Stephanie Brady, DNP, APRN-BC, Vice President of Care Transitions, St. John Providence Health System; Susan Craft, MSA, BSN, RN, Director, Care Coordination Initiatives, Henry Ford Health System; Gloria Pizzo, BSN, RN, Senior Clinical Quality Consultant, MPRO; and Elizabeth (Betsy) Wall, System Executive Director, Quality Care Integration, Detroit Medical Center. Improving care transitions requires the willingness of healthcare organizations and post-acute care providers to work across the continuum. In Detroit, three competing healthcare organizations and the state quality improvement organization joined together to create a strategy to address readmissions from skilled nursing facilities. Learn how they standardized reported metrics, created a regional dashboard, and identified improvement opportunities that were common across all organizations.
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