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Monday, November 7, 2011
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7:00 am -
8:00 am
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8:00 am -
12:00 pm
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- Coordinate medical and non-medical support to improve ROI and overall well being of patients
- How can stakeholders combine efforts and resources to effectively manage this population?
- Examine the role of evidence-based community healthy aging programs in improving self-care skills, patient activation and reducing health care
utilization costs
- Design, implement and monitor performance of evidenced-based care transition interventions across continuum of care
- Establish standard processes and reliable communication channels between settings
- Use the aging network as a bridge between the medical system and the community
- Discuss the benefits of linking with community partners to ensure the best outcomes for patients
- Address the challenges and opportunities of developing lasting relationships across community-based care settings
- Realize the value of linking existing health care systems with long term services and supports to ensure effective care transitions
- Review the various models of care improving transitions to the community and the associated tangible savings
- Apply the Transitions of Care Compendium and assess the 7 Critical Elements of the Care Transitions Bundle
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| Workshop Faciliator: |
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Amy Berman
Senior Program Officer
The John A. Hartford Foundation
 View Biography
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| Workshop Presenters: |
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Margaret Haynes, MPA, BA
Director, Elder Care Services
Partnership for Healthy Aging, MaineHealth
View Biography
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Sue Lachenmayr, MPH, CHES
Senior Program Associate
National Council on Aging – Center for Healthy Aging
View Biography
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Cheri Lattimer, RN, BSN
Executive Director, Case Management Society of America (CMSA);
Project Director, National Transitions of Care Coalition;
View Biography
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Amy MacNulty, MBA
Project Director
Mass Home Care's Community Care Linkage Project
View Biography
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12:00 pm -
1:00 pm
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