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Beebe Home Care Services team members complete training

August 24, 2016

Beebe Healthcare and Beebe Home Care Services recently announced that two Home Care team members – Michelle Dennis, RN, clinical team leader, and Rob Uebele, doctor of physical therapy – recently participated in the Integrated Care Management Transitions of Care Program training course offered by Sutter Health and the Sutter Center for Integrated Care. The course consisted of a combination of classroom lecture and web-based self-learning. Passage of the course exam has certified Dennis and Uebele to train all Beebe Home Care clinical staff in the principles of this enhanced transitional care program.

ICM's Transitions of Care Program is a patient-centered, evidence-based care delivery model promoting care coordination among healthcare providers and supporting patients across all providers, settings and time. By utilizing the tools and skills outlined in this model, all clinical staff will now follow a standardized approach to chronic disease management care and education in the home care setting.

Utilizing the core principles of this care model will better enable staff to collaborate more effectively with other members of the interdisciplinary care team, identify high-risk patients earlier in the transition of care process to reduce hospital readmission, enhance patient engagement in self-management of their chronic illnesses, screen for risks of future medication mismanagement, improve patients' overall health literacy and enhance patient satisfaction with their healthcare experiences.

Following this model will enable Beebe Home Care to continue to provide the excellent home care the community has grown accustomed to while also achieving the triple aim of healthcare reform: achieving better health, delivering better care, and lowering costs for individuals and providers. For more information, go to www.beebehealthcare.org.

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