Healthcare Intelligence Network Webinars

Readmission Prevention Protocols

Josh LukeIndustry Expert: Josh Luke, Ph.D., FACHE, vice president post acute services at Torrance Memorial Health System and founder of the California Readmission Prevention Collaborative and the National Readmission Prevention Collaborative.

The Total Wellness Torrance readmission prevention program launched by Torrance Memorial Health System in early 2013 has been recognized as a program of Excellence for its innovation and impact on the community.

Navigators work with patients prior to discharge from the hospital to educate them on the hospital's Care Transitions program.

The Care Transitions program includes a network of SNF's and one home health agency. The Readmission Prevention Manager and a navigator from the system hold weekly meetings at each SNF to review patient discharge plans, schedule an appointment at the post acute clinic, and ensure there is a plan for managing the patient for the duration of the 30-day episode.

The Readmission Prevention Manager also receives an email alert from the Emergency Department (ED) each time a Medicare patient who was discharged in the prior 30 days re-presents to the ED.

During Award Winning Readmission Prevention Protocols: Navigating Care Transitions with Preferred SNF and Home Health Providers, a 45-minute webinar on January 8th, 2014, Josh Luke, Ph.D., FACHE, vice president post acute services at Torrance Memorial Health System and founder of the California Readmission Prevention Collaborative and the National Readmission Prevention Collaborative, will share the key features of the Total Wellness Torrance Program and its impact on readmission rates.

You will learn:

  • How to develop a Transitional Care program with an integrated post acute network;
  • How to honor patient choice when developing an integrated post-acute network of preferred providers;
  • The role of a post-acute clinic in reducing readmissions; and
  • Protocols, processes and strategies in developing an effective partnership with skilled nursing facilities to reduce readmissions.

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Upcoming Programs:

Home Visits: Assessing Complex Patients Post-Discharge To Reduce Readmissions

Managing Risk in Population Health Management

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