Care Transitions Intervention: A Proven Patient-First Approach to Decrease 30-Day Readmissions

This session is not eligible for credit.

This session will concentrate on how a patient-centered approach within four areas of health management is proven to reduce the rates of subsequent rehospitalization as well as create lasting behavioral change and increased activation in patients and their caregivers during post-acute transitions. Topics to be covered include defining the care transitions intervention; emphasizing the value-add and return on investment a transitions coach has to the overall system, the care team and the community; and reviewing the unique strategies used within this empowerment model. Case-based scenarios will be utilized for attendees to practice the art of coaching. 

Presenters

 Michelle Comeau is the National Program Director for Care Transitions Intervention. In this role, she supports the vast network of CTI Program Providers and Transitions Coaches stay active in CTI principals. She guides new partners through a readiness process to ensure successful implementation. Ms. Comeau has been working in evidence-based health prevention programs for over 10 years in various capacities; from local community initiatives, statewide program evaluation and development, and national coordination. She is proud of her purpose to help people help others in the most effective and fun way possible.

Learning Objectives

• Differentiate the unique role of a transitions coach and how it complements the care team.
• Identify intervention benefits at the system and patient level.
• Apply patient-centered coaching techniques into professional practice.
• Discuss care transitions intervention implementation steps.

Disclosure Information:

The Society requires the disclosure of all speaker/faculty/planner’s relevant financial relationships; presence of off-label use of a device or medication; and discussion of any experimental, new or evolving topic prior to each accredited education activity.

If the learner perceives any bias toward a commercial product or service, advocation of unscientific approaches to diagnosis or therapy, or recommendation, treatment, or manners of practicing healthcare that are determined to have risks or dangers that outweigh the benefits or are known to be ineffective in the treatment of patients please report this to the Society’s staff.

All relevant financial relationships have been identified, mitigated, and resolved.

• The following AMDA Education Committee members have financial relationships to report: Diane Sanders-Cepeda, DO, CMD — UHG-Optum: Full-Time Employee; all others have no relationships with ineligible companies.
•  The speakers have no relevant financial relationships.
• AMDA staff have no relationships with ineligible companies.