PRMC introduces “Care Transitions Program”
SALISBURY, Md. – “It’s basically been a problem for years.”
People who don’t follow up on medications and other instructions after they are discharged from a hospital are causing a headache for health care providers on the shore.
47 ABC spoke with physician Dr. Walter Gianelli who tells us its a problem that demands a response.
He said, “Because we have a provider shortage on the shore, they [patients] have a hard time getting their follow ups, so they tend to fall through the cracks.”
Experts say by not following through with instructions, people are getting readmitted to the hospital for things they could have easily prevented at home, or even the very same issue that brought them there in the first place.
In order to fix this recurring health care problem, Peninsula Regional Medical center is introducing the “Care Transitions Program.”
“This program allows us to follow up post discharge with our patients that leave the hospital.”
Executive Director of Acute Care Services Sarah Arnett explains its a phone call service that reaches out to patients to make sure they are following discharge instructions.
She said, “The ultimate goal of the program is to help patients stay well, and stay out of the hospital.”
In order to keep them out of the hospital, the service connects doctors with their patients on a one-on-one basis.
Once they develop that relationship, they can come up with solutions to keep patients healthy.
For example, Arnett says, “if you find that you need a specialist referral, if you’re getting new medications, or even resuming medications that you’ve been on in the past,” this program will point you in the right direction.