Many’s the slip twixt cup and lip; Avoiding transition of care errors – Inclusion, Communication & Silo-Busting
The dis-coordination of care across multiple platforms (hospitals, physicians, home care, skilled care, assisted living, etc.) is responsible for many, many errors. These “slips” are being more frequently discussed, as CMS attempts to introduce penalties to hospitals for “frequent fliers” patients who are discharged then readmitted within 30 days. Collaboration on resolving these “slips” will help hospitals avoid penalties, but will not earn other participating providers new channels of revenue necessarily, but is critical to establishing each provider’s value proposition in the emerging environment.
The essential ingredients to success are inclusion and communication, as well as a willingness to think outside the silo.
Inclusion means bringing all the key provider players to the table – nurses, doctors, pharmacists, therapists and more.
Communication means more than person to person, although this is of course an enormously important. Communication also means access by all the players to mission critical clinical information. In our highly fragmented or “siloed” healthcare delivery system, this is most often the greatest barrier to effective transitions of care.