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Recording of MJHS and Maimonides Care Transitions Webinar

MJHS and Maimonides Share Protocols for Improving Care Transitions

LeadingAge New York member MJHS and Maimonides Medical Center (MMC) have partnered to improve care coordination for the patients and families in their communities. They will present and discuss two programs:

Direct Home Care Admission Teams in the Emergency Department (ED): Through a coordinated protocol, patients in MMC's emergency department deemed ineligible for hospitalization, yet appropriate for home care services, may be admitted "directly" to MJHS' certified home health program. By staffing an MJHS home care intake nurses in MMC's ED, this transition can occur smoothly and efficiently, resulting in patients being directed to the most appropriate type of care expediently and reducing gaps in the critical follow-up care needed to keep patients safe and well at home.

Heart Failure Management Between Settings Results in Better Patient Outcomes and Lower Use of Hospital Care: MJHS' The Joint Commission Disease-Specific Care Certification program for heart failure provided the basis for a collaborative initiative between MJHS and MMC to establish care protocols for heart failure patients that include components of disease-specific care, patient/family education and self-care, and communication between providers and with patients. MJHS and MMC will describe the tools and protocols developed, implementation, and the outcomes, such as reductions in hospital readmissions.

Webinar Faculty:

From MJHS

Lydia Galeon, R.N., M.B.A., Senior Vice President of Business Development

Jay Gormley, B.A., M.A.,Vice President of Planning, Research, and Innovation

Leonard L. Parisi, R.N., M.A., C.P.H.Q., F.N.A.H.Q., Vice President of Quality and Performance Improvement

Isabella Larosa, R.N., Director, Business Development

From Maimonides Medical Center

John Marshall, M.D., Chairman of Emergency Medicine

Thomas Smith, R.N., D.N.P, N.E.A-B.C., F.A.A.N., Chief Nursing Officer and Senior Vice President

Adrienne Derosa, N.P., Heart and Vascular Program Director

Donna Malewich, R.N., B.S.N., Home Care Planner Referral Manager

Tatyana Zuyeva, H.C.P., Emergency Room, Home Care Planner

This program occurred on Thursday, July 24, 10 to 11 a.m.  Click here to access a recording.

Contact: Diane Darbyshire, ddarbyshire@leadingageny.org, 518-867-8828