Community Based Care Transitions Program

2011 ◽  
Vol 7 (5) ◽  
pp. 18
2020 ◽  
Vol 59 (2) ◽  
pp. 457
Author(s):  
Sarina Isenberg ◽  
Tieghan Killackey ◽  
Allison Kurahashi ◽  
Chris Walsh ◽  
Kirsten Wentlandt ◽  
...  

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S914-S915 ◽  
Author(s):  
Andrea Y Sillner ◽  
Kimberly VanHaitsma ◽  
Rachel Wion ◽  
Marie Boltz

Abstract Miscommunication during older adults’ care transitions from hospital to community-based settings (e.g. home health) can lead to adverse events. Effective use of technology assisted communication (TAC) may help to remedy miscommunication surrounding care transitions. Care providers in community-based settings are well-positioned to provide insight on the feasibility and current use of TAC. The purpose of this research was to determine contextual factors (i.e., intrapersonal, interpersonal, environmental) that influence the use of TAC in the home health setting from the perspective of community-based direct care providers and administrators. Focus groups were conducted with direct care providers and c administrators from two different settings – rural and urban/suburban. Content analysis was used to determine themes. Participants indicated that there are many barriers for older adults’ use of TAC such as low interest, fear of technology, knowledge gaps, and lack of access to technology. However, others embraced the use of TAC and technology in the community-based care. Additionally, certain forms of TAC, such as text and email, may be better for communicating with informal caregivers. Some direct care providers indicated they were not allowed or encouraged to use certain TAC with patients due to potential security concerns. The community-based care administrators highlighted the importance of TAC but did indicate that use can be limited due to liability and HIPAA concerns. These findings provide important insight for both determining how to best implement TAC for older adults in community-based care settings and aiding in the development of a tool for measuring preferences.


2021 ◽  
Author(s):  
Michelle L. A. Nelson ◽  
Alana Armas ◽  
Rachel Thombs ◽  
Hardeep Singh ◽  
Joseph Fulton ◽  
...  

AbstractBackgroundGiven the risks inherent in care transitions, it is imperative that patients discharged from hospital to home receive the integrated care services necessary to ensure that the transition is successful. Despite efforts by the health care sector to develop health system solutions to improve transitions, problems persist. Research on transitional support has predominantly focused on services delivered by health care professionals; the evidence for services provided by lay navigators or volunteers in supporting people transitioning from hospital to home has not been synthesized to guide practice, policy or future research.AimThis is a protocol for a scoping review that will examine the role and contributions of voluntary sector personnel and services to support transitions from hospital to home.MethodsUsing the well-established scoping review methodology outlined by Arksey and O’Malley, a six-stage study is outlined (1) identifying the research question, (2) identifying relevant studies, (3) selecting studies, (4) charting the data, (5) collating, summarizing and reporting the results, and (6) providing consultation. The search strategy, designed by an information scientist, is applied to ten databases reflecting empirical and grey literature sources. A two-stage screening process will be used to determine eligibility of articles. To be included in the review, articles must report on a community-based program that engages volunteers in the provisions of services that support adults transitioning from hospital to home. All articles will be independently assessed for eligibility, and data from eligible articles will be abstracted and charted using a standardized form. Extracted data will be analyzed using narrative and descriptive analyses. Research ethics approval is not required for this scoping review.DiscussionThis scoping review will map the available literature focused on the contributions of voluntary sector personnel and services to support transitions from hospital to home.


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