Transitions of Care

 

According to the Centers for Medicare and Medicaid Services, CMS, 16% of admissions to the hospital from 2013 to 2016 were readmitted within 30 days of discharge (CMS, 2016). Among the likely reasons for readmission are shortfalls in how organizations execute transitions in care resulting in an inadequate relay of information, inadequate follow-up care, and medical errors. Luckily, these can be prevented by implementing effective transition. This course will review how your organization can effectively handle transitions of care.

$25.00

Hours: 1.00
REL-SRC-0-TC-V2

Certificates

Certificates provided by accrediting body (14 Match)

California Board of Registered Nursing

1.0 HOURS


Provider approved by the California Board of Registered Nursing, CEP# 13791

Nurses will receive 1.00 contact hours for participating in this course.

American Nurses Credentialing Center

1.0 HOURS


Relias, LLC is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Nurses will receive 1.00 contact hours for participating in this course.

District of Columbia Board of Nursing

1.0 HOURS


DC-RN -- District of Columbia Board of Nursing Approved Continuing Education program (CE Provider #50-290).

Nurses will receive 1.00 contact hours for participating in this course.

Florida Board of Nursing

1.0 HOURS


Florida Board of Nursing CE Provider #: 50-290

Nurses will receive 1.00 contact hours for participating in this course.

Georgia Board of Nursing

1.0 HOURS


Georgia Board of Nursing CE Provider #: 50-290

Nurses will receive 1.00 contact hours for participating in this course.

South Carolina Board of Nursing

1.0 HOURS


This program was approved by the South Carolina Board of Nursing Approved Continuing Education Program (CE provider #50-290) CE Broker Course # 20-[Custom_Code]

National Association of Long Term Care Administrator Boards (RCAL)

1.0 HOURS


This educational offering has been reviewed by the National Continuing Education Review Service (NCERS) of the National Association of Long Term Care Administrator Boards (NAB) and approved for 1.00 clock hours. If you have any feedback regarding the NAB approved continuing education programs, send your email to the following address: [email protected]

National Association of Long Term Care Administrator Boards (NHA)

1.0 HOURS


This educational offering has been reviewed by the National Continuing Education Review Service (NCERS) of the National Association of Long Term Care Administrator Boards (NAB) and approved for 1.00 clock hours. If you have any feedback regarding the NAB approved continuing education programs, send your email to the following address: [email protected]
Hours type - NHA: Resident Care Hours

Tennessee Department of Health

1.0 HOURS


Learning activity approved by the Tennessee Department of Health, Bureau of Health Licensure and Regulation as continuing education for Residential Homes for the Aged and Assisted Care Living Facility administrators. This activity is approved for 1.00 contact hours.

Oregon Department of Human Services

1.0 HOURS


This course is approved as continuing education by the Oregon Department of Human Services in accordance with state regulation 411-057-0140 for Assisted Living Administrators, Residential Care facility Administrators and Memory Care Communities within the State of Oregon. This activity is approved by Oregon Department of Human Services for 1.00 contact hours.

Missouri Health Care Association

1.0 HOURS


This on-line activity has been approved for 1.00 Patient Care Hour(s) toward the Missouri continuing education requirement for nursing home administrators. Relias LLC offers courses approved by the Missouri Health Care Association, an approved training agency, TA-002-919, by the Missouri Board of Nursing Home Administrators. This activity is approved for 1.00 contact hours.

California Nursing Home Administrator Program - P type

1.0 HOURS


This educational offering is approved by the California Nursing Home Administrator Program (NHAP) as a Patient Care/Aging ("P" credit) course. Provider # CEP 1701; Course Approval # 1701001-6692/P. This activity is approved for 1.00 contact hours.

Florida Board of Nursing Home Administrators

1.0 HOURS


Course approved by the Florida Board of Nursing Home Administrators.
Provider # 50-290
NHA/RCAL
This activity is approved for 1.00 contact hours.

West Virginia Board of Registered Nursing

1.0 HOURS


Course Details

Course Code: REL-SRC-0-TC-V2
Hours: 1
Type: Online Course
Content Expiration Date: 6/30/2021
Learning Objectives:
Define a transition of care and identify who is at risk for transition problems.
List ways to improve transitions of care.
Describe the importance of medication reconciliation.
Describe the impact of transitions on older adults.

Outline:

Section 1: Introduction

A.   Meet Martha

B.   About This Course

C.   Learning Objectives

Section 2: What are Transitions of Care?

A.   Definition of Transitional Care

B.   Examples of Care Transitions

C.   Consequences

D.   Who’s at Risk?

E.   Poor Communication

F.   Discharge Instructions

G.   Medication Regimen

H.   Misconceptions

I.   Review

J.   Summary



Section 3: Effect on the Older Adult

A.   Feelings of Loss

B.   Ways to Help

C.   Provide Residents with Choices

D.   Relocation Stress Syndrome

E.   Manifestations

F.   Reducing Relocation Stress Syndrome

G.   Education

H.   Review

I.   Summary



Section 4: General Interventions

A.   Commitment

B.   Accountability

C.   Effective Communication

D.   Steps to an Effective Transition of Care

E.   Risk Identification

F.   Medication Reconciliation

G.   Follow-up Phone Call

H.   Scheduling Appointments

I.   Project BOOST

J.   Care Transitions Intervention®

K.   RED

L.   Review

M.   Summary



Section 5: Conclusion

A.   Summary

B.   Course Contributors

C.   Resources

D.   References

E.   Congratulations!


Staff Writer: Jennifer Moore, RN-BC, DNS-CT, CDP
Jennifer Moore, RN-BC, DNS-CT, CDP started working in the senior care industry in 2000. She is a certified Gerontological Nurse, a Director of Nursing Services – Certified, and a Certified Dementia Practitioner. She has held positions including MDS Coordinator, Director of Nursing, Medicare Nurse Coordinator, Nurse Consultant, Area Manager, and Director of Quality Assurance. Her overall responsibility within each of these positions was to ensure residents received the highest quality of care. This included active participation in quality improvement initiatives, review of clinical records to identify areas of weakness, corroboration with the medical director to institute policies and procedures for resident care, and staff education/training. Additionally, she was responsible for maintaining an effective compliance program under a Quality of Care Corporate Integrity Agreement with the Office of Inspector General for a period of five years. She currently serves as the manager of curriculum design for post-acute care for Relias. Within this position, her responsibility is to oversee the development of online training modules for the post-acute care industry. She has served as the subject matter expert for courses on re-hospitalization, clinical skill reviews, and various OSHA and regulatory compliance topics. In addition, she has presented at various state conferences on mandatory compliance, quality assessment and assurance (QA&A), and quality assurance and performance improvement (QAPI). Disclosure: Jennifer Moore, RN-BC, DNS-CT, CDP has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Staff Writer: Elizabeth Kellerman, MSN, RN
Elizabeth Kellerman MSN, RN started in nursing in 2007 after graduating from Samuel Merritt University in Oakland, California. While working in a critical care unit at Sutter Mills-Peninsula Hospital she earned her CCRN and TNCC. Her experience and knowledge led her to nursing education where she taught at a community college while working to receive her Master's in Nurse Education at Western Carolina University. As a nursing instructor, she spent time in many types of care settings including medical-surgical inpatient and community living centers. Her passion for education and training has most recently led her to a position as subject matter expert and content writer for Relias. Disclosure: Elizabeth Kellerman, MSN, RN has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Target Audience:
The target audience for this course is: entry level Administrators; entry level Direct Care Workers; Nurses; in the following settings: Post-Acute Care.
Relias will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Course Delivery Method and Format
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
Accommodations
If you require special accommodations to complete this module, please contact Relias Customer Support here.