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RARE - Reducing Avoidable Readmissions Effectively

RARE Action Learning DayOctober 18, 2011

The RARE Action Learning Day was designed for the RARE organizations' working teams and focused on the five key areas for improvement. Teams discussed their strategies and worked on plans, and participated in cross organizational networking.

  1. Agenda (2-page Word doc)
  2. Welcome and Campaign Overview, presented by Jennifer Lundblad, President and CEO, Stratis Health, slides (18-slide PowerPoint)
  3. Transition Communications
    • MHA Safe Transitions of Care, presented by Karen MacDonald, Associate Administrator, HealthEast Care System; Barb Stricker, Director, Social Work Services/Clinical Resource Specialist, HealthEast Care System; and Tania Daniels, Vice President of Patient Safety, MN Hospital Association, slides (34-slide PowerPoint)
    • MHA “Safe Transitions of Care” Pilot Project Final Report, May 2011, handout (6-page Word doc)
    • MHA Safe Transitions of Care Transfer Form with Core Safety Elements, handout (2-page Word doc)
    • MHA Safe Transitions of Care Core Element Crosswalk, handout (5-page Word doc)
    • Safe Transitions Gap Analysis, handout (3-page PDF)
  4. Comprehensive Discharge Planning
    • Improving Transitions from Hospital to Community Care: Models that Work, presented by David G. Schulke, Vice President, Research Programs, Health Research and Educational Trust (HRET), American Hospital Association, slides (42-slide PowerPoint)
    • Comprehensive Discharge Planning Activity, handout (1-page Word doc)
  5. Medication Management
    • Pharmacy's Role in Improving Patient Care—Moving from Med WRECK to Med Rec, presented by Bruce Thompson, Director of Pharmacy Services, Hennepin County Medical Center, slides (47-slide PowerPoint)
    • Medication Management, handout (1-page Word doc)
  6. Patient and Family Engagement
    • Safe Transistions North Memorial, Using Society of Hospital Medicine’s BOOST Toolkit To Improve Patient & Family Engagement, presented by Sonne Rivers, Nurse Manager, A-5-A6 Heart & Vascular Center, North Memorial Health Care and John Degelau, Medical Director Care Transitions North Memorial Health Care and HealthPartners Medical Group, slides (12-slide PowerPoint)
    • Health Literacy & Teach-Back Method, presented by Alisha Elwood, Chair, MN Health Literacy Partnership, Project Manager, Blue Cross and Blue Shield of Minnesota and Kim Dutcher, Manager of Patient Education, Allina, slides (19-slide PowerPoint)
    • Patient and Family Engagement Plan, handout (3-page Word doc)
  7. Care Transitions Support
    • Infusing True Patient Centered Care into Care Transitions: The Care Transitions Intervention, presented by Eric Coleman, Professor of Medicine, Divisions of Health Care Policy and Research and Geriatric Medicine at the University of Colorado Denver, Director, Care Transitions, slides (7-page PDF)
Patients and family members
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RARE is a campaign lead by the Institute for Clinical Systems Improvement, the Minnesota Hospital Association, and Stratis Health, which represents Lake Superior Quality Innovation Network in Minnesota.