Leverage policy frameworks and community-based programs to extend care beyond the hospital.
Resource 10
Centers for Medicare & Medicaid Services (2023)
Hospital Readmissions Reduction Program (HRRP)
Click here to explore more about the HRRP.
- Overview: A federal initiative aimed at improving patient outcomes by encouraging hospitals to reduce avoidable readmissions through better care coordination and practices.
- Relevance to Nursing: Offers valuable insights into balancing financial considerations with quality-of-care imperatives, emphasizing strategies to reduce readmission rates.
- Practical Application: A powerful resource for staff training and education, equipping healthcare teams with the knowledge to ensure compliance and elevate patient care standard
Resource 11
Meals on Wheels America (2023)
Visit Website: mealsonwheelsamerica.org
Description: Offers comprehensive nutrition and wellness services tailored to support seniors in maintaining their health and independence.
Nursing Application: A valuable resource for nurses to refer seniors who are at risk of malnutrition or isolation, ensuring they receive essential support.
Use Case: Ideal for incorporating into elderly discharge planning to provide continuous care and nutritional support post-hospitalization.
Resource 12
National Association of Community Health Workers (2023)
Comprehensive tools and resources focused on care transitions and patient navigation.
• Description: Offers training programs and directories tailored for Community Health Workers (CHWs).
• Nursing Application: Enhances collaboration between nurses and CHWs for improved patient outcomes.
• Use Case: Facilitates coordination of community-based support services.
