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ForwardPCMH 2025 Post Hospital Follow-Up Sprint - Session #2 - JHF
Participants will engage in peer-to-peer learning around implementation of key interventions, including successful tactics and challenges and barriers. Participants will also learn about best practices for inpatient-to-outpatient connections and workflows to effectively manage post-hospital transitions of care.
Agenda:
10:30 a.m. to 10:40 a.m. – Welcome & Review of First Sprint
- Measure definitions
- List of key interventions
- PDSA diagram – where we are
10:40 a.m. to 11:10 a.m. – Breakouts: Intervention Updates
- How were approaches or ideas from the last session incorporated into your processes?
11:10 a.m. to 11:20 a.m. – Takeaways
11:20 a.m. to 11:50 a.m. – Presentation and Q&A: Connecting Inpatient and Outpatient - Leigh Wilson, MSW, Director of Care Management and Redesign Initiatives; Jessica Cordero, Associate Director of Care Management Initiatives; Marisol Caban, Community Health Worker, Camden Coalition of Healthcare Providers
11:50 a.m. to 12:00 p.m. – Sprint Timeline, Next Steps & Evaluation
Target Audience
Nurse
Physician
Social Worker
Learning Objectives
- Describe progress in implementing key interventions.
- Collaborate on finding solutions to common obstacles encountered in implementing interventions
- Describe best practices for inpatient/outpatient connections in transitions of care.
Additional Information
Participants will engage in peer-to-peer learning around implementation of key interventions, including successful tactics and challenges and barriers. Participants will also learn about best practices for inpatient-to-outpatient connections and workflows to effectively manage post-hospital transitions of care.
Agenda:
10:30 a.m. to 10:40 a.m. – Welcome & Review of First Sprint
- Measure definitions
- List of key interventions
- PDSA diagram – where we are
10:40 a.m. to 11:10 a.m. – Breakouts: Intervention Updates
- How were approaches or ideas from the last session incorporated into your processes?
11:10 a.m. to 11:20 a.m. – Takeaways
11:20 a.m. to 11:50 a.m. – Presentation and Q&A: Connecting Inpatient and Outpatient - Leigh Wilson, MSW, Director of Care Management and Redesign Initiatives; Jessica Cordero, Associate Director of Care Management Initiatives; Marisol Caban, Community Health Worker, Camden Coalition of Healthcare Providers
11:50 a.m. to 12:00 p.m. – Sprint Timeline, Next Steps & Evaluation
Leigh Wilson, MSW, Director of Care Management and Redesign Initiatives
Jessica Cordero, Associate Director of Care Management Initiatives
Marisol Caban, Community Health Worker, Camden Coalition of Healthcare Providers
In support of improving patient care, this activity has been planned and implemented by the University of Pittsburgh and The Jewish Healthcare Foundation. The University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
As a Jointly Accredited Organization, University of Pittsburgh is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. University of Pittsburgh maintains responsibility for this course. Social workers completing this course receive 1.5 continuing education credits.
Physician (CME)
The University of Pittsburgh designates this live activity for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nursing (CNE)
The maximum number of hours awarded for this Continuing Nursing Education activity is 1.5 contact hours.
Social Work (ASWB)
The maximum number of hours awarded for this Continuing Social Work Education activity is 1.5 contact hours.
Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.
Available Credit
- 1.50 AMA PRA Category 1 Credit™The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
- 1.50 ANCCUPMC Provider Unit is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation
- 1.50 ASWB
- 1.50 Attendance