Implementation of a Workflow Initiative for Integrating Transitional Care Management Codes in a Geriatric Primary Care Practice

Citation

Steckbeck, Julia; McBain, Christi; Terrien, Kerry L.; Isom, David; Stadler, Daniel S.; Stahl, James E.; & Batsis, John A. (2018). Implementation of a Workflow Initiative for Integrating Transitional Care Management Codes in a Geriatric Primary Care Practice. Journal of Nursing Care Quality, 33(4), 348-353. PMCID: PMC6013313

Abstract

We implemented a transitional care management service led by a nurse care manager. An interdisciplinary team developed a workflow using a Plan-Do-Study-Act cycle for contacting patients. Of the 146 (97.9%) eligible patients, 143 (97.9%) had a phone call within 48 hours. There were 84 of 120 (70.0%) and 117 of 120 (97.5%) attendance rates of those attending visits within 7 and 14 days. A care manager-led workflow was successfully and easily implemented within a primary care practice.

URL

http://dx.doi.org/10.1097/ncq.0000000000000316

Reference Type

Journal Article

Year Published

2018

Journal Title

Journal of Nursing Care Quality

Author(s)

Steckbeck, Julia
McBain, Christi
Terrien, Kerry L.
Isom, David
Stadler, Daniel S.
Stahl, James E.
Batsis, John A.

Article Type

Regular

PMCID

PMC6013313

Continent/Country

United States of America

State

Nonspecific

ORCiD

Batsis - 0000-0002-0845-4416