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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-upcare, medication management, and patient education, TCM addresses the primary factors leading to readmissions.
It includes 29 questions covering various aspects of healthcare, such as communication with nurses and doctors, hospital environment, pain management, and discharge information. Also, factors such as pre-hospitalization experiences, post-dischargefollow-up, and outpatientcare are not included in the HCAHPS survey.
The Vanderbilt-led study will build on the burgeoning national effort to unite ICU clinicians and primary care providers in providing comprehensive care for patients starting when they are discharged from the ICU and continuing through transitional outpatientcare.
They monitor patients’ conditions, administer medication, and convey self-care and discharge information. Because nurses are directly involved with patients on a day-to-day — and often hourly — basis, improving their ability to provide high-quality care is critical to a successful patient safety strategy.
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