August 20, 2013 (12:30 PM – 5:15 PM)
Savannah Riverfront Marriott
100 General McIntosh Boulevard
Savannah, Georgia 31401
Tentative Agenda
Tuesday, August 20, 2013, Savannah, Georgia
12:30 p.m. - 1:00 p.m.
Registration
1:00 p.m. – 1:15 p.m.
Welcome & Introduction – Vi Naylor
1:15 p.m. - 2:15 p.m.
Reducing Readmissions: All teach, all learn
Patient Education
Panel discussion – what’s working / what’s not –
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Discharge education throughout stay
Red flags for patients self-management: tools & resources
Motivational Interviewing: the process and teach back
Discharge instructions: “I am at home, now what?”
Hospital representatives:
Naphtali Edge Dir. of Transition Management
Company: Emory Healthcare
Mary Pizzino, Executive Director, Informatics and Quality
Data Management
Susie Payne, Resource Management Director Clearview
Regional Medical Center
2:15 p.m. - 3:15 p.m.
Medication Management – The Plan
Vicky Agramonte, RN, MSN Project Manager Healthcare Quality
Improvement Program Island Peer Review Organization, Inc.
(IPRO)
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3:15 a.m. - 3:30 p.m.
3:30 p.m. - 4:30 p.m.
Medications at Transitions and Clinical Handoffs
(MATCH) Toolkit for Medication Reconciliation
Break
Follow-up: What’s working / what’s not
 Pending tests
 Appointments
 Post hospital stay calls
 Communication with provider / next level of care
Hospital representative panel discussion Hospital representatives:
Naphtali Edge Dir. of Transition Management
4:30 p.m. - 5:00 p.m.
5:00 p.m. - 5:15 p.m.
5:15 p.m.
Company: Emory Healthcare
Mary Pizzino, Executive Director, Informatics and Quality Data
Management
Susie Payne, Resource Management Director Clearview Regional
Medical Center
Ensuring resources: Community Healthcare Connection
Savannah Community Healthcare Connection
Jennifer Hodge, Alliant|GMCF
Rhonda Jones from East Georgia Medical Center and Dee Dee
Seagraves
Next steps
Adjourn
Tuesday, August 27, 2013 (8:30 AM – 1:15 PM)
Marriott Century Center (Emory Area / I-85 at Clairmont Road Exit #91)
Atlanta, Georgia
Reducing Readmissions: All Teach, All Learn
8:30 a.m. – 9:00 a.m.
Registration
9:00 a.m. – 9:15 a.m.
Introduction/Welcome – Vi Naylor
9:16 a.m. - 10:15 a.m.
Reducing Readmissions: All teach, all learn
Patient Education
Panel discussion – what’s working / what’s not –
 Discharge education throughout stay
 Red flags for patients self-management: tools & resources
 Motivational Interviewing: the process and teach back
 Discharge instructions: “I am at home, now what?”
Hospital representatives: Dr. Nicole Franks Emory Healthcare,
Susie Payne, Resource Management Director Clearview Regional
Medical Center
Susan Troccia Director, Coordinated Care Gwinnett Medical
Center
10:15 a.m. - 11:15 a.m.
Medication Management – The Plan
 Medications at Transitions and Clinical Handoffs (MATCH)
Toolkit for Medication Reconciliation
Vicky Agramonte, RN, MSN Project Manager Healthcare Quality
Improvement Program Island Peer Review Organization, Inc.
(IPRO)
Kristine Gleason, MPH, RPh
Clinical Quality Leader
Northwestern Memorial Hospital
11:15 a.m. -11:30 a.m.
11:30 a.m. -12:30 p.m.
Break
Follow-up: What’s working / what’s not

Pending tests

Appointments

Post hospital stay calls

Communication with provider / next level of care
Hospital representative panel discussion (Continued):
Dr. Nicole Franks, Emory Health System
Selena Baskins, Northridge Medical Center
Susie Payne, Resource Management Director Clearview Regional
Medical Center
Susan Troccia, Director, Coordinated Care Gwinnett Medical
Center
12:30 p.m. – 1:00 p.m.
Ensuring resources: Community Healthcare Connection Atlanta
Regional Commission: Community-based Care Transition
Program – Mary Bloomberg & Cyndi Burke, ARC Care
Transitions Coordinator
1:00 p.m. – 1:15 p.m.
Next steps
1:15 p.m.
Adjourn