Care Transitions

Care transitions occur when a patient/client shifts from one practice setting to another (such as from hospital to home) which may be a vulnerable and confusing time for patients/clients and health care providers alike as necessary information may be missing or inaccurate leading to possible adverse events. This course will provide health care providers with strategies and tools to improve the flow of necessary information so that proper care is provided throughout the care continuum. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT and PTA. This course is open captioned.

Course created on August 12, 2016

Acute Care Geriatrics Home Health

Preview Exam

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On Demand

Course Type: Recorded Webinar, Audio

CEUs/Hours Offered: AK/2.0; AL/2.0; AR/2.0; AZ/2.0; CA/2.0; CO/2.0; CT/2.0; DE/2.0; GA/2.0; HI/2.0; IA/2.0; IACET/0.2; ID/2.0; IL/2.0; IN/2.0; KS/2.0; KY/2.0 Category 2; MA/2.0; ME/2.0; MI/2.0; MO/2.0; MS/2.0; MT/2.0; NC/2.0; ND/2.0; NE/2.0; NH/2.0; NY/2.0; OR/2.0; PA/2.0; RI/2.0; SC/2.0; SD/2.0; TN/2.0; TX/2.0; UT/2.0; VA/2.0; VT/2.0; WA/2.0; WI/2.0; WY/2.0

Learning Outcomes

The participant will be able to define care transitions, health information supply chain in relation to therapy practice and as part of an interdisciplinary team.
The participant will be able describe how to effectively receive a handoff and provide a handoff within the practice setting and between practice settings.
The participant will be able describe how to include the patient as a central partner in the care transition process and the driver of the care plan along the care continuum.
The participant will be able list at least three tools available to improve information flow via electronic and traditional means.

Agenda

0-5 Minutes	Background & review of learner Outcomes
5-25 Minutes	Define care transitions, health information supply chain
25-45 Minutes	Methods of communication within an organization and between organizations
45-60 Minutes	Organizational design to improve care transitions
60-80 Minutes	Patient-centered care planning focusing on empowering patient to reduce adverse events during care transitions
80-95 Minutes	Case Scenarios
95-115 Minutes	Tools available to improve information flow
115-120 Minutes	Q and A, Summary

Reviews

1757 Reviews

by Danette on March 29, 2020

I'm a long-time therapist but practically a virgin in Home Health. I've been struggling with the transition somewhat--just the paperwork shuffle really. Dr. Miller's seminar was exactly what I needed--I've listened to it twice. I swear I could've written it (not the intelligent parts, of course) but I have always had the care transition concepts he discusses as my own gold standard for patient care (but was in nursing home setting for 20 years and could NOT get anyone to go along with it). I learned SOOOOO much, was revitalized, and have a renewed faith in "the ultimate goodness of man" if you will. I definitely need to get the book he discussed regarding "How to Dialog, How to Listen," as I now see that may be an area I need to improve on. Very insightful speaker, intelligent, and his speaking manor/accent was just what I needed. I was driving around seeing patients in rural South Texas as I listened, so alot of stop/starts and I missed some things I fear. (Like the name of that book he mentioned.) I do have some questions to email him, but I think that was just offered to the actual participants that day. Ultimately, I just want to say thank you , thank you so much Dr. Ken Miller. I will be looking for more from you.

by Member on June 23, 2018

Dr Miller is an excellent speaker -- clearly discusses all the concepts, relates them to practical functional 'real' situations. Emphasizes the IMPORTANCE of communication - in our teams, and with our patients, follow up, need to clarify orders and ensure adherence to MD orders (liability issue FOR SURE, not to mention wellbeing of patient in their recovery process). This is a concern I have had within my PT professional career, since the get go. I have seen disregard for comprehensive gathering of records/orders and sharing of this information. I have OFTEN personally gone to hospitals or SNFs etc (with release of information signed by patient in hand) to get (what I feel to be necessary) records/orders. I will NOT take another PTs notes or phone comments re MD orders, to follow as my own. I will ONLY get the orders as written by the MD (if PT has them and can get them to me, OK -- but I have had cases where the prior PT was treating the patient NOT according to MD orders, maybe ASSUMED what the orders were? as in example of ORIF vs hemiarthroplasty, w/incorrect WB or precautions!!!). IMO, I am responsible for ensuring I have the absolutely CORRECT orders, and part of that is getting them from the source!!!!! KUDOS on Dr. Miller for his professionalism and for educating his peers re the need for these safeguards and communication channels!!!!!

Presented By

Kenneth L. Miller, PT, DPT, GCS, CEEAA

Dr. Kenneth L. Miller is a physical therapist and educator with more than 20 years of experience working with older adults in the home and inpatient rehab settings, as well as more than 7 years in adjunct faculty roles for Touro College and the University of St. Augustine. He is a board certified geriatric clinical specialist, certified exercise expert for aging adults and certified clinical instructor. Dr Miller is a clinical educator at Catholic Home Care in New York and active in the Academy of Geriatric Physical Therapy and Home Health Section of the APTA. He chairs the APTA's Home Health Section Practice Committee and is a member of the editorial boards of Topics in Geriatric Rehabilitation, GeriNotes, and is a manuscript reviewer for the Journal of Geriatric Physical Therapy.

Presenter Disclosure: The presenter received an honorarium for this course

Content Disclosure: This learning event does not focus exclusively on any specific product or service.

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California

PhysicalTherapy.com is a recognized continuing competency approval agency for the Physical Therapy Board of California. This course is offered for 2.0 hours of continuing competency.

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IL Physical Therapy Continuing Education Sponsor

This course is offered for 2.0 hours (Introductory level) by the Illinois Department of Professional Regulation (Sponsor License #216000252).

KPTA

This course is offered for 2.0 hours (Introductory level, Category 2) by the Kentucky Physical Therapy Association (Provider #CS80-2012-KPTA).

New York

PhysicalTherapy.com is recognized by the New York State Education Department's State Board for Physical Therapy as an approved provider of physical therapy and physical therapist assistant continuing education.

Texas Physical Therapy Association

This course is offered for 2.0 hours (Introductory level) by the Texas Physical Therapy Association. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. The Texas Physical Therapy Association (TPTA) administers the CCAP on behalf of the Texas Board of Physical Therapy Examiners (Provider #2106033TX).

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