RCI is Partnering with Transitions in Care to Address Gaps and Find Solutions
RCI and Transitions in Care (TiC) have teamed up on a joint initiative aimed at addressing gaps in the process of long-term care (LTC) resident transitions. Multidisciplinary healthcare providers (Hospitalists and ED physicians, ED allied health practitioners, RCI physicians, ward-level practitioners such as CNLs, OTs, and PTs) have identified concerns across the patient journey, from living in the community, to acute care admission and placement in a long term care home, to ED transfers to and from long term care homes. Concerns include a lack of standardized processes for sharing information (particularly medication reconciliation and prescription orders), lack of clarity regarding roles and responsibilities, and difficulties related to communication and coordination during resident transitions.
Together with our TiC colleagues and a multidisciplinary working group, the RCI team is in the process of developing potential solutions for addressing these gaps, such as spreading the Pink Band project, doing “in-reach” education sessions for hospital colleagues about local long term care sites, and developing communication tools/processes so transitions are smoother and more streamlined for all involved. Stay tuned for project updates coming this fall!