A STEP in the Right Direction: An Interdisciplinary Approach to Transitional Care (2016)

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dc.creatorAllen, John G.
dc.date.accessioned2019-08-22T19:41:22Z
dc.date.available2019-08-22T19:41:22Z
dc.date.issued2016-03-23
dc.date.submitted2016-03-03T07:54:36-08:00
dc.description.abstractPurpose: The Affordable Care Act, calls for more focus on finding innovative delivery systems that improve care, increase efficiency, and reduce costs. Background: Hospital readmissions, excessive falls, and poor quality of life are factors that unnecessarily increase healthcare costs. The Safe Transitions for the Elderly Patients (STEP) program is a hybrid transitional care model developed by the UNT Health Science Center (UNTHSC) as part of an 1115 Waiver to address these factors in a home care setting in Tarrant County. Objectives: The primary goals of STEP are to reduce all-cause 30 day hospital readmissions, improve quality of life, and decrease falls among Medicaid patients over 50 years through a collaborative and interdisciplinary approach to patient care. Methods: An interprofessional team that includes a physician/geriatrician, nurse practitioner, physician assistant, social workers, physical therapists and a dietician assess and treats the pateint in the home for up to 90 days post hospital discharge based on the individual patient needs. Conclusions: Through this model, UNT Health Science Center has the opportunity to demonstrate a unique transitional care model that will improve health care delivery post-hospitalization.
dc.identifier.urihttps://hdl.handle.net/20.500.12503/26719
dc.language.isoen
dc.provenance.legacyDownloads0
dc.titleA STEP in the Right Direction: An Interdisciplinary Approach to Transitional Care (2016)
dc.typeposter
dc.type.materialtext

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