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Care Coordination: The Key to Improving Patient Outcomes

Relias

By incorporating care coordination practices such as risk assessment, care planning, care transitions, patient education, patient navigation, telehealth, and home visits, care coordination teams can bring in resources to help patients navigate health concerns that span physical, behavioral, and social risk factors and needs.

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Meet Nancy Colobong Smith, American Nephrology Nurses Association’s President-Elect 2023-24

Minority Nurse

My role includes staff training, patient education, regulatory compliance, evidence-based practice, quality improvement, and research. I also am consulted regarding evidence-based practice and care planning. Following my passion and having the support of mentors in finding my way was invaluable.

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Understanding Transitional Care Management in Reducing Readmissions

Guideway Care

Transitional care management (TCM) plays a critical role in reducing hospital readmissions by ensuring patients receive proper care and support as they transition from the hospital to home. By focusing on follow-up care, medication management, and patient education, TCM addresses the primary factors leading to readmissions.

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Enhancing Patient Safety in Nursing: Strategies and Practices

Relias

Or it could be caused by deviations in the process of care during the planning, implementation, or execution of a care plan, either intentional or unintentional. Patient safety reporting and learning systems Implementing a robust error-reporting system is critical for improvement.