Course Provider
Learning Objectives
Review the BRIDGE Model of Transitional Care and how that sets the stage for the collaboration and communication amongst internal and external teams.
Describe key roles of inpatient and outpatient setting case managers, physicians and social work teams.
Review the role of a Transitional Care Coordinator and the importance of coordination necessary within the acute and post-acute settings.
Discuss proper hand off tools, importance and use of risk sharing that facilitate ongoing communication amongst all teams.
Review two Case Studies as a group to identify potential barriers and solutions for seamless Transition throughout the continuum.