Southeast Texas Medical Associates, LLP Healthcare Where Your Health is the Only Care Southeast Texas Medical Associates, LLP

Presentations - Care Transitions: The Heart of Patient-Center Medical Home
View in PDF Format Print this page
Scottsdale Institute Webinar
May 24, 2011

Addressing the fourth goal of the National Priorities Partnership, the NQF report to HHS stated that in regard to care coordination:

“Healthcare should guide patients and families through their healthcare experience, while respecting patient choice, offering physical and psychological supports, and encouraging strong relationships among patients and the healthcare professionals accountable for their care… Focus in care coordination by NPP are the links between:

“Care Transitions— …continually strive to improve care by … considering feedback from all patients and their families… regarding coordination of their care during transitions between healthcare systems and services, and…communities. Preventable Readmissions— …work collaboratively with patients to reduce preventable 30-day readmission rates.”

SETMA’s pilgrimage to patient-centered medical home, care coordination, transitions of care and a sustainable effort to decrease preventable admissions to the hospital began 14 years ago. This slide deck chronicles that pilgrimage and describes the steps in the process. It is only a beginning, but it is a beginning. In our commitment a celebratory spirit, we celebrate what we have done while planning and anticipating what we shall do.

View the Presentation in Power Power 2007 Presentation Mode

View the Presentation in Power Power 97 - 2003 Mode

View the Presentation as a PDF

2929 Calder
3570 College
Mark A. Wilson Clinic
2010 Dowlen
2400 Highway 365
610 Strickland Drive
137 N LHS Drive

409-833-9797 888-833-0523

Office Hours: Monday through Thursday 8:00 AM to 5:30 PM and Friday 8:00 AM to 12:00 PM
If you need information about your healthcare, you may contact us by phone 24 hours a day, 7 days a week.