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The Jackson Clinic: Transitions of Care Success Story

The Jackson Clinic created a robust transitions of care system in 2015, to ensure providers are notified when patients go to the emergency department or are admitted to the hospital.

VHAN’s Transitions of Care Team Assists With Medication Adherence

VHAN’s multidisciplinary team of pharmacy experts includes Ashley Sigg, a Transitional Care Management Pharmacist who offers medication reconciliation and support for 30 days after a patient’s hospital discharge.

VHAN Social Worker Minimizes Patient’s Fall Risk With New Ramp

When VHAN Social Worker Mary Brooks found out that one of her patients in West Tennessee had fallen and broken a foot while trying to get into her home, she immediately began thinking of ways to help.

Best Practices for Transitions of Care

This fall and winter, make sure to prioritize post-discharge follow-up visits when appropriate and via telehealth when necessary. Check out the following timeline of key post-discharge activities to help you stay on track.

VHAN Statin Outreach Project Demonstrates Value of Collaboration

VHAN’s pharmacist-led Station Outreach Service program was aimed at improving rates of statin use among patients with diabetes in high-risk populations. 

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