Adena Health System has been awarded the Area Agency on Aging District 7’s (AAA7) 2014 Trailblazer Award. The Award recognizes pioneers who have blazed a trail to guide others with unique and innovative ideas or programs.
Adena was recently honored, along with two other regional health systems, for helping AAA7 with its Community Care Transitions Project (CCTP). The CCTP assists individuals in achieving better health outcomes as they transition from the hospital setting to home, assisted living, or nursing care facility.
“Adena Health System has put together a robust Clinical Integration program that is intended to provide a full-spectrum of care for our patients,” said Adena’s Vice President of Clinical Integration Bambi Huffman, RN, BSN, MHA. “By collaborating with other healthcare providers, Extended Care Facilities and the Area Agency on Aging, we are working to effectively manage the care of high-risk patients while they are in our hospitals, as well as making sure they have everything in place when they are discharged. This is helping to better prepare them and/or their caregiver to manage their health condition, and to avoid the need for a hospital readmission.”
Through its efforts to reduce hospital readmissions, since 2012, Adena has seen a three-percent reduction in readmissions for patients in the program’s three areas of focus. These include congestive heart failure, diabetes and pneumonia.
Readmission teams from Adena, other area health systems and AAA7 meet regularly to discuss the most effective ways to engage with patients, and to share best practices and successes. The overall goal of the Care Transitions Project is to improve patient health outcomes and reduce the recurrence of illness and necessary hospital readmissions.