The VHAN diabetes team continues to make telehealth more personal, particularly in the area of remote patient monitoring (RPM).

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 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.

At Cool Springs Internal Medicine and Pediatrics, staff members didn’t waste any time prioritizing operational changes to their quality improvement process. These changes have allowed them to stay ahead of the curve and consistently meet the different measures set by multiple payors.

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.

This year, VHAN members have downloaded 882 PDFs and viewed nearly 30,000 pages on the Hub. The most popular items included telehealth guides.

This year one VHAN member found great success implementing the VHAN Quality Measures Toolkit—ranked the No. 1 most-downloaded piece of content on the Hub.

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.

Patients above the age of 65 are at a higher risk for falls, which can result in significant morbidity, long-term hospitalizations and premature nursing home placement. Here are some tips to help you capture the Fall Risk Screening appropriately.