities for questions will be provided.

Faculty from Bluestone Physicians:

Todd Stivland, M.D., Founder and Chief Executive Officer

Sarah Keenan, R.N., B.S.N., President

Please register online.

MJHS and Maimonides Share Protocols for Improving Care Transitions

Date: Thursday, July 24, 10 to 11 a.m.

MJHS and Maimonides Medical Center (MMC) have partnered to improve care coordination for the patients and families in their communities. They will present and discuss two programs:

Direct Home Care Admission Teams in the Emergency Department (ED): Through a coordinated protocol, patients in MMC's emergency department deemed ineligible for hospitalization, yet appropriate for home care services, may be admitted "directly" to MJHS' certified home health program. By staffing an MJHS home care intake nurses in MMC's ED, this transition can occur smoothly and efficiently, resulting in patients being directed to the most appropriate type of care expediently and reducing gaps in the critical follow-up care needed to keep patients safe and well at home.

Heart Failure Management Between Settings Results in Better Patient Outcomes and Lower Use of Hospital Care: MJHS' The Joint Commission Disease-Specific Care Certification program for heart failure provided the basis for a collaborative initiative between MJHS and MMC to establish care protocols for heart failure patients that include components of disease-specific care, patient/family education and self-care, and communication between providers and with patients. MJHS and MMC will describe the tools and protocols developed, implementation, and the outcomes, such as reductions in hospital readmissions.

Webinar Faculty:

From MJHS

Lydia Galeon, R.N., M.B.A., Senior Vice President of Business Development

Jay Gormley, B.A., M.A.,Vice President of Planning, Research, and Innovation

Leonard L. Parisi, R.N., M.A., C.P.H.Q., F.N.A.H.Q., Vice President of Quality and Performance Improvement

Isabella Larosa, R.N., Director, Business Development

From Maimonides Medical Center

John Marshall, M.D., Chairman of Emergency Medicine

Thomas Smith, R.N., D.N.P, N.E.A-B.C., F.A.A.N., Chief Nursing Officer and Senior Vice President

Adrienne Derosa, N.P., Heart and Vascular Program Director

Donna Malewich, R.N., B.S.N., Home Care Planner Referral Manager

Tatyana Zuyeva, H.C.P., Emergency Room, Home Care Planner

Please register online.