Hosp Case Manag. 2012 Jan;20(1):11-2.
Baystate Health, a three-hospital system with headquarters in Springfield, MA, is partnering with post-acute providers to improve transitions as patients move through the continuum of care. A multidisciplinary post-acute performance team partnered with post-acute providers to determine why patients are readmitted to the hospital and to work on ways to avoid readmissions. Facilities share information with the hospitals how they operate and what they need to ensure patients receive the care they need. The health system's director of post-acute services holds regular meetings with providers to brainstorm on improving patient care.
贝斯州医疗保健公司是一个总部位于马萨诸塞州斯普林菲尔德的三医院系统，它正在与急性后期护理服务提供商合作，以改善患者在连续护理过程中的转诊情况。一个多学科的急性后期护理绩效团队与急性后期护理服务提供商合作，以确定患者再次入院的原因，并研究避免再次入院的方法。各医疗机构与医院分享它们的运营方式以及为确保患者获得所需护理而需要的条件。该医疗系统的急性后期护理服务主任定期与服务提供商举行会议，共同探讨如何改善患者护理。
