TIP OF THE WEEK
Transitional Care Coordination and the Personal Health Record
A personal health record (PHR) can help facilitate communication between patients and caregivers, and it can help ensure continuity of planning across healthcare settings. It is important that patients understand what a PHR is and how they should manage its use.
COMPONENTS OF A PERSONAL HEALTH RECORD
- Demographic and caregiver information
- Healthcare provider information, including physicians and home care agency
- Advance directive status
- Medical history
- Medications and allergies
- Area to record test results, immunizations, and physician appointments
- Checklist of activities that should precede hospital discharge and aid in the follow-up at home
- Area for patients to write questions for their healthcare providers
PATIENT EDUCATION AND DISCUSSION POINTS FOR PHRS
- Explain PHR and its components
- Review and update PHR as needed
- Encourage the patient to update and share the PHR with primary care practitioner or specialist at follow-up visits
For more information or to access a copy of an existing PHR, go to www.medqic.org and download the Transitional Care Coordination Best Practice Improvement Package.
RESOURCE SPOTLIGHT
Transitional Care Coordination Best Practice Intervention Package
This is a comprehensive manual for home health agency leadership and staff to identify tools and processes to improve patient transitions from one healthcare setting to another. Interventions focus on the four pillars, or conceptual domains, of patient transition. The package includes tools and resources for patients and staff, guidelines, and podcasts.
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OHIO KEPRO EVENTS
COMING ATTRACTIONS
Health Policy Institute of Ohio: Regional Meetings on the Ohio Family Violence Prevention Project
- April 4th in Youngstown
- April 11th in Cleveland
- May 2nd in Toledo
- May 9th in Lima
- May 16th in Cincinnati
- May 23rd in Zanesville


