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The Total Wellness Torrance readmission prevention program launched by Torrance Memorial Health System in early 2013 has been recognized as a program of Excellence for its innovation and impact on the community. Navigators work with patients prior to discharge from the hospital to educate them on the hospital's Care Transitions program.
The Care Transitions program includes a network of SNF's and one home health agency. The Readmission Prevention Manager and a navigator from the system hold weekly meetings at each SNF to review patient discharge plans, schedule an appointment at the post acute clinic, and ensure there is a plan for managing the patient for the duration of the 30-day episode. The Readmission Prevention Manager also receives an email alert from the Emergency Department (ED) each time a Medicare patient who was discharged in the prior 30 days re-presents to the ED.
Listen to pre-conference comments from Josh Luke.
During Award Winning Readmission Prevention Protocols: Navigating Care Transitions with Preferred SNF and Home Health Providers, a 45-minute webinar on January 8th, 2014, available for replay, Josh Luke, Ph.D., FACHE, vice president post acute services at Torrance Memorial Health System and founder of the California Readmission Prevention Collaborative and the National Readmission Prevention Collaborative, shares the key features of the Total Wellness Torrance Program and its impact on readmission rates.
You will learn:
- How to develop a Transitional Care program with an integrated post acute network;
- How to honor patient choice when developing an integrated post-acute network of preferred providers;
- The role of a post-acute clinic in reducing readmissions; and
- Protocols, processes and strategies in developing an effective partnership with skilled nursing facilities to reduce readmissions.
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WHO WILL BENEFIT FROM THIS CONFERENCE?
Presidents/CEOs, chief operating officers, medical directors, physician practice leaders, quality improvement executives, care and management executives, business development and strategic planning directors and consultants.
ABOUT OUR PANELIST:
Dr. Josh D. Luke, FACHE, is the vice president of post acute services at Torrance Memorial Health System.
Dr. Luke has more than 12 years senior healthcare operations experience, including eight years as a hospital CEO. Most recently he was instrumental in implementing Total Wellness Torrance (TWT), an innovative re-admission prevention protocol for Torrance Memorial Health System. TWT includes a unique Emergency Department triage system that quickly evaluates re-admit candidates in the ED to confirm compliance and utilization of previously offered post-acute transitional services, while seeking alternative levels of care for the patient to prevent un-necessary re-hospitalization. TWT was recognized by CAHF as one of six Programs of Excellence in the state of California in 2013. TWT also includes development of a Post Acute Network of skilled nursing facilities (SNFs), a Transitional Care Program and protocols for ambulance/transportation companies as well.
Dr. Luke has experience in for-profit and not-for-profit hospitals, acute rehab hospitals, sub-acute, transitional care units, SNFs and assisted living facilities. He previously served as CEO for Western Medical Center in Anaheim (Calif.), Anaheim General Hospital and HealthSouth Las Vegas Rehab Hospital, as well as an Executive Director for Kindred Healthcare.
Dr. Luke has Lean Six Sigma Black Belt training and is a Fellow with the American College of Healthcare Executives. He is an expert in dual eligible coverage (Medi/Medi) having served as Chair for Cal Optima's Provider Advisory Committee in 2011-2012. He also served as an Executive Board Member for the Hospital Association of Southern California (HASC) in 2011 and is a licensed SNF and Residential Care Facilities for the Elderly Administrator. He previously served on the HASC Board of Directors in 2011.
||Torrance's four-pronged post acute network strategy includes ambulatory case management, or managing discharged patients long after the 30-day penalty phase is over.