MN
MINNESOTA HEALTH CARE ROUNDTABLE
54
TH
SESSI O N
Care Transitions Improving the safety net
The following report from the 54th session of the Minnesota Health Care Roundtable continued on the theme of our last program, which focused on improving the interoperability of care teams. In this session, we are looking specifically at the topic of care transitions. As the scope of care teams expands, with an increasingly varied number and type of healthcare providers involved, the opportunity for unintended consequences also expands. Care transitions have become a leading source of malpractice litigation. Our panel discusses these issues and how best to address them. We extend our special thanks to the participants and sponsors for their commitments of time and expertise in bringing you this report. This fall we will publish the 55th session of the Minnesota Health Care Roundtable on the topic Care Coordination. This will complete the exploration of a trilogy of emerging and related responses to the necessary evolution of healthcare policy. We welcome comments and suggestions. The term care transition covers a lot of ground. Please tell us what this means from your perspective. DR. SCHULTZ: Care transition is a term that describes the process of
information exchange when patients move between medical practices. Successful transitioning of patient care from one medical practice to another requires quick, efficient and thorough interchange of health information between medical providers. Interoperable electronic health records were supposed to make the process of information exchange between medical practices seamless, but this has not happened in any consistent manner.
TODD ARCHBOLD, LSW, MBA
joining PrairieCare in 2006 Todd became chief executive officer in 2020. He has helped develop one of the region’s largest psychiatric health systems with 12 locations in Minnesota. He is also the executive director for the Psychiatric Assistance Line (PAL) – a statewide service aimed towards increasing collaboration and support between psychiatry and primary care.
BONNIE LAPLANTE, MHA, BS, RN
is the health care home (HCH) program director, in the Health Policy Division, at the Minnesota Department of Health, where she has worked for over nine years. She has 16 years of leadership experience as a clinic services nursing director, as well as experience as a director of a home health agency and a coordinator in long term care.
LINDSEY SAND, LHSE, NHA serves as vice president of population health for Knute Nelson, an aging services organization offering a full continuum of services across more than 35 counties in northwestern and central Minne sota and eastern North Dakota. She serves on the boards of Lakes Area Age-Friendly, LeadingAge Minnesota and the LeadingAge Minnesota Foundation. DAVID S. SCHULTZ, MD, MHA is the medical direc tor and founder of Nura Pain Clinic. Dr. Schultz is a board certified anesthesiologist with additional board certification in pain medicine from the American Board of Anesthesiol ogy, the American Board of Interventional Pain Physicians and the American Board of Pain Medicine. He has been a full time interventional pain specialist since 1995. DAVID J. VOLLER, MBA, FACHE
is the clinic administrator at Shriners Children’s Twin Cities. His 30year career in health care includes positions at the Mayo Clinic, Gillette Children’s and BWBR. David is a Fellow of the American College of Healthcare Executives, sits on the board of ACHE MN and chair for membership and advancement.
LINDSEY: From our perspective, care transitions can be viewed in two ways. It
can refer to the transitions of a patient from a hospital to a skilled care facility or even to their home where patients could utilize skilled care, personal care or independent self-management. It can also refer to health status changes. No matter their current care location, the patient may require more extensive care or less intensive service delivery. This type of transition can involve a health status setback on the road to recovery or new development that may require adjustments to the care plan. BONNIE: Care transition covers a wide spectrum in primary care. Broadly, it means the transfer of care from one setting or level of care to another–for example, from a hospital to home or a residential care facility with return of care to the primary care provider. In certified Health Care Home clinics, transition procedures are developed and used to ensure safety and to prevent health complications, gaps in care and rehospitalization. DAVID: The definition of care transition really comes with two factors that represent care collaboration and coordination while the patient is in our care,
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MAY 2022 MINNESOTA PHYSICIAN
ABOUT THE SPONSORS: Coverys is a medical liability insurance company that combines insurance protection with risk analytic services. They are a national leader in the field with over 45 years experience protecting health care.
LeadingAge Minnesota Foundation supports initiatives to transform and enhance the experience of aging by building the workforce for tomorrow, advancing promising new approaches to service delivery and developing leadership at all levels. Nura Pain Clinic was created by physicians who are pioneers in precision pain management. For over three decades they have specialized in therapies and procedures helping those who struggle with chronic pain get their life back.
RAYUS Radiology, formerly CDI, is a nationwide leader in advanced diagnostic and interventional radiology. Blending the art and science of well-being, RAYUS is revolutionizing radiology and making the unknown known for over a million patients and their providers each year.
