TP30 - Building a Care Transitions Team: Reducing ER Visits and Readmissions Through Care Navigation and Partnerships

What if you could design a way to help individuals get ongoing care, reduce readmissions, build positive word-of-mouth, and have the program be sustainable? The Care Transitions Program at CN Guidance is now five years into that very pursuit, and this session promises insights into program design and other practical tips. Plus, learn about the patterns of disengagement our program has identified to support continuous improvement, as well as how financing a program like this can be sustainable and impactful.