Improving Care Transitions as a Health Care Administrator

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Read time 3 minutes

Published On Oct 18, 2018

Health care administrators and nursing staff have become increasingly aware of the need for high-quality transitional care, especially among at-risk patients like seniors. As a current or aspiring health care administrator, you have the capacity to make a real difference in the lives of vulnerable patients in your community. Stay abreast of the latest research on transitional care, coordinate with other decision makers at your organization and continually look for ways of improving and expanding services to better meet the needs of your patients.

Identifying the Challenges of Transitional Care

Transitional care is usually thought of as transferring the care of the patient from one facility to another, such as a hospital to a post-acute care setting. Administrators should think more broadly about transitional care, and recognize that there are inherent challenges involved with transitioning to home care, as well. When any transfer of care occurs, there are, unfortunately, too many opportunities for critical information to get lost in translation. For example, a patient with dysphagia and a peg tube might be transferred to a nursing home with orders for a general diet. Inadequate transitional care can result from:

Poor communication
Inadequate patient and family education
Inadequate discharge planning
Limited access to needed resources and services

As a result of the many challenges associated with transitional care, these patients can be at a higher risk of:

Hospital readmissions
Falls
Infections
Medication errors

Completing Proactive, Collaborative Discharge Planning

One possible way to improve care transitions in your own health care facility is to begin discharge planning sooner. At an acute care hospital, discharge planning could begin as soon as the patient is stabilized, or even earlier if the patient is having a planned procedure. Post-acute care facilities like long-term care and nursing homes can begin discharge planning as soon as they receive a new patient. This process would involve identifying the length of the patient’s stay in order to allow him or her to achieve the functional goals necessary to return home. By conducting discharge planning in a proactive way, in collaboration with the family, the family members have more time to arrange the patient’s needed services.

Conducting Functional Assessments

All patients should have a comprehensive functional assessment as part of the care planning process. Before a patient leaves a hospital to be transferred to a post-acute setting, the clinicians and staff must fully understand the patient’s cognition, mobility, activities of daily living and all other functional statuses. A full functional assessment may help in making a more appropriate choice of care facility.

Performing “Warm” Handoffs

Despite all the technology available to health care providers today, nothing can quite replace face-to-face contact. Health care administrators may consider requiring more warm handoffs, in which the care coordinator at the hospital meets face to face with the staff member from the long-term care facility. This affords them the opportunity to discuss health history and care orders, and it can reduce complications like medication errors.

Pursue your health care aspirations by enrolling in the College of Doctoral Studies at Grand Canyon University. Among our many dynamic degree options is our Doctor of Education in Organizational Leadership with an Emphasis in Health Care Administration program. Click on the Request More Information button on our website to learn more.

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View All Articles

Improving Care Transitions as a Health Care Administrator

Identifying the Challenges of Transitional Care

Completing Proactive, Collaborative Discharge Planning

Conducting Functional Assessments

Performing “Warm” Handoffs

Share This Story

What Is a Terminal Degree?

What Is Organizational Leadership?

Doctorate in Organizational Leadership: Behavioral Health vs. Doctor of Behavioral Health

Identifying the Challenges of Transitional Care

Completing Proactive, Collaborative Discharge Planning

Conducting Functional Assessments

Performing “Warm” Handoffs